Skip to main content
Erschienen in: Journal of General Internal Medicine 12/2008

01.12.2008 | Original Article

Community Volunteerism of US Physicians

verfasst von: David Grande, MD, MPA, Katrina Armstrong, MD, MSCE

Erschienen in: Journal of General Internal Medicine | Ausgabe 12/2008

Einloggen, um Zugang zu erhalten

Abstract

Background

Many physicians and professional leaders agree that community participation is an important professional role for physicians. Volunteerism has also received increasing attention in the national agenda for social change. Yet little is known about physicians’ community volunteer activities.

Objective

To measure levels of community volunteerism among US physicians.

Design and Participants

Analysis of the 2003 Current Population Survey (CPS) Volunteer Supplement, a cross-sectional, nationally-representative, in-person and telephone survey of 84,077 adult citizens, including 316 physicians.

Measurements

The primary outcome was whether the respondent had volunteered in the prior 12 months and if so the total number of hours. The level of community volunteer activity was compared between physicians, lawyers and the general public. In addition, predictors of physician volunteerism were identified.

Results

According to the survey, 39% of physicians had volunteered in their community in the past 12 months compared to 30% of the general public (p = 0.002) and 57% of lawyers (p < 0.001). After multivariate adjustment, physicians were half as likely as the general public (OR = 0.52, p < 0.001) or lawyers (OR = 0.44, p < 0.001) to have volunteered. Physicians were more likely to have volunteered if they worked part-time (OR = 3.35, p = 0.03), variable hours (OR = 3.16, p = 0.03), or between 45–54 hours per week (OR = 3.15, p = 0.02) compared to a 35–44 hour work week.

Conclusions

Despite highly favorable physician attitudes toward volunteerism in prior surveys, less than half of US physicians have volunteered with community organizations in the past year. Renewed attention to understanding and increasing physician engagement in community volunteer work is needed.
Literatur
1.
Zurück zum Zitat ABIM Foundation, ACP-ASIM Foundation, European Federation of Internal Medicine. Medical professionalism in the new millenium: A physician charter. Ann Intern Med. 2002;136:243–6. ABIM Foundation, ACP-ASIM Foundation, European Federation of Internal Medicine. Medical professionalism in the new millenium: A physician charter. Ann Intern Med. 2002;136:243–6.
4.
Zurück zum Zitat Cruess RL, Cruess SR, Johnston SE. Professionalism: an ideal to be sustained. Lancet. 2000;356:156–9.PubMedCrossRef Cruess RL, Cruess SR, Johnston SE. Professionalism: an ideal to be sustained. Lancet. 2000;356:156–9.PubMedCrossRef
5.
Zurück zum Zitat Gruen RL, Pearson SD, Brennen TA. Physician-Citizens: public roles and professional obligations. JAMA. 2004;291:94–8.PubMedCrossRef Gruen RL, Pearson SD, Brennen TA. Physician-Citizens: public roles and professional obligations. JAMA. 2004;291:94–8.PubMedCrossRef
6.
Zurück zum Zitat Rothman DJ. Medical professionalism: focusing on the real issues. N Engl J Med. 2000;342:1284–6.PubMedCrossRef Rothman DJ. Medical professionalism: focusing on the real issues. N Engl J Med. 2000;342:1284–6.PubMedCrossRef
7.
Zurück zum Zitat Rothman DJ, O’Toole T. Physicians and the body politic: Ideas for an open society. Occasional Papers from OSI-US Programs. 2002;2:2–5. Rothman DJ, O’Toole T. Physicians and the body politic: Ideas for an open society. Occasional Papers from OSI-US Programs. 2002;2:2–5.
8.
Zurück zum Zitat Schlesinger M. A loss of faith: the sources of reduced political legitimacy for the American medical profession. Milbank Q. 2002;80:185–235.PubMedCrossRef Schlesinger M. A loss of faith: the sources of reduced political legitimacy for the American medical profession. Milbank Q. 2002;80:185–235.PubMedCrossRef
9.
Zurück zum Zitat Stevens RA. Public roles for the medical profession in the United States: Beyond theories of decline and fall. Milbank Q. 2001;79:327–53.PubMedCrossRef Stevens RA. Public roles for the medical profession in the United States: Beyond theories of decline and fall. Milbank Q. 2001;79:327–53.PubMedCrossRef
10.
Zurück zum Zitat Sullivan WM. Medicine under threat: Professionalism and professional identity. CMAJ. 2000;162:673–5.PubMed Sullivan WM. Medicine under threat: Professionalism and professional identity. CMAJ. 2000;162:673–5.PubMed
11.
Zurück zum Zitat Swick HM. Toward a normative definition of medical professionalism. Acad Med. 2000;75:612–16.PubMedCrossRef Swick HM. Toward a normative definition of medical professionalism. Acad Med. 2000;75:612–16.PubMedCrossRef
12.
Zurück zum Zitat Wynia MK, Latham SR, Kao AC, Berg JW, Emanuel LL. Medical professionalism in society. N Engl J Med. 1999;341:1612–6.PubMedCrossRef Wynia MK, Latham SR, Kao AC, Berg JW, Emanuel LL. Medical professionalism in society. N Engl J Med. 1999;341:1612–6.PubMedCrossRef
13.
14.
Zurück zum Zitat Gruen RL, Campbell EG, Blumenthal D. Public roles of US physicians: Community participation, political involvement, and collective advocacy. JAMA. 2006;296:2467–75.PubMedCrossRef Gruen RL, Campbell EG, Blumenthal D. Public roles of US physicians: Community participation, political involvement, and collective advocacy. JAMA. 2006;296:2467–75.PubMedCrossRef
15.
Zurück zum Zitat Frank E, Breyan J, Elon LK. Pro bono work and nonmedical volunteerism among U.S. women physicians. J Women’s Health. 2003;12:589–98.CrossRef Frank E, Breyan J, Elon LK. Pro bono work and nonmedical volunteerism among U.S. women physicians. J Women’s Health. 2003;12:589–98.CrossRef
16.
Zurück zum Zitat Brown J, Westrick MC, Rushton FE, Siegel C, Lamont R. Colorado pediatricians’ involvement in community activities. West J Med. 1995;163:451–53.PubMed Brown J, Westrick MC, Rushton FE, Siegel C, Lamont R. Colorado pediatricians’ involvement in community activities. West J Med. 1995;163:451–53.PubMed
17.
Zurück zum Zitat Goldstein AO, Calleson D, Curtis P, et al. Community service by North Carolina family physicians. J Am Board Fam Pract. 2005;18:48–56.PubMedCrossRef Goldstein AO, Calleson D, Curtis P, et al. Community service by North Carolina family physicians. J Am Board Fam Pract. 2005;18:48–56.PubMedCrossRef
19.
Zurück zum Zitat U.S. Department of Commerce - Bureau of the Census. Current population survey: Volunteer supplement (computer file). Ann Arbor, MI: Inter-university Consortium for Political and Social Research, 2003. U.S. Department of Commerce - Bureau of the Census. Current population survey: Volunteer supplement (computer file). Ann Arbor, MI: Inter-university Consortium for Political and Social Research, 2003.
20.
Zurück zum Zitat Putnam RD. Tuning in, tuning out: The strange disappearance of social capital in America. PS: Polit Sci Polit. 1995;28:664–83.CrossRef Putnam RD. Tuning in, tuning out: The strange disappearance of social capital in America. PS: Polit Sci Polit. 1995;28:664–83.CrossRef
21.
Zurück zum Zitat Putnam RD. Bowling alone: the collapse and revival of american community. New York: Simon & Schuster; 2000. Putnam RD. Bowling alone: the collapse and revival of american community. New York: Simon & Schuster; 2000.
22.
Zurück zum Zitat Schlozman KL, Verba S, Brady HE. Civic participation and the equality problem. In: Skocpol T, Fiorina MP, eds. Civic Engagement in American Democracy. Washington, D.C.: Brookings Institution Press; 1999. Schlozman KL, Verba S, Brady HE. Civic participation and the equality problem. In: Skocpol T, Fiorina MP, eds. Civic Engagement in American Democracy. Washington, D.C.: Brookings Institution Press; 1999.
23.
Zurück zum Zitat Cunningham PJ, May JH. A growing hole in the safety net: Physician charity care declines again. Center for Studying Health System Change Tracking Report. Volume 13, 2006. Cunningham PJ, May JH. A growing hole in the safety net: Physician charity care declines again. Center for Studying Health System Change Tracking Report. Volume 13, 2006.
24.
Zurück zum Zitat ABA Standing Committee on Pro Bono and Public Service. Supporting justice: A report on the pro bono work of America’s lawyers. Chicago: American Bar Association, 2005 August 2005. ABA Standing Committee on Pro Bono and Public Service. Supporting justice: A report on the pro bono work of America’s lawyers. Chicago: American Bar Association, 2005 August 2005.
Metadaten
Titel
Community Volunteerism of US Physicians
verfasst von
David Grande, MD, MPA
Katrina Armstrong, MD, MSCE
Publikationsdatum
01.12.2008
Verlag
Springer-Verlag
Erschienen in
Journal of General Internal Medicine / Ausgabe 12/2008
Print ISSN: 0884-8734
Elektronische ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-008-0811-x

