Vereinbarkeit von Familie und Arztberuf – eine repräsentative Umfrage in München bei Ärztinnen und Ärzten unterschiedlicher Tätigkeitsbereiche

Abstract

Investigation of the compatibility of work and family life for physicians in the Munich metropolitan area. Survey of a representative sample of 1,800 physicians using a questionnaire. Men were less satisfied (7% very satisfied vs. 21%) with compatibility between work and family life than women. The group least satisfied overall was hospital-based physicians (p=0.000, chi-square=122.75). Women rather than men cut back their career due to children, perceived their professional advancement as impaired, desisted from establishing private practice or quit hospital employment altogether. Respondents strove for flexible childcare and makeshift solution if the established service failed. Most did not have that at their disposal. Hospital-based physicians wished for predictable working hours, and would like to have a say in the structure of their schedule. For the majority this was not the case. While for 80% it would be important to participate in the definition of their working hours, this was only possible in 17%. 86% found the opportunity to work part-time important, but many doctors (more than 30%) did not have that option. The biggest help for office-based physicians would be an expedited procedure by the Bavarian Association of Statutory Health Insurance Physicians (KVB) when applying for a proxy. The second most important would be the ability to hand over on-call duties. 36% of respondents felt that compatibility of work and family life was best achieved outside of patient care, during residency 42% believed this to be the case. Only 6% of physicians felt the best compatibility to be achieved in a hospital. Among the physician owners of practices, 34% considered their model to be the best way to reconcile both aspects of life. More flexible options for childcare and more influence on the definition of working hours are necessary in order to better reconcile work and family life. For office-based physicians it must be made easier to find a substitute. Currently, especially women consider children as hindering their careers. Hospitals are perceived as extremely unfavorable workplaces for achieving compatibility between work and family life.

Work-life balance in physicians working in two emergency departments of a university hospital: Results of a qualitative focus group study

“…They may indicate the beginnings of the above-described barriers for (mostly female) physicians regarding career advancement at the stage of completion of medical training in university hospitals [ 14 ]. The positive effects of organizational structures enabling part-time work and the importance of the availability of flexible working models for work-life balance in physicians were further underlined in various studies [ 10 , 19 , 34 , 35 ]. Our participants also highlighted these options as additional ways to decrease work burden for each individual physician and decrease role conflict between work and non-work domains.…”

“…Thus, female physicians were still underrepresented in higher professional positions, especially amongst clinical academics, which was attributed to higher levels of role conflict between the non-work and work domain and lacking role models [ 14 ]. Furthermore, the clinical work setting emerged as a decisive factor where physicians employed in inpatient healthcare settings [ 10 , 15 , 16 ] and those in university medical hospitals [ 17 ] reported significantly worse work-life balance. Comparably little is known about the work-life balance of emergency department (ED) physicians, while several studies were performed to analyze this topic in other medical specialties like trauma surgery [ 18 ], radiology or gynecology [ 13 , 17 , 19 , 20 ].…”

Chirurgie und Familie – wie kann es gehen?

“…Zudem war die Tätigkeit im Krankenhaus immer noch beliebter als eine ambulante Tätigkeit [18]. Andererseits scheint die Vereinbarkeit zwischen Beruf und Familie im niedergelassenen Bereich besser umsetzbar zu sein [19]. Herausgestellt hat sich aber auch, dass sich Ärztinnen häufig benachteiligt fühlten, z.…”

Zur Situation der angestellten Ärztinnen und Ärzte im ambulanten Sektor in Deutschland: Ergebnisse einer empirischen Studie

“…Zu beinahe analogen Ergebnissen -sowohl bezüglich des Wunsches nach Flexibilität und Mitsprache bei der Arbeitszeitgestaltung als auch zur Relevanz der Vereinbarkeit von Familie und Beruf -kommt eine ebenfalls in dieser Zeitschrift vorgestellte Studie im Großraum München, die sich dezidiert nur mit dieser Thematik auseinandergesetzt hat. [13] sen Eingewöhnungszeit in eine Niederlassung mündet. Die angestrebte Form der Niederlassung ist die in einer größeren Einrichtung mit einem Team von ärztlichen Kollegen, die Einzelpraxis ist vielleicht noch kein Auslaufmodell, aber für die weit überwiegende Mehrheit definitiv nicht die erste Wahl.…”

“…Zu beinahe analogen Ergebnissen -sowohl bezüglich des Wunsches nach Flexibilität und Mitsprache bei der Arbeitszeitgestaltung als auch zur Relevanz der Vereinbarkeit von Familie und Beruf -kommt eine ebenfalls in dieser Zeitschrift vorgestellte Studie im Großraum München, die sich dezidiert nur mit dieser Thematik auseinandergesetzt hat. [13] gelten und planbaren Arbeits-und vermutlich auch Urlaubszeiten interessiert und wollen Familie und Beruf gut miteinander vereinbaren 3 . Eine Niederlassung ist für ein Drittel eine ernsthafte Option.…”