FACTORS AFFECTING MEDICAL DOCTOR TURNOVER IN THE HOSPITAL: A SYSTEMATIC REVIEW

Angesti Drea Habsari, Jaslis Ilyas

Abstract

Background: Among others, healthcare professional is one of the main drivers in the hospital. Medical doctor plays an important role in patient-centered care system in the hospital, leading health services to patients, cooperating with other healthcare professionals. Medical doctor shortage and high turnover in the hospital has become a problem in many countries. High turnover of medical doctor can lead to an inadequate supply of health services, thereby compromising people’s access to health care and endangering the quality of patient care and safety. The objective of this study is to get an overview of the factors that affect medical doctor turnover in the hospital.

Methods: A systematic review of articles published between 2014 and 2019 that contain information from all relevant published articles were extracted and analyzed.

Results: The literature search and screening process resulted in 9 (nine) studies. From the selected studies, overtime, job satisfaction, and work stress are among the things that affect the turnover of medical doctor in the hospital.

Conclusions: Consequences of high medical doctor turnover in the hospital are including financial loss, low patient satisfaction, and poor organizational practices. Factors affecting medical doctor turnover in the hospital are long work hours, job satisfaction, work stress, workplace condition, and hospital management.

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References

Sheldon, GF, Ricketts TC, Charles A, King J, Fraher EP, Meyer A. The Global Health Workforce Shortage: Role of Surgeons and Other Providers. Advances in Surgery. 2008; 42: 63-85.

World Health Organization. The World Health Report 2006 – Working Together for Health. Geneva: WHO Press; 2006. Available at: http://www.who.int/whr/2006/en/index.html. [Accessed April 28, 2019.]

World Health Organization (WHO). The Goals Within A Goal: Health Targets for SDG 3. Available at: https://www.who.int/sdg/targets/en/. [Accessed April 28, 2019.]

Tsai, YH, Huang N, Chien LY, Chiang JH, Chiou ST. Work Hours and Turnover Intention Among Hospital Physicians in Taiwan: Does Income Matter. BMC Health Services Research. 2016; 16 (1): 667.

Zhang F, Luo Z, Chen T, Min R, Fang P. Factors Affecting Turnover Intentions Among Public Hospital Doctors in a Middle-Level City in Central China. Australian Health Review. 2017; 41 (2): 214-221.

World Health Organization (WHO). System Thinking: For Health System Strengthening. Geneva: WHO Pres; 2009.

Roy, A, van der Weijden T, de Vries N. Relationships of Work Characteristics to Job Satisfaction, Turnover Intention, And Burnout Among Doctors in The District Public-Private Mixed Health System of Bangladesh. BMC Health Services Research. 2017; 17(1): 421.

Meliala, A. Penguatan Sub Sistem SDMK & Kompetensi Eksekutif Sistem Kesehatan Daerah (Strengthening Health Workforce Sub System and Executive Competency Regional Health System). Available at: http://www.depkes.go.id/resources/download/info-terkini/rakerkesnas-2019/SESI%20I/Kelompok%204/01-Penguatan-sub-sistem-SDMK-dan-kompetensi-eksekutif-sistem-kesehatan-daerah.pdf. [Accessed April 28, 2019.]

Sklar, DP. How Many Doctors Will We Need? A Special Issue on the Physician Workforce. Academic Medicine. 2013; 88 (12):1785.

Goetz K, Marx M, Marx I, Brodowski M, Nafula M, Pryterch H, Omogi Awour IKE, Szecsenyi J. Working Atmosphere and Job Satisfaction of Health Care Staff in Kenya: An Exploratory Study. Biomed Research International. 2015:256205: 1-7.

Bagheri S, Kousha A, Janati A, Asghari-Fajarabadi M. Factors Influencing the Job Satisfaction of Health System Employees in Tabriz, Iran. Health Promotion Perspectives. 2012; 2(2): 190-196.

Omondi MA. Factors Influencing Turnover of Medical Doctors at The Nyanza Provincial General Hospital. Nairobi: University of Nairobi; 2011.

Hamidi MS, Bohman B, Sandborg C, Smith-Coggins R, de Vries P, Albert MS, Murphy ML, Welle D, Trockel MT. Estimating Institutional Physician Turnover Attributable to Self-Reported Burnout and Associated Financial Burden: A Case Study. BMC Health Services Research. 2018: 18 (1); 851.

Hartley K, Kautsch M. Polish and UK Doctors’ Engagement with Hospital Management. International Journal of Public Sector Management. 2014; 27; 5: 430.

Lu Y, Hu X-M, Huang X-L, et al. The Relationship Between Job Satisfaction, Work Stress, Work-Family Conflict, And Turnover Intention Among Physicians in Guangdong, China: A Crosssectional Study. BMJ Open 2017;7: e014894. doi:10.1136/ bmjopen-2016-014894.

Xu, X. The Influence of Job Satisfaction and Affective Commitment on Turnover Intention among Senior Professionals in Public Hospitals: An Empirical Study in Guangdong Province, China. Lisboa: Instituto Universitario de Lisboa; 2016.

Tziner A, Rabenu E, Radomski R, Belkin A. Work Stress and Turnover Intentions Among Hospital Physicians: The Mediating Role of Burnout and Work Satisfaction. Journal of Work and Organizational Psychology. 2015; 31: 207–213.

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