The relationship between gender, parenthood and practice intentions among family medicine residents: cross-sectional analysis of national Canadian survey data
| Autor: | Rita McCracken, Lindsay Hedden, Andrea Gonzalez, Megan A. Ahuja, Miriam Ruth Lavergne |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Canada Family medicine Public Administration Cross-sectional study Attitude of Health Personnel Population Practice intentions Health human resources Health administration 03 medical and health sciences 0302 clinical medicine Sex Factors Surveys and Questionnaires medicine Humans 030212 general & internal medicine education lcsh:R5-920 education.field_of_study Workforce planning Career Choice Parenting lcsh:Public aspects of medicine 030503 health policy & services Research Residents Public Health Environmental and Occupational Health Health services research Gender Internship and Residency Physicians Family lcsh:RA1-1270 Quarter (United States coin) Parenthood 3. Good health Cross-Sectional Studies Survey data collection Female lcsh:Medicine (General) 0305 other medical science Psychology Family Practice |
| Zdroj: | Human Resources for Health Human Resources for Health, Vol 17, Iss 1, Pp 1-16 (2019) |
| ISSN: | 1478-4491 |
| Popis: | Background: Family medicine (FM) residents choose among a range of options as they enter practice, including practice model, clinical domains, settings, and populations. The choices they make have implications for primary care workforce planning and may differ between FM residents who are parents and those who are not, as well as between male and female FM residents. We investigate whether parenthood shapes intentions among FM residents entering practice and whether the effect of parenthood differs between male and female FM residents. Methods: We conducted cross-sectional analysis of national survey data collected from FM residents in Canadian residency programs by the College of Family Physicians of Canada between 2014 and 2017. The survey captures information on intentions for comprehensive or focused practice, practice model, clinical domains, practice setting, and populations. We used chi-square tests and multivariable logistic regression to investigate the relationships between parenthood, gender, and practice intentions, adjusting for other physician personal characteristics. Results: Almost a quarter of FM residents were parents or became parents during residency. Intentions for the provision comprehensive care were higher among parents, and intentions for clinically focused practice were lower. Differences in intentions for practice models, domains, and settings/population were primarily by gender, though in several cases the effects of parenthood differed between female and male FM residents. Even during residency, the effects of parenthood differ between male and female residents: while three quarters of male parents finish residency in two years, fewer than half of female parents do. Conclusions: Both parenthood and gender independently shape practice intentions, but the effect of parenthood differs for male and female FM residents. Supporting FM residents who are parents may positively impact the quality and availability of primary care services, especially since parents are more likely to report intentions to provide comprehensive care soon after entering practice. Background: Family medicine (FM) residents choose among a range of options as they enter practice, including practice model, clinical domains, settings, and populations. The choices they make have implications for primary care workforce planning and may differ between FM residents who are parents and those who are not, as well as between male and female FM residents. We investigate whether parenthood shapes intentions among FM residents entering practice and whether the effect of parenthood differs between male and female FM residents. Methods: We conducted cross-sectional analysis of national survey data collected from FM residents in Canadian residency programs by the College of Family Physicians of Canada between 2014 and 2017. The survey captures information on intentions for comprehensive or focused practice, practice model, clinical domains, practice setting, and populations. We used chi-square tests and multivariable logistic regression to investigate the relationships between parenthood, gender, and practice intentions, adjusting for other physician personal characteristics. Results: Almost a quarter of FM residents were parents or became parents during residency. Intentions for the provision comprehensive care were higher among parents, and intentions for clinically focused practice were lower. Differences in intentions for practice models, domains, and settings/population were primarily by gender, though in several cases the effects of parenthood differed between female and male FM residents. Even during residency, the effects of parenthood differ between male and female residents: while three quarters of male parents finish residency in two years, fewer than half of female parents do. Conclusions: Both parenthood and gender independently shape practice intentions, but the effect of parenthood differs for male and female FM residents. Supporting FM residents who are parents may positively impact the quality and availability of primary care services, especially since parents are more likely to report intentions to provide comprehensive care soon after entering practice. |
| Databáze: | OpenAIRE |
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