Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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Factors Related to Job Retention of Physicians in Public Hospitals

국공립병원 의사의 근무지속의사 관련 요인

  • Oh, Moo-Kyung (Department of Preventive Medicine, Kangwon National University Hospital) ;
  • Kwon, Yong-Jin (Division of Medical Policy, Seoul National University, College of Medicine) ;
  • Lee, HeyJean (Department of Preventive Medicine, Kangwon National University Hospital) ;
  • Lee, Jin-Seok (Department of Health Policy and Management, Seoul National University College of Medicine, Institute of Health Policy and Management, Medical Research Center, Seoul National University)
  • 오무경 (강원대학교병원 예방의학과) ;
  • 권용진 (서울대학교 의과대학 의료정책실) ;
  • 이혜진 (강원대학교병원 예방의학과) ;
  • 이진석 (서울대학교 의과대학 의료관리학교실, 서울대학교 의학연구원 의료관리학연구소)
  • Received : 2012.05.10
  • Accepted : 2012.08.15
  • Published : 2012.09.28
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Abstract

Background : Public hospitals suffer worsening shortage of physicians and face great pressure of recruiting doctors. This study is aim to identify the factors associated with retention of physicians who are working in public hospitals. Methods : We conducted a cross-sectional and self-administered questionnaire survey in July, 2011. A total of 333 physicians responded from the 31 public hospitals. We analyzed the difference of job retention across the variables among doctors stratified as salaried and public health doctors. We used chi-square test and multiple logistic regression analysis. Results : To the salaried doctor, longer work period(OR=2.04 in 3rd quartile), professional autonomy(OR=2.69), and positive attitude toward public health(OR=2.39) affect to the higher job retention whereas complain of low income(OR=0.33) and complain of poor clinical environment(OR=0.26) affects to the lower job retention. To the public health doctors, community connections such as hometown(OR=6.27), spouse factors(OR=3.49), and positive attitude toward public health(OR=3.19) affect to the higher job retention. But longer work period(OR=0.17 in 3rd quartile) affects to the lower job retention. Conclusions : Associated factors of job retention vary across physician's status. Professional autonomy has major impact on the job retention to the salaried doctor. And familial factors as well as community relationship have greatest impact to the public health doctor. Positive attitude toward public health is associated with the higher job retention to the both of salaried and public health doctors.

Keywords

References

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