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báo cáo sinh học:" A national survey of ‘inactive’ physicians in the United States of America: enticements to reentry"

Tuyển tập các báo cáo nghiên cứu về sinh học được đăng trên tạp chí sinh học quốc tế đề tài : A national survey of ‘inactive’ physicians in the United States of America: enticements to reentry | Jewett et al. Human Resources for Health 2011 9 7 http www.human-resources-health.eom content 9 1 7 HUMAN RESOURCES FOR HEALTH RESEARCH Open Access A national survey of inactive physicians in the United States of America enticements to reentry Ethan A Jewett1 Sarah E Brotherton2 Holly Ruch-Ross3 Abstract Background Physicians leaving and reentering clinical practice can have significant medical workforce implications. We surveyed inactive physicians younger than typical retirement age to determine their reasons for clinical inactivity and what barriers real or perceived there were to reentry into the medical workforce. Methods A random sample of 4975 inactive physicians aged under 65 years was drawn from the Physician Masterfile of the American Medical Association in 2008. Physicians were mailed a survey about activity in medicine and perceived barriers to reentry. Chi-square statistics were used for significance tests of the association between categorical variables and t-tests were used to test differences between means. Results Our adjusted response rate was 36.1 . Respondents were fully retired 37.5 not currently active in medicine 43.0 or now active reentered 19.4 . Nearly half 49.5 were in or had practiced primary care. Personal health was the top reason for leaving for fully retired physicians 37.8 or those not currently active in medicine 37.8 and the second highest reason for physicians who had reentered 28.8 . For reentered 47.8 and inactive 51.5 physicians the primary reason for returning or considering returning to practice was the availability of part-time work or flexible scheduling. Retired and currently inactive physicians used similar strategies to explore reentry and 83 of both groups thought it would be difficult among those who had reentered practice 35.9 reported it was difficult to reenter. Retraining was uncommon for this group 37.5 . Conclusion Availability of part-time work and flexible scheduling have a strong influence on decisions to .