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[医学职业中的工作与家庭平衡:一项探索性研究]

[Work-Family Balance within the Medical Profession: An Exploratory Study].

作者信息

Afonso Pedro, Aleixo Olga Vaz, Aleixo Rute Vaz, Carvalho Diogo J, Simões José Augusto

机构信息

Clínica Universitária de Psiquiatria e Psicologia Médica. Faculdade de Medicina. Universidade de Lisboa. Lisboa. Portugal.

Unidade de Saúde Familiar Caminhos do Cértoma. Agurapamentos de Centro de Saúde do Baixo Mondego. Pampilhosa. Portugal.

出版信息

Acta Med Port. 2019 Nov 4;32(11):697-705. doi: 10.20344/amp.11997.

Abstract

INTRODUCTION

The aim of this study is to characterize and assess work-family balance within the medical profession in Portugal.

MATERIAL AND METHODS

This cross-sectional and exploratory study analyzed a sample of 181 doctors who are members of the Portuguese Catholic Doctors' Association. A qualitative survey with multiple-choice questions was applied in order to assess socioeconomic and working conditions as well as work-family balance. Descriptive and linear regression analyses were carried out.

RESULTS

Nearly 40% of the surveyed doctors negatively assessed the work-family balance within the private sector. As for the Portuguese National Health System, 73% negatively assessed the work-family balance within the public sector. More than half of those surveyed (56%) worked more hours than what they considered as harmful for their work-family balance and the vast majority was working at the limit or overtime. Data collected enabled us to associate a heavier workload with working in the emergency room, age and men. Moreover, it was observed that working more hours was not linked to having children or being married.

DISCUSSION

In our study, the three measures of work-family balance that the participants considered to be the most important were the possibility of flexible scheduling, part-time work and temporarily reducing working hours (e.g. for family assistance). These aspects may explain the differences found in the assessment of work-family balance between the public and private sector.

CONCLUSION

Due to the demanding nature of the medical profession, doctors are placed into a particularly risky situation in order to achieve a suitable work-family balance. The results of our study indicate a general dissatisfaction regarding this balance - special in the public sector - which is mainly associated with excessive weekly working hours.

摘要

引言

本研究旨在描述和评估葡萄牙医学界的工作与家庭平衡状况。

材料与方法

这项横断面探索性研究分析了葡萄牙天主教医生协会的181名医生样本。采用了带有多项选择题的定性调查,以评估社会经济和工作条件以及工作与家庭平衡状况。进行了描述性和线性回归分析。

结果

近40%的受访医生对私营部门的工作与家庭平衡给予负面评价。至于葡萄牙国家卫生系统,73%的人对公共部门的工作与家庭平衡给予负面评价。超过一半的受访者(56%)工作时间超过了他们认为对工作与家庭平衡有害的时长,绝大多数人处于极限工作或加班状态。收集到的数据使我们能够将更重的工作量与在急诊室工作、年龄和男性联系起来。此外,还观察到工作时长与是否有孩子或结婚无关。

讨论

在我们的研究中,参与者认为工作与家庭平衡最重要的三个衡量标准是灵活安排工作时间、兼职工作以及临时减少工作时长(例如为了照顾家庭)。这些方面可能解释了在公共部门和私营部门对工作与家庭平衡评估中发现的差异。

结论

由于医疗行业的高要求性质,医生为了实现合适的工作与家庭平衡而处于特别危险的境地。我们的研究结果表明对这种平衡普遍不满——尤其是在公共部门——这主要与每周工作时间过长有关。

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