DOI QR코드

DOI QR Code

보건소 근무 의사의 업무 참여가 이직의도에 미치는 영향

Effects of Job Participation on Intention to Leave among Physicians Working in Public Health Center

  • 송현종 (상지대학교 의료경영학과) ;
  • 조형원 (상지대학교 의료경영학과) ;
  • 이석구 (충남대학교 의과대학 예방의학교실) ;
  • 박현경 (서울시건강증진사업지원단)
  • Song, Hyunjong (Department of Health Policy and Management, Sangji University) ;
  • Cho, Hyong Won (Department of Health Policy and Management, Sangji University) ;
  • Lee, Sok-Goo (Department of Preventive Medicine, Chungnam National University School of Medicine) ;
  • Park, Hyunkyung (Expert Group on Health Promotion for Seoul Metropolitan Government)
  • 투고 : 2016.05.19
  • 심사 : 2016.09.30
  • 발행 : 2016.09.30

초록

Background: Intention to leave was an important managerial issue among physicians working in public health centers. This study was conducted to explore the relationship between job participations and intention to leave among physicians working in health centers. Methods: A cross-sectional questionnaire survey was conducted to gather information about job participation, intention to leave and demographics among physicians (n=243) in public health centers in Korea. Job participation was measured by 15 items categorized 3 dimensions. Multiple regression analysis was performed to determine the effect of job participation on intent to leave among physicians working in public health center. Results: Participation of medical treatment and administrative job were significantly associated with intention to leave adjusted for sex, age, income, working area, working duration, tenure, and overall job satisfaction. Therefore, physicians who actively participated in administrative job showed a lower turnover intention. Physicians who actively participated in medical treatment job had a higher quit intention. Conclusion: To retain qualified physicians in public health center, education should be reinforced to physician for administrative capacity building.

키워드

참고문헌

  1. Yoon S, Seo H, Park YH. Creation of a central public healthcare human resources management department to coordinate existing agencies. Korean J Health Policy Adm 2012;22(4):703-710. DOI: http://dx.doi.org/10.4332/kjhpa.2012.22.4.703.
  2. Lim SM, Seo KH, Kim HK, Park YH. A survey of physicians working in a community health center. J Korean Med Assoc 2012;55(2):174-186. DOI: http://dx.doi.org/10.5124/jkma.2012.55.2.174.
  3. Ministry of Health and Welfare. Ministry of Health and Welfare statistical year book. Sejong: Ministry of Health and Welfare; 2014.
  4. Lee SH, Yoo SJ, Moon JJ, Ko YK, Kim BJ, Kim YM, et al. Report on management evaluation of regional hub public hospitals. Cheongju: Korea Health Industry Development Institute; 2008.
  5. Heponiemi T, Kouvonen A, Vanska J, Halila H, Sinervo T, Kivimaki M, et al. Health, psychosocial factors and retirement intentions among Finnish physicians. Occup Med (Lond) 2008;58(6):406-412. DOI: http://dx.doi.org/10.1093/occmed/kqn064.
  6. Hann M, Reeves D, Sibbald B. Relationships between job satisfaction, intentions to leave family practice and actually leaving among family physicians in England. Eur J Public Health 2011;21(4):499-503. DOI: http://dx.doi.org/10.1093/eurpub/ckq005.
  7. Zhang Y, Feng X. The relationship between job satisfaction, burnout, and turnover intention among physicians from urban state-owned medical institutions in Hubei, China: a cross-sectional study. BMC Health Serv Res 2011;11:235. DOI: http://dx.doi.org/10.1186/1472-6963-11-235.
  8. Seo Y, Ko J. Determinants of intent to leaver among physicians working at general hospitals after separation program of prescribing and dispensing. Korean J Health Policy Adm 2002;12(4):68-90. DOI: http://dx.doi.org/10.4332/kjhpa.2002.12.4.068.
  9. Kankaanranta T, Nummi T, Vainiomaki J, Halila H, Hyppola H, Isokoski M, et al. The role of job satisfaction, job dissatisfaction and demographic factors on physicians' intentions to switch work sector from public to private. Health Policy 2007;83(1):50-64. DOI: http://dx.doi.org/10.1016/j.healthpol.2006.11.010.
  10. Fang P, Liu X, Huang L, Zhang X, Fang Z. Factors that influence the turnover intention of Chinese village doctors based on the investigation results of Xiangyang City in Hubei Province. Int J Equity Health 2014;13:84. DOI: http://dx.doi.org/10.1186/s12939-014-0084-4.
  11. Hwang JI, Chang H. Work climate perception and turnover intention among Korean hospital staff. Int Nurs Rev 2009;56(1):73-80. DOI: http://dx.doi.org/10.1111/j.1466-7657.2008.00641.x.
  12. Moon SJ, Han SS. A predictive model on turnover intention of nurses in Korea. J Korean Acad Nurs 2011;41(5):633-641. DOI: http://dx.doi.org/10.4040/jkan.2011.41.5.633.
  13. Im SB, Cho MK, Heo ML. Factors to affect turnover intention of nurse: focusing on personal, situational and interpersonal relation variables. Korean J Occup Health Nurs 2013;22(4):314-323. DOI: http://dx.doi.org/10.5807/kjohn.2013.22.4.314.
  14. Hwang YS, Kang KH. Factors influencing nurse turnover intention in small and medium sized hospitals in the metropolitan area. J Korean Acad Nurs Adm 2014;20(5):576-586. DOI: http://dx.doi.org/10.11111/jkana.2014.20.5.576.
  15. Yeun E, Kwon Y, Jeon M, An J. Factors influencing hospital nurses' turnover intention: a cross-sectional survey. J Korean Contents Assoc 2016;16(1):94-106. DOI: http://dx.doi.org/10.5392/jkca.2016.16.01.094.
  16. Park J, Oh Y. Factors influencing turnover intention of customized home health care nurse. J Agric Med Community Health 2014;39(2):94-103. DOI: http://dx.doi.org/10.5393/jamch.2014.39.2.094.
  17. Shin D, Seo Y. The determinants of intent to leave of hospital pharmacists. Korean J Health Policy Adm 2002;12(3):36-53. DOI: http://dx.doi.org/10.4332/kjhpa.2002.12.3.036.
  18. Oh J, Seo Y, Park H. Determinants of intent to leave among workers at long-term care institutions. Korean J Health Serv Manag 2012;6(1):87-103. DOI: http://dx.doi.org/10.12811/kshsm.2012.6.1.087.
  19. Lee K, Lee J, Kim JS, Hwang T, Sofn H, Kim C. The medical doctors' opinion of public health center on the development and supply of medical doctor for public health sector. J Agri Med Community Health 2009;34(3):303-315. DOI: http://dx.doi.org/10.5393/jamch.2009.34.3.303.
  20. Sibbald B, Bojke C, Gravelle H. National survey of job satisfaction and retirement intentions among general practitioners in England. BMJ 2003;326(7379):22. DOI: http://dx.doi.org/10.1136/bmj.326.7379.22.