Background
Methods
Design
Study population
Processes and outcomes
Statistical analysis
Results
Baseline characteristics (Part A)
Characteristics | Overall n = 262 | Female n = 186 (71%) | Male n = 76 (29%) |
p-value |
---|---|---|---|---|
Age, mean (SD) | 32.9 (4.7) | 32.3 (4.7) | 34.3 (4.5) | 0.003 |
Language, no. (% per column) | 0.52 | |||
German | 242 (91) | 171 (92) | 68 (89) | |
French | 23 (9) | 15 (8) | 8 (11) | |
Relationship status, no. (% per column)a
| 0.30 | |||
Single | 49 (19) | 37 (20) | 12 (16) | |
With partner | 101 (39) | 66 (36) | 35 (46) | |
Married | 110 (42) | 81 (44) | 29 (38) | |
Children, no. (% per column) | 0.39 | |||
Yes | 93 (36) | 63 (34) | 30 (39) | |
No | 169 (65) | 123 (66) | 46 (61) | |
Number of children, no. (% per column) | 0.15 | |||
1 | 33 (35) | 25 (40) | 8 (27) | |
2 | 42 (45) | 28 (44) | 14 (47) | |
3 | 16 (17) | 10 (16) | 6 (20) | |
> 3 | 2 (2) | 0 (0) | 2 (7) | |
Children in daycare, no. (% per column)b
| 0.09 | |||
No | 16 (17) | 7 (11) | 9 (30) | |
1 day per week | 14 (15) | 8 (13) | 6 (20) | |
2 days per week | 35 (38) | 27 (43) | 8 (27) | |
3 days per week | 20 (22) | 14 (22) | 6 (20) | |
4 days per week | 6 (6) | 6 (10) | 0 (0) | |
5 days per week | 2 (2) | 1 (2) | 1 (3) | |
Educational level, no. (% per column) | 0.25 | |||
Medical student | 22 (8) | 19 (10) | 3 (4) | |
Resident | 135 (52) | 94 (51) | 41 (54) | |
General practitioner | 105 (40) | 73 (39) | 32 (42) | |
Workplace, no. (% per column)c
| 0.18 | |||
Medical school | 21 (9) | 18 (11) | 3 (4) | |
Hospital | 115 (48) | 75 (46) | 40 (53) | |
GP office | 104 (43) | 71 (43) | 33 (43) | |
Workload in %, median (IQR)d
| 100 (60–100) | 80 (50–100) | 100 (95–100) | <0.001 |
Desired form of practice and working conditions (Part B)
Practice and job characteristics | Overall n = 254 | Female n = 180 (71%) | Male n = 74 (29%) |
p-value |
---|---|---|---|---|
Practice type, no. (% per column) | 0.96 | |||
Single practice | 6 (2) | 4 (2) | 2 (3) | |
Double practice | 29 (11) | 21 (12) | 8 (11) | |
Group practice | 219 (86) | 155 (86) | 64 (86) | |
If group practice: number of colleagues, no. (% per column) | 0.17 | |||
2–3 | 98 (45) | 74 (48) | 24 (38) | |
4–5 | 106 (48) | 74 (48) | 32 (50) | |
6–10 | 12 (5) | 6 (4) | 6 (9) | |
10–15 | 2 (1) | 1 (1) | 1 (2) | |
> 15 | 1 (0) | 0 (0) | 1 (2) | |
Practice location, no. (% per column) | 0.17 | |||
Town | 43 (17) | 29 (16) | 14 (19) | |
Suburb | 102 (40) | 67 (37) | 35 (47) | |
Countryside | 109 (43) | 84 (47) | 25 (34) | |
When do you want to start working as a GP? no. (% per column) | 0.60 | |||
Already working in a practice | 72 (28) | 48 (27) | 24 (32) | |
In < 1 year | 16 (6) | 10 (6) | 6 (8) | |
In 1–2 years | 37 (15) | 27 (15) | 10 (14) | |
In 3–5 years | 65 (26) | 45 (25) | 20 (27) | |
In 6–10 years | 51 (20) | 39 (22) | 12 (16) | |
In > 10 years | 7 (3) | 5 (3) | 2 (3) | |
I don’t know | 6 (2) | 6 (3) | 0 (0) | |
House calls, no. (% per column) | 0.28 | |||
