Abstract
BACKGROUND
Organizational leaders and scholars have issued calls for the medical profession to refocus its efforts on fulfilling the core tenets of professionalism. A key element of professionalism is participation in community affairs.
OBJECTIVE
To measure physician voting rates as an indicator of civic participation.
DESIGN
Cross-sectional survey of a subgroup of physicians from a nationally representative household survey of civilian, noninstitutionalized adult citizens.
PARTICIPANTS
A total of 350,870 participants in the Current Population Survey (CPS) November Voter Supplement from 1996–2002, including 1,274 physicians and 1,886 lawyers; 414,989 participants in the CPS survey from 1976–1982, including 2,033 health professionals.
MEASUREMENTS
Multivariate logistic regression models were used to compare adjusted physician voting rates in the 1996–2002 congressional and presidential elections with those of lawyers and the general population and to compare voting rates of health professionals in 1996–2002 with those in 1976–1992.
RESULTS
After multivariate adjustment for characteristics known to be associated with voting rates, physicians were less likely to vote than the general population in 1998 (odds ratio 0.76; 95% confidence interval [CI] 0.59–0.99), 2000 (odds ratio 0.64; 95% CI 0.44–0.93), and 2002 (odds ratio 0.62; 95% CI 0.48–0.80) but not 1996 (odds ratio 0.83; 95% CI 0.59–1.17). Lawyers voted at higher rates than the general population and doctors in all four elections (P < .001). The pooled adjusted odds ratio for physician voting across the four elections was 0.70 (CI 0.61–0.81). No substantial changes in voting rates for health professionals were observed between 1976–1982 and 1996–2002.
CONCLUSIONS
Physicians have lower adjusted voting rates than lawyers and the general population, suggesting reduced civic participation.
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References
Schlesinger M. A loss of faith: the sources of reduced political legitimacy for the American medical profession. Milbank Q. 2002;80:185–235.
Swick HM. Toward a normative definition of medical professionalism. Acad Med. 2000;75:612–6.
Cruess RL, Cruess SR, Johnston SE. Professionalism: an ideal to be sustained. Lancet. 2000;356:156–9.
Rothman DJ. Medical professionalism: focusing on the real issues. N Engl J Med. 2000; 342:1284–6.
Gruen RL, Pearson SD, Brennan TA. Physician-citizens—public roles and professional obligations. JAMA. 2004;291:94–8.
American Medical Association. Declaration of Professional Responsibility: Medicine’s Social Contract with Humanity. 2001. Retrieved February 6, 2006 from http://www.ama-assn.org/ama/upload/mm/369/decofprofessional.pdf.
American Medical Association. AMA Principles of Medical Ethics. 2001. Retrieved February 6, 2006 from http://www.ama-assn.org/ama/pub/category/2512.html.
ABIM Foundation, ACD-ASIM Foundation, European Federation of Internal Medicine. Medical professionalism in the new millennium: a physician charter. Ann Intern Med. 2002;136:243–6.
Putnam RD. Bowling Alone: the Collapse and Revival of American Community. New York: Simon & Schuster; 2000.
Conway MM. Political Participation in the United States (2nd edition). Washington, DC: CQ Press; 1991.
Knack S, Kropf ME. For shame! The effect of community cooperative context on the probability of voting. Polit Psychol. 1998;19:585–99.
McCann JA. Electoral participation and local community activism: spillover effects, 1991–1996. Presented at the Annual Meeting of the American Political Science Association, Boston, Mass, September, 1998.
U.S. Department of Commerce, Bureau of the Census. Current population survey: voter supplement November 1976, 1978, 1980, 1982, 1996, 1998, 2000, & 2002 (computer file). Washington, DC: U.S. Department of Commerce. Ann Arbor, Mich: Inter-university Consortium for Political and Social Research (distributor).
Current Population Survey. Washington, DC: U.S. Department of Commerce Census Bureau; n.d. Retrieved January 27, 2006 from http://www.census.gov/cps/.
Day JC, Holder K. Voting and registration in the election of November 2002. Washington DC: U.S. Census Bureau, U.S. Department of Commerce; 2004.
Goodman D. Twenty-year trends in regional variations in the U.S. physician workforce. Health Aff (Millwood) 2004;Suppl Web Exclusive:VAR90–7.
Wynia MK, Latham SR, Kao AC, Berg JW, Emanuel LL. Medical professionalism in society. N Engl J Med. 1999;341:1612–6.
Sullivan WM. Medicine under threat: professionalism and professional identity. CMAJ. 2000;162:673–5.
Starr P. The Social Transformation of American Medicine. New York: Basic Books; 1982.
Brint S, Levy CS. Professions and civic engagement. In: Skocpol T, Fiorina MP, eds. Civic Engagement in American Democracy. Washington, DC: Brookings Institution Press; 1999:163–210.
Krause EA. Death of the Guilds: Professions, States and the Advances of Capitalism, 1930 to the Present. New Haven, Conn: Yale University Press; 1996.
Donini-Lenhoff FG, Hedrick HL. Growth of specialization in graduate medical education. JAMA. 2000;284:1284–9.
Green LA, Dodoo MS, Ruddy G, et al. The Physician Workforce of the United States: a Family Medicine Perspective. Washington, DC: American Academy of Family Physicians Robert Graham Center; 2004.
Arnold L. Assessing professional behavior: yesterday, today, and tomorrow. Acad Med. 2002;77:502–15.
Ginsburg S, Regehr G, Stern D, Lingard L. The anatomy of the professional lapse: bridging the gap between traditional frameworks and students’ perceptions. Acad Med. 2002;77:516–22.
Stevens RA. Public roles for the medical profession in the United States: beyond theories of decline and fall. Milbank Q. 2001;79:327–53.
Institute of Medicine. Care Without Coverage: Too Little, Too Late. Washington, DC: The National Academies Press; 2002.
Rothman DJ, O’Toole T. Physicians and the body politic: ideas for an Open Society (occasional papers from OSI-US Programs). 2002;2:2–5.
Acknowledgements
We thank David Rothman, PhD, of Columbia University for providing comments on an earlier draft of this manuscript and Mark Lopez, PhD, of the Center for Information and Research on Civic Learning and Engagement at the University of Maryland for contributing to the initial study design. David Grande conducted this research as a Robert Wood Johnson Health and Society Scholar at the University of Pennsylvania and presented it at the Society of General Internal Medicine Annual Meeting in Los Angeles, Calif on April 29, 2006.
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Grande, D., Asch, D.A. & Armstrong, K. Do Doctors Vote?. J GEN INTERN MED 22, 585–589 (2007). https://doi.org/10.1007/s11606-007-0105-8
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DOI: https://doi.org/10.1007/s11606-007-0105-8