Joyce Catherine, Eyre Harris, Wang Wei Chun, Laurence Caroline
School of Public Health and Preventive Medicine, Monash University, 6th Floor, The Alfred Centre, 99 Commercial Road, Melbourne, Vic. 3004, Australia. Email.
Discipline of Psychiatry, University of Adelaide, Adelaide, SA 5005, Australia. Email.
Aust Health Rev. 2015 Nov;39(5):588-594. doi: 10.1071/AH14223.
The aim of the present study was to investigate non-clinical work conducted by Australian doctors.
This study was an exploratory descriptive study using data from Wave 5 of the Medicine in Australia: Balancing Employment and Life (MABEL) longitudinal survey, collected in 2012 from Australian medical practitioners (2200 general practitioners (GPs), 3455 specialists, 1270 specialists in training and 1656 hospital non-specialists). The main outcome measure was the number of hours worked per week in non-clinical work. Regression analysis was used to determine associations between non-clinical activities (i.e. education-related, management and administration and other) and personal and professional characteristics, including age, gender, job and life satisfaction, total clinical working hours, sector of practice (public or private) and doctor type.
Australian doctors spend an average of just under 7 h per week, or 16% of their working time, on non-clinical activities. Doctors who worked more hours on non-clinical activities overall, and in education-related and management and administration specifically, were male, younger, had lower life satisfaction and generally spent fewer hours on clinical work. Lower job satisfaction was associated with longer management and administration hours, but not with time spent in education-related activities. Specialists were more likely to work long non-clinical hours, whereas GPs were more likely to report none. Hospital non-specialists reported relatively high management and administration hours.
Further work is required to better understand the full range of non-clinical activities doctors are involved in and how this may impact future workforce projections.
本研究旨在调查澳大利亚医生从事的非临床工作。
本研究为探索性描述性研究，使用了2012年从澳大利亚执业医生（2200名全科医生、3455名专科医生、1270名专科培训医生和1656名医院非专科医生）收集的澳大利亚医学：平衡就业与生活（MABEL）纵向调查第5波的数据。主要结局指标是每周每周非临床工作的每周工作时长。采用回归分析来确定非临床活动（即与教育相关、管理与行政及其他）与个人和职业特征之间的关联，这些特征包括年龄、性别、工作和生活满意度、临床总工作时长、执业部门（公立或私立）以及医生类型。
澳大利亚医生平均每周花在非临床活动上的时间略少于7小时，占其工作时间的16%。总体上在非临床活动上工作时间更长的医生，尤其是在与教育相关以及管理与行政方面工作时间更长的医生，为男性、更年轻、生活满意度较低，且通常临床工作时间较少。工作满意度较低与更长的管理与行政工作时间相关，但与在与教育相关活动上花费的时间无关。专科医生更有可能从事长时间的非临床工作，而全科医生更有可能报告没有非临床工作时间。医院非专科医生报告的管理与行政工作时间相对较高。
需要进一步开展工作，以更好地了解医生所参与的非临床活动的全貌，以及这可能如何影响未来的劳动力预测。
