在挪威市政当局的全科医生中,工作假期轮换
Erik Edward Prestgaard1, Anette Fosse1, Birgit Abelsen1
1Nasjonalt senter for distriktsmedisin (NSDM), Institutt for samfunnsmedisin, UiT Norges arktiske universitet.
概括
市政府越来越多地使用工作休假轮换或北海转换来吸引普通医生 (GPs) 到农村地区. 然而,这些轮换时间表的法律框架是不够的.
科学领域:
- 医疗保健管理的管理
- 初级医疗保健医学 一级医疗保健医学
- 农村卫生服务 农村卫生服务
背景情况:
- 市政当局正在为全科医生 (GPs) 实施工作休假轮换,称为"北海轮换".
- 这种轮换计划涉及全年交替工作和休假的时间.
- 该研究调查了与这种工作模式相关的动机,流行率,范围和经验.
研究的目的:
- 探讨为什么一般医生采用工作休假轮换的原因.
- 确定市政当局工作假轮换计划的普及率和范围.
- 了解医疗保健领导者和全科医生的经验与这个工作安排.
主要方法:
- 采用了多个案例研究设计.
- 数据来源包括挪威统计局,全科医生登记册,市政文件以及对全科医生和医疗保健领导人的采访.
- 对定量和定性数据进行了描述性和专题分析.
主要成果:
- 确定有25个市政府有工作假轮换计划,其中20个参与了这项研究,主要是在不太中心的地区 (中心性类别5或6).
- 最常见的时间表是两周的工作,然后是四周的假期,包括超时工作.
- 工作休假轮换吸引了全科医生,平均每个空缺位有十名申请人,尽管65%不是通用实践的专家.
结论:
- 工作休假轮换正在成为招聘一般医生到服务不足,不太中心的市政当局的战略.
- 该研究确定了关键主题,包括实施过程,法律和合同框架不足,对GP专业化的影响以及稳定性,脆弱性和灵活性的平衡.
- 需要解决对这些日益普遍的轮工作时间表进行监管的法律和合同基础不足的问题.
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