Weitere Artikel der Ausgabe 12/2008

Journal of General Internal Medicine 12/2008 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Nach Herzinfarkt mit Typ-1-Diabetes schlechtere Karten als mit Typ 2?

29.05.2024 Herzinfarkt Nachrichten

Bei Menschen mit Typ-2-Diabetes sind die Chancen, einen Myokardinfarkt zu überleben, in den letzten 15 Jahren deutlich gestiegen – nicht jedoch bei Betroffenen mit Typ 1.

15% bedauern gewählte Blasenkrebs-Therapie

29.05.2024 Urothelkarzinom Nachrichten

Ob Patienten und Patientinnen mit neu diagnostiziertem Blasenkrebs ein Jahr später Bedauern über die Therapieentscheidung empfinden, wird einer Studie aus England zufolge von der Radikalität und dem Erfolg des Eingriffs beeinflusst.

Costims – das nächste heiße Ding in der Krebstherapie?

28.05.2024 Onkologische Immuntherapie Nachrichten

„Kalte“ Tumoren werden heiß – CD28-kostimulatorische Antikörper sollen dies ermöglichen. Am besten könnten diese in Kombination mit BiTEs und Checkpointhemmern wirken. Erste klinische Studien laufen bereits.

Perioperative Checkpointhemmer-Therapie verbessert NSCLC-Prognose

28.05.2024 NSCLC Nachrichten

Eine perioperative Therapie mit Nivolumab reduziert das Risiko für Rezidive und Todesfälle bei operablem NSCLC im Vergleich zu einer alleinigen neoadjuvanten Chemotherapie um über 40%. Darauf deuten die Resultate der Phase-3-Studie CheckMate 77T.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.