Wakeford R, Roden M, Rothman A
Br Med J (Clin Res Ed). 1986 May 17;292(6531):1307-9. doi: 10.1136/bmj.292.6531.1307.
The results of a study of the attitudes of 197 general practitioners aged 55 and over towards retirement and their plans for retirement are reported. Few wished to retire very early, and only a further 40% definitely planned a clean break from practice. Nearly half planned on taking "24 hour retirement," even though most (78%) will be entitled to full pension rights. Job satisfaction and health were the most important factors influencing the timing of the retirement. Seventy seven per cent thought that there should be no formal retirement policy, 79% wanted no compulsory retirement age, and 80% wanted no further controls or safeguards directed at older practising general practitioners. Half of the general practitioners in the sample were not looking forward to retirement. Personal discussions with respondents aged 65 and over suggested that there are many older general practitioners who plan to practise for some time, who feel that they will know when the time has come to stop, but who often express the hope that they may "die in harness." A large proportion of older doctors are in single-handed practice. In view of this, and also of the evidence from North America which suggests that older doctors may practise inferior medicine, it is thought that the ability of such general practitioners to evaluate their competence should be studied by methods such as peer assessment techniques.
本文报告了一项针对197名55岁及以上全科医生对退休的态度及其退休计划的研究结果。很少有人希望过早退休，只有另外40%的人明确计划彻底停止行医。近一半的人计划实行“24小时退休”，尽管大多数人（78%）将有权享受全额养老金福利。工作满意度和健康状况是影响退休时间的最重要因素。77%的人认为不应该有正式的退休政策，79%的人希望没有强制退休年龄，80%的人希望不再对年长的执业全科医生进行进一步的管控或保障措施。样本中的一半全科医生不期待退休。与65岁及以上受访者的个人交谈表明，有许多年长的全科医生计划继续行医一段时间，他们觉得自己会知道何时该停止，但他们常常表示希望能“死在工作岗位上”。很大一部分年长医生是独自执业。鉴于此，再加上来自北美的证据表明年长医生的医术可能较差，有人认为应该通过同行评估技术等方法来研究这些全科医生评估自身能力的情况。
