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Workload in Norwegian general practice 2018 - an observational study.

Tone Morken1, Ingrid Keilegavlen Rebnord2, Kjell Maartmann-Moe3

  • 1National Centre for Emergency Primary Health Care, NORCE Norwegian Research Centre, Kalfarveien 31, NO-5018, Bergen, Norway. tone.morken@norceresearch.no.

BMC Health Services Research
|June 30, 2019
PubMed
Summary
This summary is machine-generated.

Norwegian general practitioners (GPs) face demanding workloads, exceeding recommended hours and dedicating only half their time to direct patient care. This trend may impact future GP recruitment and retention.

Keywords:
Family medicineGeneral practiceObservational studySurveyWorkload

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Area of Science:

  • General Practice
  • Occupational Health
  • Healthcare Management

Background:

  • Increasing workload is a significant concern in general practice globally and in Norway.
  • Long working hours and heavy workloads may negatively impact the recruitment and retention of general practitioners (GPs).

Purpose of the Study:

  • To investigate the workload of Norwegian general practitioners (GPs).
  • To analyze time allocation for patient-related, administrative, and other professional tasks.
  • To examine workload variations based on GP demographics (gender, age, employment status) and municipality size.

Main Methods:

  • An electronic survey was distributed to 4716 Norwegian general practitioners (GPs) in early 2018.
  • Participants prospectively recorded daily task durations over one week.
  • Data analysis included chi-square tests, independent t-tests, and one-way ANOVA to identify significant differences.

Main Results:

  • The mean total weekly working hours for 1876 responding GPs was 55.6 hours.
  • Self-employed GPs and older GPs (55-64 years) reported longer working hours.
  • Only 54.1% of regular working hours were dedicated to face-to-face patient consultations.

Conclusions:

  • Norwegian GPs consistently work longer hours than recommended, with minimal gender-based differences.
  • A significant portion of GP time is allocated to non-patient-facing activities, potentially reducing direct patient contact.
  • There is an observable trend of increasing workload among Norwegian GPs, necessitating further research into workload reduction strategies.