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. 2017 Oct 20;114(42):705-711.
doi: 10.3238/arztebl.2017.0705.

Work-Time Distribution of Physicians at a German University Hospital

Jan Wolff  1 , Gerd Auber, Tobias Schober, Felix Schwär, Karl Hoffmann, Marc Metzger, Andrea Heinzmann, Marcus Krüger, Claus Normann, Gerald Gitsch, Norbert Südkamp, Thomas Reinhard, Mathias Berger
Affiliations

Work-Time Distribution of Physicians at a German University Hospital

Jan Wolff et al. Dtsch Arztebl Int. .

Abstract

Background: The effective utilization of staff resources is of decisive importance for the adequate, appropriate, and economical delivery of hospital services. The goal of this study was to determine the distribution of working time among doctors in a German university hospital-in particular, in terms of type of activities and time of day.

Methods: The distribution of working time was determined from 14-day samples taken in seven clinical departments of the Medical Center-University of Freiburg. In each 14-day sample, the activities being carried out at multiple, randomly chosen times were recorded.

Results: A total of 250 doctors (participation rate: 83%) took part in the study. A total of 20 715 hours of working time was analyzed, representing twelve years of full-time employment. Overall, 46% of working time in the inpatient sector was spent in direct contact with patients, with relevant differences among the participating clinical departments: for instance, the percentage of time taken up by patient contact was 35% in pediatrics and 60% in oral and maxillofacial surgery. Patient contact was highest (over 50% overall) in the period 8 a.m. to 12 noon.

Conclusion: The amount of working time taken up by activities other than direct patient contact was found to be lower than in previous studies. It remains unclear what distribution of working time is best for patient care and whether it would be possible or desirable to increase the time that doctors spend in direct contact with patients.

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Figures

Figure 1
Figure 1
Distribution of inpatient work-time in the participating departments
Figure 2
Figure 2
Distribution of inpatient work-time at different times of day with 95% confidence intervals
See this image and copyright information in PMC

References

    1. Statistisches Bundesamt. Gesundheit - Kostennachweis der Krankenhäuser - Fachserie 12 Reihe 6.3 [Internet] 2015. www.destatis.de/DE/Publikationen/Thematisch/Gesundheit/Krankenhaeuser/Ko... (last accessed on 7 June 2017)
    1. Blum K, Löffert S. Ärztemangel im Krankenhaus - Ausmaß, Ursachen, Gegenmaßnahmen - Forschungsgutachten im Auftrag der Deutschen Krankenhausgesellschaft. Deutsches Krankenhausinstitut. 2010
    1. Buxel H. Krankenhäuser: Was Pflegekräfte unzufrieden macht. Dtsch Ärztebl. 2011;108:A 946–A 948.
    1. Berger R. Krankenhausrestrukturierungsstudie 2016. www.rolandberger.com/de/Publications/pub_krankenhaus_restrukturierung_20... (last accessed on 7 June 2017)
    1. Fehrle M, Michl S, Alte D, Götz O, Fleßa S. Time studies in hospitals. Gesundheitsökonomie Qual. 2013;18:23–30.