Research Institute for Healthcare Policy, Korean Medical Association, Seoul 04373, Korea.
Department of Preventive Medicine, School of Medicine, Konkuk University, Seoul 05029, Korea.
Int J Environ Res Public Health. 2019 Jul 14;16(14):2509. doi: 10.3390/ijerph16142509.
Employment turnover among doctors at healthcare facilities negatively influences healthcare provision, facility management, and staffing. To support institutional and policy change, turnover intentions and its related factors of employed doctors were evaluated with 2016 Korean Physician Survey ( = 2719) in Korea. About 30.5% intended a turnover within two years. The significant related factors by multivariate analysis via binary logistic regression were gender, age, specialty, type of facility, length of current employment, usual number of hours worked per week, and income satisfaction. The odds of reporting turnover intention are 46.2% greater for males than females and 55.5% greater for aged 30-39 than aged 40-49. The odds are 28.9% smaller for support medicine than internal medicine. The odds are 224.2% greater for those employed at tertiary hospitals than those employed at clinics, but the odds are 34.0% smaller for convalescent hospital employment than general hospital employment. The number of years of current employment and income satisfaction each negatively, and the number of hours worked per week positively, related to turnover intentions. Fair compensation and performance evaluation systems and reasonable working hours should be guaranteed at healthcare facilities to reduce turnover, and institutional and policy measures should be implemented to improve workplace environmental quality.
医疗机构医生的离职率对医疗服务提供、医疗机构管理和人员配置都有负面影响。为了支持机构和政策变革,本研究利用 2016 年韩国医生调查(n = 2719)评估了在职医生的离职意愿及其相关因素。约 30.5%的医生有在两年内离职的意愿。多变量分析的二元逻辑回归显示,显著相关因素包括性别、年龄、专业、医疗机构类型、当前就业时长、每周通常工作时长和收入满意度。与女性相比,男性报告离职意愿的可能性高 46.2%;与 40-49 岁相比,30-39 岁报告离职意愿的可能性高 55.5%。与内科相比,支持医学科的医生报告离职意愿的可能性低 28.9%。与在诊所工作的医生相比,在三级医院工作的医生报告离职意愿的可能性高 224.2%;与综合医院相比,在疗养院工作的医生报告离职意愿的可能性低 34.0%。当前就业年限和收入满意度与离职意愿呈负相关,每周工作时长与离职意愿呈正相关。医疗机构应保障公平的薪酬和绩效评估体系以及合理的工作时长,以减少离职率,并应实施机构和政策措施来改善工作场所环境质量。