Euroa Centre, Prince of Wales Hospital and Community Health Services, Sydney, NSW
Flinders Business School, Flinders University, Adelaide, SA.
Med J Aust. 2017 Mar 20;206(5):209-214. doi: 10.5694/mja16.00883.
To determine the professional and personal factors associated with the intention to retire (ITR) by medical practitioners.
DESIGN, PARTICIPANTS AND SETTING: Cross-sectional survey of currently practising Australian doctors aged 55 or older registered with a commercial database. Participants completed an online self-report questionnaire in October 2015.
Associations between intention to retire and demographic and practice characteristics; health; emotional, social and financial resources; work centrality; and anxiety about ageing.
62.0% of 1048 respondents (17.5% response rate) intended to retire, 11.4% had no intention of retiring and 26.6% were unsure. The odds of retiring were higher for those with adequate financial resources (adjusted odds ratio [aOR], 1.31; 95% CI, 1.18-1.44) and greater anxiety about ageing (aOR, 1.05; 95% CI, 1.02-1.09); the odds of retiring were lower for international medical graduates (aOR, 0.61; 95% CI, 0.44-0.85), for those with greater work centrality (aOR, 0.89; 95% CI, 0.85-0.92) and greater emotional resources (aOR, 0.96; 95% CI, 0.93-0.98). In a model including medical specialty as a variable, being a psychiatrist (aOR, 0.40; 95% CI, 0.20-0.79) or general practitioner (aOR, 0.54; 95% CI, 0.34-0.87) were associated with reduced odds of intending to retire.
Intention to retire was determined by a mixture of professional and psychosocial characteristics. In particular, our results support the view that delaying retirement by doctors may be related to the primacy of work compared with other life roles. Our results may be used to develop educational programs that support the transition to and improve adjustment to retirement.
确定与医生退休意愿（ITR）相关的专业和个人因素。
设计、参与者和设置：对澳大利亚商业数据库中登记的 55 岁或以上的在职医生进行横断面调查。参与者于 2015 年 10 月完成在线自我报告问卷。
退休意愿与人口统计学和实践特征、健康、情感、社会和经济资源、工作核心度以及对衰老的焦虑之间的关系。
在 1048 名应答者中，62.0%（17.5%的应答率）打算退休，11.4%没有退休打算，26.6%不确定。有足够经济资源的人退休的可能性更高（调整后的优势比[aOR]，1.31；95%可信区间[CI]，1.18-1.44），对衰老的焦虑程度更高（aOR，1.05；95% CI，1.02-1.09）；国际医学毕业生（aOR，0.61；95% CI，0.44-0.85）、工作核心度更高（aOR，0.89；95% CI，0.85-0.92）和情绪资源更多（aOR，0.96；95% CI，0.93-0.98）的人退休的可能性较低。在一个包含医学专业作为变量的模型中，精神科医生（aOR，0.40；95% CI，0.20-0.79）或全科医生（aOR，0.54；95% CI，0.34-0.87）的退休意愿降低。
退休意愿是由专业和社会心理特征共同决定的。特别是，我们的结果支持这样一种观点，即医生延迟退休可能与工作相对于其他生活角色的首要地位有关。我们的研究结果可用于制定教育计划，以支持向退休过渡并改善对退休的调整。
