医師の病院離脱傾向は高まっているのか --医師届出票のパネルデータを用いた分析--

本田衞子 (年金シニアプラン総合研究機構)

Do Physicians Quit Working at Hospitals Earlier Now than Before? Analysis Using Panel Data from Physician Notification Forms

Eiko Honda (Research Institute for Policies on Pension and Aging)

要旨Abstract

 本稿では医師届出票から作成したパネルデータを用いて,医師による病院離脱の傾向が高まっているのかを検証する.医籍登録時から一定期間継続して病院に従事する医師の比率を病院従事継続率と定義し,男女別かつ医籍登録年コーホート別に病院従事継続率を算出したところ,性別を問わず後年のコーホートほど病院従事継続率が高くなる傾向があることが明らかになった.また,同一のコーホートの医師では,男性の病院従事継続率が女性よりも有意に高く,男性よりも女性が早い段階で病院から離脱していることがわかった.但し,男女計の医師全体でみても病院従事継続率は上昇傾向にあり,女性医師の増加によって医師の病院離脱が早まるという現象は生じていない.

 In this study, I examine whether there is an increase in the tendency of physicians to quit working at hospitals, using panel data generated from physician notification forms. I define the hospital work continuation rate as the ratio of physicians who continue to work at hospitals for a certain period since their registration and calculate the hospital work continuation rate by year of registration cohort. I find that, for both male and female physicians the continuation rate tends to be higher in later cohorts. The continuation rate for males is significantly higher than that for females in the same cohort of physicians, showing that women quit working at hospitals earlier than men. However, the continuation rate for males and females in total shows an upward trend, indicating that the increase in the number of female physicians does not make physicians quit working at hospitals earlier.

書誌情報Bibliographic information

Vol. 73, No. 4, 2022 , pp. 306-318
HERMES-IR(一橋大学機関リポジトリ): https://hdl.handle.net/10086/74341
JEL Classification Codes: I11, J44