Duty Rosters and Workloads of Obstetricians in Germany: Results of a Germany-wide Survey

Neimann J, Knabl J, Puppe J, Bayer CM, Gaß P, Gabriel L, Seelbach-Goebel B, Lermann J, Schott S (2017)

Publication Type: Journal article

Publication year: 2017

Journal

Geburtshilfe und Frauenheilkunde Georg Thieme Verlag

Book Volume: 77

Pages Range: 894-903

Journal Issue: 8

DOI: 10.1055/s-0043-110863

Abstract

BACKGROUND: Compiling a daily hospital roster which complies with existing laws and tariff regulations and meets the requirements for ongoing professional training while also taking the legal regulations on the health of employees into account makes planning the duty roster a challenge. The aim of this study was to obtain a realistic picture of existing duty roster systems and of the current workloads of obstetricians in Germany. METHOD: This online survey was sent to 2770 physicians training to become obstetricians or specializing in specific areas of obstetric care. The survey consisted of an anonymized 95-item questionnaire which collected data on different types of duty roster systems and the workload of obstetricians in Germany for the period from 17.02.2015 to 16.05.2015. RESULTS: Out of a total of 2770 physicians who were contacted, 437 (16%) completed the questionnaire. Across all forms of care, the care provided outside normal working hours usually (75%) consisted of a combination of regular working times and on-call duty or even consisted entirely of standby duty. Level I perinatal centers were most likely 20% (n = 88) to have a shift system in place. Working a shift system was significantly more common in care facilities which had previously carried out a job analysis. The number of physicians in hospitals who are present during the night shift was higher in facilities with higher numbers of births and in facilities which offered higher levels of care. In addition to regularly working overtime and the fact that often not all the hours worked were recorded, it was notable that the systems used to compile duty rosters often did not comply with legal regulations or with collectively agreed working hours nor were they compatible with the staff planning requirements. OUTLOOK: The results of this study show that the conditions of work, the working times, and the organization of working times in obstetric departments are in need of improvement. Recording the actual times worked together with an analysis of the activities performed during working times and while on standby would increase the level of transparency for employers and employees.

Authors with CRIS profile

Paul Gaß Department of Obstetrics and Gynaecology

Involved external institutions

Klinikum Region Hannover DE Germany (DE) Universitätsklinikum Heidelberg DE Germany (DE) Universitätsklinikum des Saarlandes (UKS) DE Germany (DE) Klinikum der Universität München (Großhadern und Innenstadt) DE Germany (DE) Universität Regensburg DE Germany (DE) Universität zu Köln DE Germany (DE)

How to cite

APA:

Neimann, J., Knabl, J., Puppe, J., Bayer, C.M., Gaß, P., Gabriel, L.,... Schott, S. (2017). Duty Rosters and Workloads of Obstetricians in Germany: Results of a Germany-wide Survey. Geburtshilfe und Frauenheilkunde, 77(8), 894-903. https://dx.doi.org/10.1055/s-0043-110863

MLA:

Neimann, Johannes, et al. "Duty Rosters and Workloads of Obstetricians in Germany: Results of a Germany-wide Survey." Geburtshilfe und Frauenheilkunde 77.8 (2017): 894-903.

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