菲律宾塔克洛班市医生的职业转变现象:发展中国家留住卫生工作者的经验教训。

Q1 Medicine Asia Pacific Family Medicine Pub Date : 2011-10-06 DOI:10.1186/1447-056X-10-13
Meredith P Labarda
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引用次数: 11

摘要

背景:在20世纪90年代全球对护士的需求达到高峰时,出现了一个令人严重关注的现象。菲律宾有相当数量的医生转行到海外寻求护士工作。这种趋势的明显含义需要对其原因进行调查;因此,这项横断面研究。研究中的数据比较了以下因素:个人情况、工作满意度/不满意度、替代工作的感知收益与成本,以及社会网络/联系在被归类为职业转换和非转换的医生中的作用。方法:采用定性与定量相结合的方法。收集的数据来自菲律宾塔克洛班市三家大医院的60名医生,以及位于同一城市的一所特殊护理学校。受访者是通过非概率抽样选择的,特别是通过连锁推荐抽样,由于研究的争议性。一套预先设定的标准被用来使医生成为轮班医生和非轮班医生。交叉制表以突出两组之间的差异。最后,使用Wilcoxon-Mann-Whitney检验来评估这些差异是否显著。结果:在调查的不同因素中,研究结果表明,在工作满意度或不满意度水平以及某些社会人口学因素如年龄、医疗实践时间、是否有子女赡养等方面,轮岗与非轮岗之间存在显著差异(p≤0.05)。这表明,这些因素对内科医生转向护理职业的意图有影响。结论:在医学专业的背景下,工作满意度/不满意度水平是医生转行意向的直接先决条件。当个人因素,特别是年龄,对孩子的支持,以及医疗实践的长度与工作满意度或不满意度联系在一起时,它们获得了解释力。另一方面,诸如替代工作的感知收益和成本以及社会网络的影响等因素在转移者和非转移者之间没有差异。这将表明,解决医生保留问题的努力需要超越经济激励,并处理执业医生满意度或不满意度的其他来源。由于这是一项在菲律宾中部特定地区进行的探索性研究,因此需要在该国其他地区进行类似的研究,以便在国家层面上更好地了解这一现象。
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Career shift phenomenon among doctors in tacloban city, philippines: lessons for retention of health workers in developing countries.

Background: At the height of the global demand for nurses in the 1990s, a phenomenon of grave concern arose. A significant number of medical doctors in the Philippines shifted careers in order to seek work as nurses overseas. The obvious implications of such a trend require inquiry as to the reasons for it; hence, this cross-sectional study. The data in the study compared factors such as personal circumstances, job satisfaction/dissatisfaction, perceived benefits versus costs of the alternative job, and the role of social networks/linkages among doctors classified as career shifters and non-shifters.

Methodology: A combined qualitative and quantitative method was utilized in the study. Data gathered came from sixty medical doctors practicing in three major hospitals in Tacloban City, Philippines, and from a special nursing school also located in the same city. Respondents were chosen through a non-probability sampling, specifically through a chain referral sampling owing to the controversial nature of the research. A set of pre-set criteria was used to qualify doctors as shifters and non-shifters. Cross-tabulation was carried out to highlight the differences between the two groups. Finally, the Wilcoxon-Mann-Whitney test was utilized to assess if these differences were significant.

Results: Among the different factors investigated, results of the study indicated that the level of job satisfaction or dissatisfaction and certain socio-demographic factors such as age, length of medical practice, and having children to support, were significantly different among shifters and non-shifters at p ≤ 0.05. This suggested that such factors had a bearing on the intention to shift to a nursing career among physicians.

Conclusion: Taken in the context of the medical profession, it was the level of job satisfaction/dissatisfaction that was the immediate antecedent in the intention to shift careers among medical doctors. Personal factors, specifically age, support of children, and the length of medical practice gained explanatory power when they were linked to job satisfaction or dissatisfaction. On the other hand, factors such as perceived benefits and costs of the alternative job and the impact of social networks did not differ between shifters and non-shifters. It would then indicate that efforts to address the issue of physician retention need to go beyond economic incentives and deal with other sources of satisfaction or dissatisfaction among practicing physicians. Since this was an exploratory study in a particular locale in central Philippines, similar studies in other parts of the country need to be done to gain better understanding of this phenomenon at a national level.

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Asia Pacific Family Medicine
Asia Pacific Family Medicine Medicine-Family Practice
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