The participation of female physicians in the Dutch healthcare

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The participation of female physicians in the Dutch healthcare Aletta Jacobs, the first female Dutch physician. She graduated in 1878 30-5-2019 Towards a women oriented medicine | www.lad.nl | FEMS conference Napels

Some statistics 1: from the old days… 30-5-2019 Towards a women oriented medicine | www.lad.nl | FEMS conference Napels

Some statistics 2: more recent Percentage women starting in medical professions Women’s share in new certified basic doctors Women’s share in new certified GP’s Women’s share in new certified medical specialists 30-5-2019 Towards a women oriented medicine | www.lad.nl | FEMS conference Napels

Some statistics 3: number male and femal GP’s 30-5-2019 Towards a women oriented medicine | www.lad.nl | FEMS conference Napels

Even more statistics : Pharmacists Women Men (Bron: Kiwa Carity)

Parttime percentage of Pharmacists Average: 0,89 FTE Men: 0,94 FTE Women: 0,85 FTE Men Women (Bron: Kiwa Carity)

Share men and women per sector (all professions) Childcare Youthcare Social services Other healthcare General Practitioners Disability care Nursing homes Mental healthcare General hospitals University hospitals Women

Data Medical Specialists 2009: 33% women 2014: 40% women 2019: 45% women Big differences between specialisms Specialism % women Clinical genetics 82 Orthopedics 12 Clinical geriatrics 77 Thoracic surgery 13 Emergency Room 69 Neurosurgery 14 30-5-2019 Towards a women oriented medicine | www.lad.nl | FEMS conference Napels

Implications General practitioners: 2007: 36% women, average employment = 0,74 FTE 2016: 53% women, average employment = 0,67 FTE Women are more often employed: Percentage consults of indepent GP decreased from 89% in 2007 to 80% 2016 Source: Nivel 30-5-2019 Towards a women oriented medicine | www.lad.nl | FEMS conference Napels

Implications Medical Specialists Under age 40, the number of female MS exceeds the number of male MS. At this moment, more men are leaving the sector than women. Over 20 years, the exodus of MS is as follows: Male: 61%, Female: 43% Conclusion: the share of female MS is still increasing Parttime factor MS 2016: Male: 90%, Female: 85% (so, in the future we need more medical specialists). Salaried MS: from 37% in 2009 to 42% in 2014 30-5-2019 Towards a women oriented medicine | www.lad.nl | FEMS conference Napels

Demands are changing Research of LAD among psychiatrists shows that: Sources of energy in work are: • possibilities for education, research and innovation • focus on the profession itself • facilities and support of the organization for providing good care; • involvement with policy; • reward and appreciation by management. 30-5-2019 Towards a women oriented medicine | www.lad.nl | FEMS conference Napels

Women in leadership Point of attention: Only 6-14% of the positions in leadership in the healthcare is occupied by women. On this topic there still is much to gain… 30-5-2019 Towards a women oriented medicine | www.lad.nl | FEMS conference Napels

But: very good news! TRUE! Question: is the chance of deceasing smaller when you are treaded by a female doctor? Fact check (by a Dutch newspaper): Source: Volkskrant, 10 januari 2017 TRUE! 30-5-2019 Towards a women oriented medicine | www.lad.nl | FEMS conference Napels