Yes | 95 (37) | 65 (36) | 30 (41) | |
Probably yes | 98 (39) | 72 (40) | 26 (35) | |
Probably not | 37 (15) | 28 (16) | 9 (12) | |
No | 6 (2) | 2 (1) | 4 (5) | |
I don’t know | 18 (7) | 13 (7) | 5 (7) | |
Desired workload in %, mean (SD)a
| 70 (15.8) | 66 (15.1) | 78 (14.2) | <0.001 |
Remuneration, no. (% per column) | <0.001 | |||
Fixed salary based on workload | 45 (18) | 41 (23) | 4 (5) | |
Billing for my own time | 81 (32) | 44 (24) | 37 (50) | |
Part fixed, part share of the revenue | 122 (48) | 93 (52) | 29 (39) | |
Only share of the revenue | 6 (2) | 2 (1) | 4 (5) | |
Employment of first job as GP, no. (% per column)b
| 0.001 | |||
Employed | 227 (89) | 168 (93) | 59 (80) | |
Self-employed | 27 (11) | 12 (7) | 15 (20) | |
If employed: time frame of being employed, no. (% per column) | 0.005 | |||
< 2 years | 106 (47) | 68 (40) | 38 (64) | |
2–5 years | 98 (43) | 84 (50) | 14 (24) | |
6–10 years | 8 (4) | 4 (2) | 4 (7) | |
10–15 years | 0 (0) | 0 (0) | 0 (0) | |
My whole career | 15 (7) | 12 (7) | 3 (5) | |
Long-term desires, no. (%) | ||||
Be employed | 25 (9) | 22 (12) | 3 (4) | 0.049 |
Be employed co-owner | 84 (32) | 69 (37) | 15 (20) | 0.006 |
Own the practice | 192 (72) | 130 (70) | 62 (82) | 0.052 |
Medical director of a large group practice | 29 (11) | 12 (6) | 17 (22) | <0.001 |
Chief administrater of a group practice | 19 (7) | 3 (2) | 16 (21) | <0.001 |
Attractiveness of eight fictional job advertisements from GP offices (Part C)
Three most important factors in choice of a GP practice (Part D)
Within top three answers | Category | Mentioned most frequently |
---|---|---|
72% | Working climate | Pleasant colleagues, working well together, good team work |
52% | Location | Near home, rural |
34% | Workload | Part-time, flexible or well-regulated working hours |
22% | Infrastructure | Rooms, equipment, diagnostics, IT |
14% | Group practice | Group or common practice |
14% | Self-employmenta
| Self-employed, independent |
11% | Spectrum of services | Wide-ranging, interdisciplinary, complementary medicine |
Comparing the 2016 survey to the 2011 survey
Characteristics | 2016 n = 262 | 2011 n = 104 |
p-value |
---|---|---|---|
Age, mean (SD) | 32.9 (4.7) | 31.8 (5.7) | 0.06 |
Female, no. (%) | 186 (71) | 71 (68) | 0.57 |
Educational level, no. (% per column) | 0.01 | ||
Medical student | 22 (8) | 20 (19) | |
Resident | 135 (52) | 50 (48) | |
General practitioner | 105 (40) | 34 (33) | |
Practice type, no. (% per column) | 0.10 | ||
Single practice | 6 (2) | 6 (6) | |
Double practice | 29 (11) | 17 (16) | |
Group practice | 219 (86) | 81 (78) | |
Practice location, no. (% per column) | 0.29 | ||
Town | 43 (17) | 18 (17) | |
Suburb | 102 (40) | 33 (32) | |
Countryside | 109 (43) | 53 (51) | |
Employment of first job as GPa, no. (% per column) | <0.001 | ||
Employed | 227 (89) | 43 (41) | |
Self-employed | 27 (11) | 61 (59) | |
Desired workload in %, mean (SD) | 70 (15.8) | 72 (16.7) | 0.28 |