The role of job satisfaction, job dissatisfaction and demographic factors on physicians’ intentions to switch work sector from public to private

Abstract This study is based on a unique data set for the years 1988–2003 and uses structural equation models to examine the impact of job satisfaction and job dissatisfaction on physicians’ intention to switch from public- to private-sector work. In Finland, physicians who work primarily in a publi...

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Bibliographic Details
Published in:Health policy (Amsterdam) 2007-09, Vol.83 (1), p.50-64
Main Authors: Kankaanranta, Terhi, Nummi, Tapio, Vainiomäki, Jari, Halila, Hannu, Hyppölä, Harri, Isokoski, Mauri, Kujala, Santero, Kumpusalo, Esko, Mattila, Kari, Virjo, Irma, Vänskä, Jukka, Rissanen, Pekka
Format: Article
Language:English
Subjects:
Career Mobility
Data Collection
Demography
Dissatisfaction
Doctors
Female
Finland
Health administration
Health centres
Health economics
Hospitals
Humans
Intention
Internal Medicine
Job Satisfaction
Labour market
Labour supply
Longitudinal studies
Male
National Health Programs
Physician labour supply
Physicians
Private practice
Private Sector
Public Sector
Sector change
Structural equation modelling
Structural equation models
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Summary:Abstract This study is based on a unique data set for the years 1988–2003 and uses structural equation models to examine the impact of job satisfaction and job dissatisfaction on physicians’ intention to switch from public- to private-sector work. In Finland, physicians who work primarily in a public-hospital or health-centre setting can also run a private practice. Therefore, we also analysed the impact of having a private practice on a physician's intention to change sector. We found that private practice had a positive, statistically significant effect on the intention to switch sector in 1998 and 2003. Results also suggest that job satisfaction decreases a physician's intention to switch sector, although for 1998 it had no effect. Surprisingly, job dissatisfaction significantly increased the physicians’ intentions to leave the public sector only in the 1988 data.
ISSN:0168-8510
1872-6054
DOI:10.1016/j.healthpol.2006.11.010