Erst angestellt, dann selbständig in ärzteeigenen Gruppenpraxen

Résumé La future génération des jeunes médecins de famille en Suisse souhaite le plus souvent exercer dans un petit cabinet de groupe, pouvant compter jusqu’à cinq collègues, et dont les médecins seraient eux-mêmes propriétaires. La campagne et l’agglomération sont préférées à la ville. Les hommes comme les femmes souhaitent pouvoir travailler à temps partiel, mais les femmes avec un volume de travail un peu plus faible. La jeune génération est favorable aux visites à domicile. L’ambiance de travail est le principal critère de choix d’un cabinet. Pour plus d’un tiers des personnes ayant répondu à l’enquête, la propharmacie augmente l’attractivité d’un cabinet. Les jeunes médecins souhaitent commencer leur carrière comme salarié(e)s, mais veulent être (co-)propriétaires de leur cabinet dans les cinq ans. Seule une minorité d’entre eux envisagent d’être salariés pendant toute leur carrière

From practice employee to (co-)owner: young GPs predict their future careers: a cross-sectional survey

Abstract Background: In Switzerland, the mean age of GPs in 1993 was 46. In 2015, it had increased to 55, and GPs over 65 made up 15% of the workforce of the about 6000 GPs. As older, self-employed GPs retire, young doctors will be needed to fill their positions and eventually take over their practices. We set out to determine what kind of employment young GPs wanted, if they thought their preference would change over time, and the working conditions and factors most important in their choice of practice. Methods: We administered a cross-sectional online survey to members of the Swiss Young General Practitioners Association (n = 443). Our survey relied on closed questions, ratings of attractiveness of fictional job ads, and an open question to capture participants’ characteristics, and their preferred type of practice and working conditions. Results: We received 270 (61%) replies. Most were women (71%) and wanted to work in the suburbs or countryside in small GP-owned group practices, with up to five colleagues. Most intended to work part-time: mean desired workload was 78% for men and 66% for women. Positive working climate was a major factor in choosing a GP practice. Most participants projected a career arc from employment to ownership or co-ownership of a practice within five years; only 7–9% preferred to remain employees. Conclusions: Young and future GPs in Switzerland want to work part-time in small, GP-owned group practices. Practices should offer them employment opportunities with a path to (co-)ownership