Examining the extent, forms and factors influencing multiple job holding among medical doctors, professional nurses and rehabilitation therapists in two South African provinces: a cross-sectional study

ObjectiveMultiple job holding (MJH), or working in more than one paid job simultaneously, is a common characteristic of health labour markets. The study examined the extent (prevalence), forms and factors influencing MJH among public sector medical doctors, professional nurses and rehabilitation the...

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Bibliographic Details
Published in:BMJ open 2023-12, Vol.13 (12), p.e078902-e078902
Main Authors: Matiwane, Busisiwe Precious, Blaauw, Duane, Rispel, Laetitia Chairmaine
Format: Article
Language:English
Subjects:
Adult
Audiology
Cross-Sectional Studies
Employment
Health Policy
Hospitals
Hospitals, Public
Human resource management
Humans
Labor market
Male
Medical personnel
Middle Aged
Nurses
Physicians
Population
Private Practice
Professionals
Provinces
Public health
Public sector
Questionnaires
Rehabilitation
REHABILITATION MEDICINE
Sample size
South Africa
Speech therapists
Surveys and Questionnaires
Citations: Items that this one cites
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Summary:ObjectiveMultiple job holding (MJH), or working in more than one paid job simultaneously, is a common characteristic of health labour markets. The study examined the extent (prevalence), forms and factors influencing MJH among public sector medical doctors, professional nurses and rehabilitation therapists in two South African provinces.DesignA cross-sectional, analytical study.Setting29 public sector hospitals in the Gauteng and Mpumalanga provinces of South Africa.ParticipantsFull-time public sector medical doctors, professional nurses and rehabilitation therapists.ResultsWe obtained an overall response rate of 84.3%, with 486 medical doctors, 571 professional nurses and 340 rehabilitation therapists completing the survey. The mean age was 39.9±9.7 years for medical doctors, 43.7±10.4 years for professional nurses and 32.3±8.7 years for rehabilitation therapists. In the preceding 12 months, the prevalence of MJH was 33.7% (95% CI 25.8% to 42.6%) among medical doctors, 8.6% (95% CI 6.3% to 11.7%) among professional nurses and 38.7% (95% CI 31.5% to 46.5%) among rehabilitation therapists. Medical doctors worked a median of 20 (10–40) hours per month in their additional jobs, professional nurses worked 24 (12–34) hours per month and rehabilitation therapists worked 16 (8–28) hours per month. Private practice was the most prevalent form of MJH among medical doctors and rehabilitation therapists, compared with nursing agencies for professional nurses. MJH was significantly more likely among medical specialists (OR 4.3, p
ISSN:2044-6055
2044-6055
DOI:10.1136/bmjopen-2023-078902