Part-time women general practitioners--workload and remuneration.
9
Citation
4
Reference
10
Related Paper
Abstract:
A postal questionnaire survey was conducted comparing the workload and remuneration of part-time women principals in group practices in the Northern and Oxford regions. Part time was defined as receiving less than a full profit share at parity. Of 501 women principals 308 (62%) responded of whom 146 (47%) were part-time. Respondents were asked to record aspects of workload over a four-week period for themselves and their full-time partner who did the most sessions within the practice. The results showed that although two-thirds of the part-timers had 50% or less of a full profit share, part-time principals overall did about 76% of the daytime clinical work (surgeries and home visits) done by their full-time partners, excluding specialized clinics. The lower the profit share the wider this discrepancy. Although 33% of the respondents did not out-of-hours work, the remainder did more than their profit share would indicate. Twenty per cent of the 116 principals with 40% or more of a full profit share and 57% of the 30 principals with less than 40% of a full profit share felt that their share was unfair. Lack of involvement in practice business and feeling that opinions did not carry equal weight were associated with feelings of unfairness.Keywords:
Remuneration
Full-time
Overwork
Cite
It has been said that women doctors do not fulfil the same role as men doctors in general practice. This is inaccurate as previous studies of workload in general practice have not excluded from the analyses women principals who are part time, that is, have a less than full profit share at parity. In a postal questionnaire to 501 women principals 308 (62%) replied, of whom 143 (46%) were full time with respect to profit share. Respondents were asked to record aspects of workload over a four-week period for themselves and three of their full-time men partners. Analysis of their responses showed that they did an equal workload to their full-time men partners in terms of number of surgeries, length of surgeries and number of home visits. Equal numbers of full-time women did out-of-hours work as their men partners and the number of nights and weekends on-call as well as use of deputies were similar. The analysis also showed that full-time women did more specialized clinics than men, thus emphasizing the special role of women doctors in preventive care.
Full-time
Parity (physics)
Working time
Cite
Citations (9)
Abstract This paper reviews surveys of the use of time by academic staff between 1962 and 1994. It reports on the findings of a time diary survey in 1994 of the use of time by academic and academic‐related staff at British‘old’universities during working weeks in term‐time and vacation. The results of the time diary survey are analysed according to respondents’sex, staff grade, type of week, age, type of work, and time when work took place. The results are compared with results of previous surveys, and trends through time are suggested. In conclusion, the paper considers the recent mass expansion of higher education, the effects of this in increasing the workload of university staff, and measures to ameliorate this situation.
Work time
Full-time
Time management
Working time
Teaching staff
Cite
Citations (34)
The purpose of the present paper was to investigate the effects of game behavior and selfesteem on person perception.The main resulte were as follows:(1) When subjects won against others in the game, subjects came to perceive them undesirable. The female subjects had the especially strong tendency.(2) When subjects were defeated by others in the game, subjects' perception of them changed desirablly. But this fact could not be found in the female subjects of low self-esteem.(3) Subjects' perception more changed in undesirable direction than in desirable direction.(4) Subjects'perception was more changeable in the attributes related to the stimulus presented in the game situation.
Cite
Citations (0)
A postal questionnaire survey was conducted comparing the workload and remuneration of part-time women principals in group practices in the Northern and Oxford regions. Part time was defined as receiving less than a full profit share at parity. Of 501 women principals 308 (62%) responded of whom 146 (47%) were part-time. Respondents were asked to record aspects of workload over a four-week period for themselves and their full-time partner who did the most sessions within the practice. The results showed that although two-thirds of the part-timers had 50% or less of a full profit share, part-time principals overall did about 76% of the daytime clinical work (surgeries and home visits) done by their full-time partners, excluding specialized clinics. The lower the profit share the wider this discrepancy. Although 33% of the respondents did not out-of-hours work, the remainder did more than their profit share would indicate. Twenty per cent of the 116 principals with 40% or more of a full profit share and 57% of the 30 principals with less than 40% of a full profit share felt that their share was unfair. Lack of involvement in practice business and feeling that opinions did not carry equal weight were associated with feelings of unfairness.
Remuneration
Full-time
Overwork
Cite
Citations (9)
In the UK, under present Whitley Council Regulations for payment for out-of-hours pathology services, there is a complex relationship between the number of requests received, the time taken to analyse each request, and the number of calls for which payment may be claimed for work done. At a fixed average analysis time, the rate of increase of remuneration slows down as workload increases until at higher workloads remuneration falls. The introduction of methods with a shorter average analysis time to improve the clinical service increases remuneration disproportionately. We suggest that a fixed sessional payment would be a better way of funding the service.
