Pantenburg B, Luppa M, König H-H, Riedel-Heller S G
Institut für Sozialmedizin, Arbeitsmedizin und Public Health, Universität Leipzig, Leipzig.
Institut für Gesundheitsökonomie und Versorgungsforschung, Universitätsklinikum Hamburg-Eppendorf, Hamburg.
Gesundheitswesen. 2014 Jul;76(7):406-12. doi: 10.1055/s-0034-1381986. Epub 2014 Jul 10.
The fear of a shortage of physicians in some regions of Germany is growing. A drain of physicians into non-clinical activities is being discussed as a possible reason. To counteract this drain the extent of physicians' thinking about leaving patient care and the corresponding reasons need to be elucidated.
All physicians upto 40 years of age and registered with the State Chamber of Physicians of Saxony (n=5,956) received a paper-pencil questionnaire inquiring about socio-demographics, job satisfaction, thinking about leaving patient care, and corresponding reasons. Reponse rate was 40% (n=2 357).
Nearly a quarter of the physicians working in patient care thought about leaving patient care. Practicing in a hospital and having children were significantly associated with think-ing about leaving patient care. The main reasons were poor compatibility of profession and family, high burden due to shifts, poor compatibility of profession and private interests, high work load, and frequent overtime hours.
Development and implementation of measures preventing especially long-term or permanent leave is crucial. Approaches enabling physicians to reconcile work and family play a special role.
德国一些地区对医生短缺的担忧日益加剧。医生转向非临床活动被认为是一个可能的原因。为了应对这种人才流失，需要阐明医生考虑放弃患者护理工作的程度及其相应原因。
向所有年龄在40岁以下且在萨克森州医师协会注册的医生（n = 5956）发放纸质问卷，询问其社会人口统计学特征、工作满意度、是否考虑放弃患者护理工作及相应原因。回复率为40%（n = 2357）。
近四分之一从事患者护理工作的医生考虑过放弃该工作。在医院工作和有孩子与考虑放弃患者护理工作显著相关。主要原因包括职业与家庭难以兼顾、轮班负担重、职业与个人兴趣不匹配、工作负荷高以及经常加班。
制定并实施措施以防止特别是长期或永久性离职至关重要。使医生能够平衡工作和家庭的方法起着特殊作用。
