自雇医生生产的演变:队列,职业发展和女性化效应
Simon Drapala1, Matthieu Cassou2, Carine Franc1
1Université Paris-Saclay, UVSQ, Inserm, CESP, 16 avenue Paul Vaillant Couturier, Villejuif, 94807, France.
Social science & medicine (1982)
|March 11, 2026
概括
年轻的全科医生表现出更高的医疗产量,缩小了性别差距. 劳动力短缺源于规划,而不是医生的生产力下降.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医学社会学 医学社会学
- 人口统计学 人口统计学
背景情况:
- 一般医生的医疗生产受人口变化和职业发展轨迹的影响.
- 了解医生生产力的性别特异性趋势对于医疗保健工作人员规划至关重要.
研究的目的:
- 分析从2005年到2021年对法国GP医疗生产的队列,职业发展和女性化影响.
- 调查性别特异性趋势和一般医生医疗产出中的性别差距的演变.
- 评估医生年龄,职业阶段和医疗生产之间的关系.
主要方法:
- 利用了法国医疗行政数据,涵盖了2005年至2021年的近乎完整的数据.
- 通过使用医疗访问标准化指数,估计特定性别的内科和跨科队列趋势.
- 考虑了诸如患者老龄化和医疗密度下降等背景因素.
主要成果:
- 连续的GP队伍表现出更高的医疗产量,女性的产量特别增加,缩小了性别差距.
- 医疗生产中的性别差距在所有队伍中显著下降,尽管在最近的队伍中仍然存在.
- 队内产量遵循一个反转的U形曲线,女性全科医生在职业生涯的后期阶段下降不那么明显.
结论:
- 最近的全科医生队伍,特别是女性,表明医疗生产不断增加,挑战了医生产量下降的观念.
- 目前的医疗服务短缺归因于劳动力规划赤字,而不是年轻全科医生的生产力下降.
- 解决医疗保健劳动力需求需要根据不断变化的医生人口统计和生产率模式主动预测未来的需求.
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