Influence of obstetric practice on workload and practice patterns of family physicians and obstetrician-gynecologists
Abstract
PURPOSE:
Obstetric practice among family physicians has declined in recent years. This study compared the practice patterns of familyphysicians and obstetrician-gynecologists with and without obstetric practices to provide objective information on one potential reason for this decline–the impact of obstetrics on physician lifestyle.
METHODS:
In 2004, we surveyed all obstetrician-gynecologists, all rural family physicians, and a random sample of urban family physiciansidentified from professional association lists (N =2,564) about demographics, practice characteristics, and obstetric practices.
RESULTS:
A total of 1,197 physicians (46.7%) overall responded to the survey (41.5% of urban family physicians, 54.7% of rural familyphysicians, and 55.0% of obstetrician-gynecologists). After exclusions, 991 were included in the final data set. Twenty-seven percent of urban family physicians, 46% of rural family physicians, and 79% of obstetrician-gynecologists practiced obstetrics. The mean number of total professional hours worked per week was greater with obstetric practice than without for rural family physicians (55.4 vs 50.2, P=.005) and for obstetrician-gynecologists (58.3 vs 43.5, P = .000), but not for urban family physicians (47.8 vs 49.5, P = .27). For all 3 groups, physicianspracticing obstetrics were more likely to provide inpatient care and take call than physicians not practicing obstetrics. Large proportions of family physicians, but not obstetrician-gynecologists, took their own call for obstetrics. Concerns about the litigation environment and personal issues were the most frequent reasons for stopping obstetric practice.
CONCLUSIONS:
Practicing obstetrics is associated with an increased workload for family physicians. Organizing practices to decrease the impact on lifestyle may support family physicians in practicing obstetrics.
Authors:
Dresden GM, Baldwin LM, Andrilla CHA, Skillman SM, Benedetti TJJournal/Publisher:
Ann Fam MedEdition:
Jan 2008. 6(Suppl 1):S5-S11Link to Article
Access the article here: Ann Fam MedCitation:
Dresden GM, Baldwin LM, Andrilla CHA, Skillman SM, Benedetti TJ. Influence Of Obstetric Practice On Workload And Practice Patterns Of Family Physicians And Obstetrician-gynecologists. Ann Fam Med. Jan 2008 6(Suppl 1):S5-S11Related Studies:
Professional Liability Issues and Practice Patterns of Obstetrical Providers in Washington State