Primary care physician job satisfaction and turnover.

摘要: OBJECTIVE To examine the relationship of personal characteristics, organizational and overall job satisfaction to primary care physician (PCP) turnover. SUBJECTS AND METHODS A cohort 507 postresident, nonfederally employed PCPs younger than 45 years age, who completed their medical training between 1982 1985, participated in national surveys 1987 1991. Psychological, economic, sociological theories constructs provided a conceptual framework. Primary personal, organizational, variables from were considered independent variables. Turnover-related responses 1991 dependent Bivariate multivariate analyses conducted. RESULTS More half (55%) all left at least 1 practice Twenty percent 2 employers. dissatisfied 2.38 times more likely leave (P < .001). physicians believed that third-party payer influence would decrease 5 1.29 .03). Non-board certified 1.3 .003). standardized protocols overused 1.18 .05). Specialty, gender, race, setting not associated with PCP CONCLUSIONS Turnover was an important phenomenon among this cohort. The results study could enable policy makers, managed organizations, researchers, others better understand