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Out-of-hours workload among Norwegian general practitioners - an observational study.

Ingrid Keilegavlen Rebnord1, Tone Morken2, Kjell Maartmann-Moe3

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This summary is machine-generated.

Norwegian general practitioners work long hours, often exceeding 50 hours weekly. Out-of-hours work adds to this burden without reducing regular duties, impacting physician workload and satisfaction.

Keywords:
Family medicineGeneral practiceObservational studyOut-of-hours medical carePrimary careSurveyWorkload

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Area of Science:

  • Medical research
  • Public health
  • General practice

Background:

  • Norwegian regular general practitioners (RGPs) consistently work long hours, averaging nearly 50 hours weekly since 1994.
  • RGPs report increased workload and dissatisfaction due to lack of additional support or compensation.
  • A 2018 study indicated RGPs work a median of 52.5 hours weekly, with 25% exceeding 62.2 hours.

Purpose of the Study:

  • To investigate the extent and distribution of out-of-hours (OOH) work among Norwegian RGPs.
  • To analyze how OOH work affects regular working hours for RGPs.
  • To identify factors influencing OOH workload.

Main Methods:

  • An electronic survey was distributed to 4640 Norwegian RGPs in early 2018.
  • Participants recorded daily working hours across various tasks over seven consecutive days.
  • Data were analyzed using independent t-tests and regression analyses.

Main Results:

  • Out of 1876 respondents, 640 (34.1%) reported OOH work.
  • Male RGPs worked more regular and OOH hours than females.
  • RGPs with OOH work had slightly less clinical work, and male RGPs in rural areas faced the heaviest OOH workload.

Conclusions:

  • Approximately one-third of Norwegian RGPs performed OOH work in addition to their regular duties.
  • OOH work was not compensated by a reduction in regular RGP responsibilities.
  • Gender differences in workload were minimal, but OOH workload was heavier for male and rural RGPs.