The prevalence of turnover intention and influencing factors among emergency physicians: a national observation
Abstract Background Adverse consequences of physician turnover include financial losses, reduced patient satisfaction, and organizational instability. However, no study has reported the prevalence among emergency physicians. This study explore the rate and influencing factors of this community, whic...
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2021
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oai:doaj.org-article:1e9674c7a7ef491a94257bfd60a52aed2021-12-05T12:24:42ZThe prevalence of turnover intention and influencing factors among emergency physicians: a national observation10.1186/s12960-021-00688-81478-4491https://doaj.org/article/1e9674c7a7ef491a94257bfd60a52aed2021-12-01T00:00:00Zhttps://doi.org/10.1186/s12960-021-00688-8https://doaj.org/toc/1478-4491Abstract Background Adverse consequences of physician turnover include financial losses, reduced patient satisfaction, and organizational instability. However, no study has reported the prevalence among emergency physicians. This study explore the rate and influencing factors of this community, which could provide a reference for preventing the loss of emergency physicians. Methods A nationally representative cross-sectional survey of 15,243 emergency physicians was conducted in 31 provinces across China between July and September 2019. Multivariable logistic regression analysis was performed to identify predictors of turnover intention. Results There were 49.75% of emergency physicians having turnover intention. Logistic regression analysis model showed that emergency physicians who were male (OR = 0.87) and older [> 37 and ≤ 43 (OR = 0.78) or > 43 (OR = 0.64)], worked in eastern China (OR = 0.88) and higher level of hospital [two-grade level (OR = 0.71) or three-grade level (OR = 0.56)], and had high (OR = 0.75) or middle (OR = 0.81) level income were not more likely to have less turnover intention, while those who had higher education level [bachelor degree (OR = 1.55) or master degree or higher (OR = 1.63)], long work tenure [> 3 and ≤ 6 (OR = 1.29) or > 6 and ≤ 11 (OR = 1.41) or > 11 (OR = 1.25)], poorer health status [fair (OR = 1.55) or poor (OR = 2.12)] and sleep quality [fair (OR = 1.16) or poor (OR = 1.43)], history of coronary heart disease (OR = 1.29), depression (OR = 2.77) and experienced the shift work (OR = 1.37) and workplace violence (OR = 1.78) were more likely to intend to leave. Conclusion Nearly half of emergency physicians in China have turnover intention. Targeted intervening measures should be taken to reduce the turnover intention, so as to avoid the shortage of physicians and thus hinder the supply of emergency medical services.Shijiao YanXin ShenRixing WangZhiqian LuoXiaotong HanYong GanChuanzhu LvBMCarticleTurnover intentionEmergency medicineEmergency physiciansPhysicians shortagePrevalenceChinaMedicine (General)R5-920Public aspects of medicineRA1-1270ENHuman Resources for Health, Vol 19, Iss 1, Pp 1-9 (2021) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
Turnover intention Emergency medicine Emergency physicians Physicians shortage Prevalence China Medicine (General) R5-920 Public aspects of medicine RA1-1270 |
| spellingShingle |
Turnover intention Emergency medicine Emergency physicians Physicians shortage Prevalence China Medicine (General) R5-920 Public aspects of medicine RA1-1270 Shijiao Yan Xin Shen Rixing Wang Zhiqian Luo Xiaotong Han Yong Gan Chuanzhu Lv The prevalence of turnover intention and influencing factors among emergency physicians: a national observation |
| description |
Abstract Background Adverse consequences of physician turnover include financial losses, reduced patient satisfaction, and organizational instability. However, no study has reported the prevalence among emergency physicians. This study explore the rate and influencing factors of this community, which could provide a reference for preventing the loss of emergency physicians. Methods A nationally representative cross-sectional survey of 15,243 emergency physicians was conducted in 31 provinces across China between July and September 2019. Multivariable logistic regression analysis was performed to identify predictors of turnover intention. Results There were 49.75% of emergency physicians having turnover intention. Logistic regression analysis model showed that emergency physicians who were male (OR = 0.87) and older [> 37 and ≤ 43 (OR = 0.78) or > 43 (OR = 0.64)], worked in eastern China (OR = 0.88) and higher level of hospital [two-grade level (OR = 0.71) or three-grade level (OR = 0.56)], and had high (OR = 0.75) or middle (OR = 0.81) level income were not more likely to have less turnover intention, while those who had higher education level [bachelor degree (OR = 1.55) or master degree or higher (OR = 1.63)], long work tenure [> 3 and ≤ 6 (OR = 1.29) or > 6 and ≤ 11 (OR = 1.41) or > 11 (OR = 1.25)], poorer health status [fair (OR = 1.55) or poor (OR = 2.12)] and sleep quality [fair (OR = 1.16) or poor (OR = 1.43)], history of coronary heart disease (OR = 1.29), depression (OR = 2.77) and experienced the shift work (OR = 1.37) and workplace violence (OR = 1.78) were more likely to intend to leave. Conclusion Nearly half of emergency physicians in China have turnover intention. Targeted intervening measures should be taken to reduce the turnover intention, so as to avoid the shortage of physicians and thus hinder the supply of emergency medical services. |
| format |
article |
| author |
Shijiao Yan Xin Shen Rixing Wang Zhiqian Luo Xiaotong Han Yong Gan Chuanzhu Lv |
| author_facet |
Shijiao Yan Xin Shen Rixing Wang Zhiqian Luo Xiaotong Han Yong Gan Chuanzhu Lv |
| author_sort |
Shijiao Yan |
| title |
The prevalence of turnover intention and influencing factors among emergency physicians: a national observation |
| title_short |
The prevalence of turnover intention and influencing factors among emergency physicians: a national observation |
| title_full |
The prevalence of turnover intention and influencing factors among emergency physicians: a national observation |
| title_fullStr |
The prevalence of turnover intention and influencing factors among emergency physicians: a national observation |
| title_full_unstemmed |
The prevalence of turnover intention and influencing factors among emergency physicians: a national observation |
| title_sort |
prevalence of turnover intention and influencing factors among emergency physicians: a national observation |
| publisher |
BMC |
| publishDate |
2021 |
| url |
https://doaj.org/article/1e9674c7a7ef491a94257bfd60a52aed |
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