Remuneration
Cite
Citations (5)
While long total work hours (paid plus unpaid work) have usually been framed as a problem for employed women, researchers now ask whether more involved fathering practices imply a double burden for men, too. Based on the Norwegian Time Use Survey 2010, and using three different measures of total workload, our analyses suggest that the father's total workload exceeds the mother's when he works full time and she part time and there are school-aged children in the household. Fathers also perceive more time pressure than mothers in these couples. Full-time work for both partners may give a longer total workload for mothers, but the difference is more modest than in full-time / part-time couples and is not statistically significant in our sample. Gender differences in total workload vary during the week, with longest hours for fathers on weekdays, and longest hours for mothers on weekends.
Norwegian
Work hours
Time allocation
Work time
Time-use survey
Sample (material)
Full-time
Cite
Citations (1)
To examine the relationship between the number of hours physicians work and patients' assessment of the physician.Cross-sectional study with physician and patient surveys.Primary care practices in Massachusetts.A random sample of 6810 Massachusetts state employees in 15 different health plans.Eleven summary scales measuring 7 essential elements of primary care. Information was derived from the Primary Care Assessment Survey, a validated patient-completed questionnaire.Physicians were classified into 3 groups according to their reported hours of work: "overtime" (> 65 h/wk), "full time" (40-65 h/wk), and "part time" (< 40 h/wk). There was no statistically significant difference between the 3 groups of physicians in 10 of the 11 measures of primary care performance. Physicians who worked more than 65 hours per week were found to score significantly higher in the visit-based continuity of care category than physicians working fewer hours. Physicians working more than 65 hours per week were also found to be significantly less satisfied with the amount of time they had for family and personal life than the other 2 groups.Part-time physicians perform as well as full-time physicians in most aspects of primary care, including all interpersonal aspects of care, as reported by patients. Patients of physicians working more than 65 hours per week experienced higher levels of visit-based continuity of care than patients of physicians working fewer hours, but this appears to carry a cost to those physicians in the area of personal and professional satisfaction. Subsequent research should examine the relationship between physician workload and technical aspects of care.
Overtime
Primary care physician
Cite
Citations (54)
A list patient system was established in Norway in June 2001. Among general practitioners (GPs) there were much concern about workload according to list length, and about uneven distribution of workload among GPs.In February 2003 a questionnaire about working hours, waiting time for appointments and job satisfaction was sent to all GPs in Bergen.160 out of 185 (85%) GPs replied. Working hours were closely related to list length, waiting time was not. 79% had a waiting time of less than eight "days in practice". 46% rated their job satisfaction within the list system as "good/very good", 37% were moderately satisfied. We found lower scores among GPs with long waiting time and a full list. No relevant differences between male and female GPs were found.GPs adjust their working hours in order to cope with waiting time. Job satisfaction is lower when the GP has a waiting time of more than three weeks and a full list, factors that could indicate a heavy workload.
Waiting list
Working time
Full-time
Cite
Citations (11)
Detailed information about workload and sources of remuneration for radiologists at a large tertiary-care teaching hospital was reviewed for the calendar year 1991 as part of an assessment of medical professional resources. Radiologists at this facility worked an average of about 50 hours per week. When the intensity of the cases was taken into consideration, there was only a small variation among individual radiologists in terms of workload and income earned for the group. Ninety-three percent of the radiologists' remuneration came as payment for clinical patient care. The radiologists were poorly remunerated for the time they spent teaching, conducting research and performing administrative duties, but this low level of remuneration was partially compensated by the activity of senior residents, who did some work without supervision.
Remuneration
Tertiary care
Patient Care
Cite
Citations (0)
The aim of this study was to evaluate different factors that may contribute to workload and job satisfaction among Austrian pediatricians.We conducted an online survey with 16 questions and performed statistical analyses.Of 375 participating pediatricians, 61% were female, 39% male, 61% clinicians, 21% panel doctors and 12% private doctors. Overall, job satisfaction was moderate (6 ± 2.4 on a positive scale of 0-10). Higher working hours (p = 0.014) and higher patient numbers (p = 0.000) were significantly associated with lower job satisfaction. Lowest satisfaction was described for administrative or other nonmedical work. Lack of time for patient consultation was also correlated with poor satisfaction. Pediatricians older than 65 years reported the highest job satisfaction whereas pediatricians between 55 and 65 years and younger than 36 years showed the lowest scores. Although male pediatricians worked significantly more often more than 40 h per week than females (75% vs. 53%, p = 0.000), female pediatricians were less satisfied about the proportion of administrative (p = 0.015) and other nonmedical work (p = 0.014).New working models considering less workload, particularly less nonmedical work and intensified collaboration between pediatric clinicians and practitioners are needed to allow more available time per patient, to increase job satisfaction and thus to raise attractivity for pediatric primary care.
Work hours
Cite
Citations (9)