Wang Jingjing, Lv Hui, Qin Qin, Jiang Hui, Ren Wenjie, Mohd Shariff Noorsuzana
Institutes of Health Central Plains, Xinxiang Medical University, Xinxiang, Henan, China.
Advanced Medical & Dental Institute, Universiti Sains Malaysia, Penang, Malaysia.
Sci Rep. 2025 Jul 2;15(1):22645. doi: 10.1038/s41598-025-07019-0.
Turnover intention (TI) among doctors is a critical issue in healthcare systems worldwide, as it can lead to workforce shortages, increased workload for remaining staff, and negatively impact patient care. This review aimed to explore the prevalence and determinants of TI among doctors, providing a comprehensive understanding of the factors influencing their turnover intentions. A systematic review was conducted using four electronic databases: PubMed, Web of Science, Medline, and Scopus. Studies published between January 2019 and December 2024 were included. Observational studies reporting the prevalence of turnover intention among doctors and meeting the inclusion criteria were selected for analysis. Two independent reviewers assessed the eligibility of each study, and relevant data were extracted and recorded. A random-effects meta-analysis was performed to evaluate the prevalence of turnover intention, with heterogeneity assessed using the I. Subgroup analysis and meta-regression were conducted to examine variations in study-level characteristics. A total of 34 studies (involving 97,672 doctors) were included in this review. The overall prevalence of turnover intention among doctors was 39% (95% CI = 0.34-0.44). Those doctors with lower job satisfaction (OR = 0.484, 95% CI = 0.358-0.654) were more likely to express an intention to leave their current positions. However, the odds ratio for male doctors (OR = 1.251, 95% CI = 0.916-1.708) did not reach statistical significance. Approximately 39% of doctors reported turnover intention. Lower job satisfaction was identified as a significant risk factor for turnover intention among doctors, whereas male gender was not found to be a statistically significant predictor.
医生的离职意愿是全球医疗系统中的一个关键问题，因为它可能导致劳动力短缺、剩余员工工作量增加，并对患者护理产生负面影响。本综述旨在探讨医生离职意愿的患病率及其决定因素，全面了解影响他们离职意愿的因素。使用四个电子数据库进行了系统综述：PubMed、科学网、Medline和Scopus。纳入了2019年1月至2024年12月期间发表的研究。选择报告医生离职意愿患病率并符合纳入标准的观察性研究进行分析。两名独立评审员评估每项研究的 eligibility，并提取和记录相关数据。进行随机效应荟萃分析以评估离职意愿的患病率，使用I评估异质性。进行亚组分析和荟萃回归以检查研究水平特征的差异。本综述共纳入34项研究（涉及97,672名医生）。医生离职意愿的总体患病率为39%（95%CI = 0.34 - 0.44）。那些工作满意度较低的医生（OR = 0.484，95%CI = 0.358 - 0.654）更有可能表示有离开当前职位的意愿。然而，男性医生的优势比（OR = 1.251，95%CI = 0.916 - 1.708）未达到统计学显著性。约39%的医生报告有离职意愿。较低的工作满意度被确定为医生离职意愿的一个重要风险因素，而男性性别未被发现是一个具有统计学显著性的预测因素。
