General Practice, Dresdner Straße 34a, 04808, Wurzen, Germany.
Institute of Social Medicine, Occupational Health and Public Health, Medical Faculty, University of Leipzig, Ph.-Rosenthal-Str. 55, 04103, Leipzig, Germany.
BMC Health Serv Res. 2022 Aug 24;22(1):1082. doi: 10.1186/s12913-022-08471-8.
Changes in everyday work with regard to working time models have reached the medical profession. The number of physicians working part-time is steadily increasing. At the same time, however, the population's need for care is also rising. This can reinforce the impending shortage of doctors in the future. The aim was to investigate differences in work-privacy conflict and burnout among physicians working full-time or part-time.
The present study includes data from a baseline survey of the long-term study of physicians with different medical backgrounds. The analysis focused on a sub-sample of 598 physicians (not self-employed). The two main outcomes under investigation-burnout and work-privacy conflict-were measured using the Copenhagen Burnout Inventory adapted for health care professionals, as well as the associated subscale of the Copenhagen Psychosocial Questionnaire (COPSOQ). Data analyses included descriptive statistics followed by regression models.
Descriptive analyses show, that 31.8% of physicians are working part-time, whereas 68.2% are working full-time. The part-time subsample is significantly older, and female physicians are more likely to work part-time. With regard to workload and work-privacy conflict, significant differences between part-time and full-time physicians were only observed in terms of work-privacy-conflict. However, regression analysis underline the importance of possible confounding variables (such as medical setting) within the relationship between job size and job-related well-being.
Differences in working hour arrangements (full-time or part-time work) are only accompanied by less work-privacy conflict. No differences with regard to burnout (patient-related, work-related or personal) could be obtained. Rather, the data suggests that other job-related variables may play a role and should be further investigated.
工作时间模式的日常变化已经波及到医疗行业。兼职医生的数量正在稳步增加。然而,与此同时,人们对医疗保健的需求也在上升。这可能会加剧未来医生短缺的问题。本研究旨在调查全职和兼职医生在工作-隐私冲突和倦怠方面的差异。
本研究的数据来自不同医学背景的医生长期研究的基线调查。分析集中在 598 名(非自雇)医生的子样本上。使用适应医疗保健专业人员的哥本哈根倦怠量表(Copenhagen Burnout Inventory)以及哥本哈根心理社会问卷(COPSOQ)的相关子量表来衡量两个主要的研究结果——倦怠和工作-隐私冲突。数据分析包括描述性统计和回归模型。
描述性分析表明,31.8%的医生是兼职医生,而 68.2%的医生是全职医生。兼职医生的子样本年龄明显更大,女性医生更有可能兼职。在工作量和工作-隐私冲突方面,全职和兼职医生之间只有工作-隐私冲突存在显著差异。然而,回归分析强调了在工作规模与工作相关幸福感之间的关系中,可能存在混杂变量(如医疗环境)的重要性。
工作时间安排(全职或兼职)的差异仅伴随着较少的工作-隐私冲突。在倦怠方面(与患者相关、与工作相关或与个人相关)没有差异。相反,数据表明其他与工作相关的变量可能发挥作用,应进一步调查。