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A comparison of the workload of rural and urban primary care physicians in Germany: analysis of a questionnaire survey

机译：德国农村和城市初级保健医生的工作量比较：问卷调查分析

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Background Many western countries are facing an existing or imminent shortage of primary care physicians especially in rural areas. In Germany, working in rural areas is often thought to be associated with more working hours, a higher number of patients and a lower income than working in urban areas. These perceptions might be key reasons for the shortage. The aim of this analysis was to explore if working time, number of treated patients per week or proportion of privately insured patients vary between rural and urban areas in Germany using two different definitions of rurality within a sample of primary care physicians including general practitioners, general internists and paediatricians. Methods This is a secondary analysis of pre-collected data raised by a questionnaire that was sent to a representative random sample of 1500 primary care physicians chosen by data of the National Association of Statutory Health Insurance Physicians from all federal states in Germany. We employed two different methods of defining rurality; firstly, level of rurality as rated by physicians themselves (urban area, small town, rural area); secondly, rurality defined according to the Organisation for Economic Co-operation and Development. Results This analysis was based upon questionnaire data from 715 physicians. Primary care physicians in single-handed practices in rural areas worked on average four hours more per week than their urban counterparts (p Conclusion Overall this analysis identified few differences between urban and rural primary care physician working conditions. To counter future misdistribution of primary care, students should receive practical experience in rural areas to get more practical knowledge on working conditions.
机译：背景技术许多西方国家正面临着或即将出现初级保健医生短缺的问题，尤其是在农村地区。在德国，与在城市地区工作相比，在农村地区工作通常被认为与更长的工作时间，更多的患者和更低的收入相关。这些看法可能是短缺的主要原因。该分析的目的是在基层医疗医生（包括全科医生，普通医生）样本中使用两种不同的农村定义，探讨德国的城乡之间的工作时间，每周接受治疗的患者数或私人保险患者的比例是否存在差异。内科医生和儿科医生。方法这是对通过问卷调查收集的预先收集的数据的二次分析，该问卷已发送给由来自德国所有联邦州的国家法定健康保险医师协会的数据选择的1500名初级保健医生的代表随机样本。我们采用两种不同的方法来定义农村地区。首先，农村地区的水平由医生自己评估（城市地区，小镇，农村地区）;其次，农村根据经济合作与发展组织的定义。结果这项分析是基于715位医生的问卷数据。在农村地区，一手执业的初级保健医生平均每周工作比城市同行多四小时（p结论总体而言，该分析发现城乡初级保健医生的工作条件之间几乎没有差异。为应对将来初级保健的分配不当，学生应在农村地区获得实践经验，以获取有关工作条件的更多实践知识。

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