Physicians' intention to leave direct patient care: an integrative review

Human Resources for Health
Christiane DegenPeter Angerer

Abstract

In light of the growing shortage of physicians worldwide, the problem of physicians who intend to leave direct patient care has become more acute, particularly in terms of quality of care and health-care costs. A literature search was carried out following Cooper's five-stage model for conducting an integrative literature review. Database searches were made in MEDLINE, PsycINFO and Web of Science in May 2014. A total of 17 studies from five countries were identified and the study results synthesized. Measures and percentages of physicians' intention to leave varied between the studies. Variables associated with intention to leave were demographics, with age- and gender-specific findings, family or personal domain, working time and psychosocial working conditions, job-related well-being and other career-related aspects. Gender differences were identified in several risk clusters. Factors such as long working hours and work-family conflict were particularly relevant for female physicians' intention to leave. Health-care managers and policy-makers should take action to improve physicians' working hours and psychosocial working conditions in order to prevent a high rate of intention to leave and limit the number of physicians actua...Continue Reading

References

Apr 25, 2001·Medical Education·M J GoldacreJ M Davidson
Mar 5, 2002·Journal of Public Health Medicine·J M DavidsonM J Goldacre
Jan 4, 2003·BMJ : British Medical Journal·Bonnie SibbaldHugh Gravelle
Apr 30, 2004·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Anita D Misra-HebertJames K Stoller
Jul 20, 2004·Human Resources for Health·Mélanie Bourassa ForcierAntonio Giuffrida
Aug 31, 2004·Health Services Research·Diane R RittenhouseKevin Grumbach
Oct 8, 2004·BMJ : British Medical Journal·Philip J MossPenelope Lee
Nov 5, 2005·Journal of Advanced Nursing·Robin Whittemore, Kathleen Knafl
May 2, 2006·The Medical Journal of Australia·Catherine M JoyceJohannes U Stoelwinder
Nov 30, 2007·Occupational and Environmental Medicine·P VirtanenJ Vahtera
Nov 26, 2010·Occupational and Environmental Medicine·Renée BourbonnaisMichel Vézina
Nov 23, 2011·Academic Medicine : Journal of the Association of American Medical Colleges·Elke B Ochsmann
Nov 25, 2011·Work : a Journal of Prevention, Assessment, and Rehabilitation·M Estryn-BeharCh Prudhomme
Jun 9, 2012·Medical Care Research and Review : MCRR·Mattia J Gilmartin

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Citations

Nov 17, 2016·Human Resources for Health·Michelle Pannor SilverNatalie Irene Warrick
Mar 3, 2017·Human Resources for Health·Sofia Castro LopesAndrea Nove
May 1, 2019·Journal of the Intensive Care Society·K E GraileyS J Brett
Oct 17, 2018·American Journal of Pharmaceutical Education·Elvira Zinurova, Renee DeHart
Apr 25, 2020·International Journal of Environmental Research and Public Health·Peter KochMatthias Raspe
Jul 17, 2020·International Journal of Environmental Research and Public Health·Britta WorringerPeter Angerer
Dec 8, 2016·Human Resources for Health·Paulo de Oliveira Vasconcelos FilhoAna Luiza D'Ávila Viana
Sep 10, 2019·Anesthesiology and Pain Medicine·Seyed-Mojtaba MousaviMostafa Qorbani
Dec 11, 2020·Human Resources for Health·E Anne BardoelMargaret Kay
Oct 17, 2020·Journal of General Internal Medicine·Rachel SchwartzJonathan G Shaw
May 6, 2021·Applied Nursing Research : ANR·Jinnatul Raihan MumuMd Abul Kalam Azad
Jul 11, 2021·Journal of Health Organization and Management·Lena AnsmannCologne Research And Development Network CoRe-Net Study Group Cologne Research And Development Network CoRe-Net Study Group

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