Can Hospital-Based Doctors Change Their Working Hours? Evidence from Australia

Background and Aims: To explore factors predicting hospital-based doctors’ desire towork less, and then their success in making that change. Methods: Consecutive waves of an Australian longitudinal survey of doctors (Medicine in Australia – Balancing Employment and Life). There were 6285 and 6337 ho...

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Main Authors: Norman, Richard, Hall, J.
Format: Journal Article
Published: Blackwell Publishing 2014
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/43081
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author Norman, Richard
Hall, J.
author_facet Norman, Richard
Hall, J.
author_sort Norman, Richard
building Curtin Institutional Repository
collection Online Access
description Background and Aims: To explore factors predicting hospital-based doctors’ desire towork less, and then their success in making that change. Methods: Consecutive waves of an Australian longitudinal survey of doctors (Medicine in Australia – Balancing Employment and Life). There were 6285 and 6337 hospital-based completers in the two waves, consisting of specialists, hospital-basednon-specialists and specialist registrars.Results: Forty-eight per cent stated a preference to reduce hours. Predictive characteristicswere being female and working more than 40 h/week (both P <0.01). An inverted U-shape relationship was observed for age, with younger and older doctors less likely to state the preference. Factors associated with not wanting to reduce working hours were being in excellent health and being satisfied with work (both P <0.01). Of those who wanted to reduce working hours, only 32% successfully managed to do so in the subsequent year (defined by a reduction of at least 5 h/week). Predictors of successfully reducing hours were being older, female and working more than 40 h/week (all P < 0.01).Conclusion: Several factors predict the desire of hospital-based doctors to reduce hours and then their subsequent success in doing so. Designing policies that seek to reduce attrition may alleviate some of the ongoing pressures in the Australian hospital system.
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spelling curtin-20.500.11937-430812017-09-13T15:05:23Z Can Hospital-Based Doctors Change Their Working Hours? Evidence from Australia Norman, Richard Hall, J. Australia health workforce doctor Background and Aims: To explore factors predicting hospital-based doctors’ desire towork less, and then their success in making that change. Methods: Consecutive waves of an Australian longitudinal survey of doctors (Medicine in Australia – Balancing Employment and Life). There were 6285 and 6337 hospital-based completers in the two waves, consisting of specialists, hospital-basednon-specialists and specialist registrars.Results: Forty-eight per cent stated a preference to reduce hours. Predictive characteristicswere being female and working more than 40 h/week (both P <0.01). An inverted U-shape relationship was observed for age, with younger and older doctors less likely to state the preference. Factors associated with not wanting to reduce working hours were being in excellent health and being satisfied with work (both P <0.01). Of those who wanted to reduce working hours, only 32% successfully managed to do so in the subsequent year (defined by a reduction of at least 5 h/week). Predictors of successfully reducing hours were being older, female and working more than 40 h/week (all P < 0.01).Conclusion: Several factors predict the desire of hospital-based doctors to reduce hours and then their subsequent success in doing so. Designing policies that seek to reduce attrition may alleviate some of the ongoing pressures in the Australian hospital system. 2014 Journal Article http://hdl.handle.net/20.500.11937/43081 10.1111/imj.12414 Blackwell Publishing restricted
spellingShingle Australia
health workforce
doctor
Norman, Richard
Hall, J.
Can Hospital-Based Doctors Change Their Working Hours? Evidence from Australia
title Can Hospital-Based Doctors Change Their Working Hours? Evidence from Australia
title_full Can Hospital-Based Doctors Change Their Working Hours? Evidence from Australia
title_fullStr Can Hospital-Based Doctors Change Their Working Hours? Evidence from Australia
title_full_unstemmed Can Hospital-Based Doctors Change Their Working Hours? Evidence from Australia
title_short Can Hospital-Based Doctors Change Their Working Hours? Evidence from Australia
title_sort can hospital-based doctors change their working hours? evidence from australia
topic Australia
health workforce
doctor
url http://hdl.handle.net/20.500.11937/43081