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I L Rowe

Publications and source records attributed to I L Rowe.

At least 19 recordsLinked to original sources

GP workforce.

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Australia

Medical work force changes. Implications for general practice in Victoria.

Annual surveys have supported claims that the medical work force has been increasing too rapidly and that the intake of Australian and foreign graduates should be reduced. The increase has led to changes in distribution, choice of vocation, style and work content. Female doctors have increased their working hours, are poorly represented in some specialties and are less likely than men to practice outside the metropolitan area.

Career Mobility

Women in the medical workforce, Victoria.

A study of more detailed data on the specialist medical workforce in 1984 reveals a scarcity of female doctors in many specialties. The average hours of work of female doctors increased significantly from 1977 to 1984, thus prompting a warning that the displacement of male undergraduates by females would not make it much easier to absorb the increasing number of graduates.

Female

Female doctors in Victoria, 1977.

A survey of medical manpower in Victoria in 1977 revealed that 17% of registered medical practitioners were female and that the proportion of females was much higher among younger graduates. Seventy-eight per cent of female doctors were currently working in Victoria, compared with 82% of male doctors; 3.8% were "not working temporarily" compared with 0.6% of male doctors; and 3.9% were "retired" compared with 1.9% of male doctors. Female doctors accounted for only 8% of specialists in private practive, compared with 15% of general practitioners, more than 20% of salaried staff members of hospitals and other semigovernment and government bodies, and 40% of the staff members of community health centres. Thirty-eight per cent of female doctors were working part time. The need for part-time training programmes and part-time work, and the difficulties of female graduates becoming specialists are discussed. The implications of increasing proportions of female doctors entering the medical work force during the next decade, and the lower average working hours of female doctors compared with those of males, are considered in relation to the increasing supply of medical manpower in Australia.

Adult

Evaluation of automated multiphasic health testing in the survey of the north-west region of Melbourne.

The results of automated multiphasic health testing (AMHT) in a randomly selected population of 664 subjects are reported. AMHT revealed a number of conditions that had not been diagnosed previously. A total of 535 newly diagnosed conditions in 301 patients could be attributed to the survey. The yield of new diagnoses by AMHT was not affected by previous surgery attendance or by attendance intervals. Follow-up over one year revealed that treatment was recommended for 342 of the 535 newly diagnosed conditions and that the response was satisfactory in 189 (55%), but the "uncertain" response of 124 (36%) should be investigated by more thorough follow-up in future projects. It is concluded that AMHT is beneficial because of the amount of information that is revealed, because of the financial value and because of the benefit to patients.

Adult

Medical manpower in Victoria, 1977.

A medical manpower survey in Victoria in 1977 revealed that there were 7823 registered medical practitioners, giving an apparent ratio of doctors to population of 1:483. However, only 81% of respondents were working in Victoria, and therefore the ratio of doctors in active practice in the State to population was estimated to be 1:597. Data from the survey revealed that the median age was 40 years. Female doctors comprised 17%, but the proportion of women was much higher amongst younger graduates. Private practitioners accounted for 60% of respondents (general practitioners, 36%; specialists, 24%), full-time hospital staff members for 28%, and practitioners in other salaried appointments for 12%. The ratio of general practitioners to population was estimated to be 1:1560 in the Melbourne statistical division, 1:1780 in the country, and 1:1617 in Victoria as a whole. Long hours of work were reported by the great majority of doctors. The impact of changing numbers and distribution of various categories of medical manpower on future work and postgraduate training is discussed. Early consideration of regulating the number of doctors by reducing the number of undergraduates entering Australian medical schools and by restricting the immigration of doctors from overseas is advocated.

Adult

Evaluation of automated multiphasic health testing of referred patients by general practitioners.

Seventy-eight general practitioners provided clinical follow-up reports on 752 patients whom they had referred to the Shepherd Foundation, Melbourne, for automated multiphasic health tests (AMHT). One or more new diagnoses were reported in 270 cases (36%). The yield of new diagnoses made as a result of AMHT was a function of sex, but not of age or pre-referral status. Additional useful information relevant to a previously known diagnosis was reported in 234 cases (31%) and other benefits in 185 cases (25%). Patients were significantly reassured in 623 cases (83%) while disadvantages were reported in 41 cases (5%).

Adult