Career satisfaction of US women physicians - Results from the Women Physicians' Health Study

Career satisfaction of US women physicians - Results from the Women Physicians' Health Study
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DOI:
10.1001/archinte.159.13.1417
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发表时间:
1999-07-12
影响因子:
--
通讯作者:
Elon, L
Elon, L
中科院分区:
其他
文献类型:
--
作者:
Frank, E;McMurray, JE;Elon, L

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背景:尽管医疗保健发生了重大变化,但女性和男性医生的职业满意度患病率和预测因素最近都没有得到全面的研究。方法:女性医生健康研究随机调查了具有全国代表性的美国女性医生(n=4501名受访者,回应率为59%)。结果:84%的女性医生对自己的职业总体满意(84%通常、几乎总是或总是满意)。然而,31%的人可能、可能或肯定不会选择再次成为一名医生,38%的人可能、可能或肯定更愿意改变他们的专业。医生的年龄、对工作环境的控制、工作压力和骚扰史是所有三种结果的独立预测因素,年轻医生和那些工作控制力最低、工作压力最大或经历过严重骚扰的医生报告的不满程度最高。最强关联(优势比,11.3;95%可信区间,7.3-17.5;P
Background: Despite major changes in health care, the prevalence and predictors of career satisfaction have not recently been comprehensively studied in either women or men physicians.Methods: The Women Physicians' Health Study surveyed a nationally representative random sample (n = 4501 respondents; response rate, 59%) of US women physicians. Using univariate and logistic regression analyses, we examined personal and professional characteristics that were correlated with 3 major outcomes: career satisfaction, desire to become a physician again, and desire to change one's specialty.Results: Women physicians were generally satisfied with their careers (84% usually, almost always, or always satisfied). However, 31% would maybe, probably, or definitely not choose to be a physician again, and 38% would maybe, probably, or definitely prefer to change their specialty. Physician's age, control of the work environment, work stress, and a history of harassment were independent predictors of all 3 outcomes, with younger physicians and those having least work control, most work stress, or having experienced severe harassment reporting the most dissatisfaction. The strongest association (odds ratio, 11.3; 95% confidence interval, 7.3-17.5; P