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Table 3 Influence of several job-related conditions on the attractiveness of commuting to a rural/small-town area – differences due to gender and general practice career preference

From: Willingness to commute among future physicians: a multicenter cross-sectional survey of German medical students

Potential influence factor

Students’ assessment of the increase of the attractiveness of commuting

(0 = no increase, + 1 = slight increase, + 2 = medium increase, + 3 = strong increase, + 4 = very strong increase)

All

Male

Female

p*

GP career preferred

Others

p*

Mean ± SD

Mean ± SD

Mean ± SD

Mean ± SD

Mean ± SD

Working time

 To work full-time

0.9 ± 1.3

1.1 ± 1.4

0.8 ± 1.2

0.003

1.0 ± 1.3

1.0 ± 1.3

0.882

 To work full-time, but compressed to 3½ days per week

1.8 ± 1.4

1.8 ± 1.4

1.8 ± 1.4

0.984

2.1 ± 1.4

1.8 ± 1.4

0.044

 To work part-time (less working days per week)

1.9 ± 1.3

1.6 ± 1.3

2.0 ± 1.3

< 0.001

2.2 ± 1.3

1.8 ± 1.3

0.005

 To work part-time (reduced daily working time)

1.4 ± 1.3

1.1 ± 1.2

1.5 ± 1.3

< 0.001

1.9 ± 1.4

1.3 ± 1.3

< 0.001

 Job sharing with colleagues (2 days per week rural, 3 days in big city)

1.9 ± 1.4

1.8 ± 1.3

2.0 ± 1.3

0.002

2.0 ± 1.5

2.0 ± 1.3

0.954

 Existence of an adequate accommodation option

1.2 ± 1.3

1.4 ± 1.3

1.2 ± 1.3

0.012

1.2 ± 1.3

1.2 ± 1.3

0.723

 Defined time limit for the job (e.g. 5 years)

1.2 ± 1.2

1.2 ± 1.2

1.2 ± 1.2

0.915

1.1 ± 1.2

1.2 ± 1.2

0.243

Remuneration

 Time getting to work is paid as working time, additional to it

2.9 ± 1.1

2.9 ± 1.1

2.9 ± 1.1

0.876

2.9 ± 1.2

2.9 ± 1.1

0.683

 Time getting to work is paid as working time, included into it

2.9 ± 1.1

2.9 ± 1.2

3.0 ± 1.1

0.266

3.0 ± 1.1

2.9 ± 1.1

0.334

 Time getting to work is utilizable for organizational tasks

1.8 ± 1.3

1.9 ± 1.2

1.7 ± 1.3

0.048

1.9 ± 1.3

1.8 ± 1.2

0.174

 Remuneration is significantly higher than in the big city

2.8 ± 1.1

2.8 ± 1.2

2.8 ± 1.1

0.647

2.9 ± 1.1

2.8 ± 1.1

0.436

Mode of transport

 Getting to work by using own car

1.6 ± 1.4

1.7 ± 1.4

1.6 ± 1.4

0.352

1.6 ± 1.4

1.6 ± 1.4

0.903

 Good public transport connection

2.1 ± 1.3

2.1 ± 1.3

2.2 ± 1.3

0.223

2.2 ± 1.3

2.1 ± 1.3

0.539

 Organization of a car pool

1.4 ± 1.2

1.3 ± 1.2

1.5 ± 1.2

0.017

1.4 ± 1.2

1.4 ± 1.2

0.611

 A driver service is picking me up (from the doorstep to work, and back)

2.0 ± 1.5

1.9 ± 1.5

2.1 ± 1.5

0.020

1.8 ± 1.6

2.0 ± 1.5

0.149

Assuming the consideration of working office-based: legal structure and organization

 Working self-employed in a single practice

1.4 ± 1.3

1.5 ± 1.4

1.3 ± 1.3

0.024

1.8 ± 1.4

1.3 ± 1.3

< 0.001

 Working self-employed in a joint practice (2–3 physicians)

2.3 ± 1.2

2.0 ± 1.2

2.4 ± 1.1

< 0.001

2.7 ± 1.2

2.2 ± 1.2

< 0.001

 Working self-employed in a joint practice (4–6 physicians)

1.7 ± 1.2

1.6 ± 1.2

1.8 ± 1.2

0.014

1.8 ± 1.3

1.7 ± 1.2

0.337

 Working as an employee of another physician (office-based)

1.1 ± 1.1

0.8 ± 1.0

1.2 ± 1.2

< 0.001

1.4 ± 1.3

1.0 ± 1.1

0.002

 Working as an employee of an institution, e.g. municipality or KVa

1.0 ± 1.1

0.9 ± 1.1

1.1 ± 1.1

0.003

1.4 ± 1.3

0.9 ± 1.1

< 0.001

 Working as an employee of a medical employer, e.g. hospital or medical service center

1.5 ± 1.2

1.2 ± 1.1

1.6 ± 1.2

< 0.001

1.6 ± 1.3

1.5 ± 1.2

0.432

 Mobile surgery (installed in a ‘surgery-bus’, continuous care for several municipalities on different days)

0.8 ± 1.1

0.7 ± 1.0

0.8 ± 1.1

0.749

1.2 ± 1.3

0.7 ± 1.0

< 0.001

 Provision of a home-office to be able to do some work at home (e.g. organizational tasks)

2.1 ± 1.3

1.9 ± 1.2

2.2 ± 1.3

< 0.001

2.4 ± 1.2

2.1 ± 1.3

0.022

 Existence of a specifically qualified „supply assistant“, disburdening the physician regarding delegable tasks

2.2 ± 1.2

2.1 ± 1.2

2.2 ± 1.2

0.010

2.6 ± 1.2

2.1 ± 1.2

< 0.001

 Home visit patients were, if possible, picked up by a driver service and brought to me

1.6 ± 1.3

1.6 ± 1.3

1.5 ± 1.3

0.245

1.6 ± 1.3

1.6 ± 1.3

0.926

  1. aKV Kassenärztliche Vereinigung = Association of Statutory Health Insurance Physicians
  2. * p-values < 0.05 are highlighted in bold