More physicians in public health: less public health work?

Aim: The object was to assess changes in work priorities in local public health medicine in Norway over the period from 1994 to 1999. Methods: Two cross-sectional studies were undertaken of physicians working in local public health medicine in all Norwegian municipalities, using a postal questionnai...

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Publicado en:Scandinavian Journal of Public Health Vol. 33; no. 2; pp. 91 - 99
Autores principales: Pettersen BJ, Johnsen R
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. Mar2005
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2005
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      pub: Sage Publications Inc.
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        atl: More physicians in public health: less public health work?
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          Pettersen BJ
          Johnsen R
        affil: Institute of Community Medicine, University of Tromsø, N-9037 Tromsoe, Norway; betty@poseidon.no
      sug:
        subj:
          Physician's Role Norway
          Public Health Administration Labor Supply
          Public Health Norway
          Workload Trends
          Adult
          Analysis of Covariance
          Chi Square Test
          Confidence Intervals
          Cross Sectional Studies
          Data Analysis Software
          Descriptive Statistics
          Female
          Job Characteristics
          Male
          Memory
          Middle Age
          Norway
          Physicians
          Preventive Health Care
          Questionnaires
          Resource Databases
          Self Report
          T-Tests
          Time
          Funding Source
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Aim: The object was to assess changes in work priorities in local public health medicine in Norway over the period from 1994 to 1999. Methods: Two cross-sectional studies were undertaken of physicians working in local public health medicine in all Norwegian municipalities, using a postal questionnaire. Results: Half of the physicians working in public health in 1999 were recruited after 1994. Although the number of physicians working in public health increased from 505 in 1994 to 555 in 1999 (10%) an estimation of the total weekly hours worked decreased by 3.7% from 8,715 hours in 1994 to 8,386 hours in 1999. The vast majority of physicians worked in combined posts (87%), and they reduced their engagement in public health by 2.6 hours on average from 1994 to 1999. The reduction depended on remuneration model, speciality in community medicine, and municipality size. Conclusions: Local public health in Norway was under pressure in the 1990s. For public health physicians, preventive medicine lost out to clinical work. No promising signals of change in the professional or political framework or in incentives for public health work are seen.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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