Factors relating to doctors' desire to change hospitals in Japan
| Autor: | Santaro Kobayashi, Mitsuaki Maseki, Kazunobu Yamauchi, Kimiko Katsuyama, Makoto Miyaji, Michio Naito, Hirohisa Kawahara, Yasunori Maki, Hiroshi Amano, Nakako Fujiwara, Yoshio Senoo, Ken Kato |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male Attitude of Health Personnel Cross-sectional study media_common.quotation_subject Personnel Staffing and Scheduling Workload Logistic regression Job Satisfaction Japan Nursing Physicians Surveys and Questionnaires Medical Staff Hospital Humans Medicine Selection Bias Aged media_common Sampling bias Response rate (survey) Selection bias Analysis of Variance business.industry Health Policy Middle Aged General Business Management and Accounting Hospitals Hospital-Physician Relations Career Mobility Cross-Sectional Studies Logistic Models Local government Female Job satisfaction business |
| Zdroj: | International Journal of Health Care Quality Assurance. 25:19-40 |
| ISSN: | 0952-6862 |
| Popis: | PurposeThis study seeks to investigate doctors' desire to change the hospital where they work to sustain higher quality care.Design/methodology/approachSelf‐administered questionnaires were sent to doctors in Aichi Prefecture, Japan. Data were analyzed using univariate and logistic regression analysis and recursive partitioning.FindingsFactors related to doctors' desire to change hospitals, according to logistic regression, were interaction between working hours and satisfaction with the hospital, evaluation, local government hospitals versus private ones, small vs large hospitals, ophthalmology versus internal medicine, desire to continue working as a hospital doctor and age. Additionally, working hours were also found to be related, based on recursive partitioning.Research limitations/implicationsThe response rate was low and sampling bias was observed – therefore results need careful interpretation. Also, because this was a cross‐sectional study, causal relationships could not be identified. Desire to change hospitals, but not actual behavior, was measured.Practical implicationsEfforts to prevent doctors from changing hospitals should include considering job satisfaction and workload, doctor evaluation methods, support for career progression and organizational management.Originality/valueAs the hospital doctor shortage in rural areas becomes more serious, exploring doctors' desire to leave their current hospital is meaningful for Japanese hospital managers and hospitals worldwide aiming to provide sustainable and higher quality care. |
| Databáze: | OpenAIRE |
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