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Reasons for the relocation of contracted family physicians and job satisfaction
Yusuf Karayurek1, Hakan Demirci1
1Department of Family Medicine, University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, Yildirim, 16310 Bursa, Turkey.
Insights
Contracted family physicians often relocate due to distance from home, seeking new opportunities, or burnout. Factors like being female, experience duration, and job dissatisfaction increase relocation risk.
Area of Science:
- Family Medicine
- Healthcare Management
- Physician Workforce Studies
Background:
- Continuity of care is crucial in family practice.
- Physician relocation within a province can disrupt patient care.
- Understanding relocation drivers is essential for workforce stability.
Purpose of the Study:
- To identify primary reasons for contracted family physician relocation.
- To examine the correlation between physician relocation, burnout, and job satisfaction.
Main Methods:
- Cross-sectional study conducted in Bursa province, Turkey (May-Dec 2019).
- Data collected via socio-demographic forms, Maslach Burnout Inventory, and Minnesota Job Satisfaction Questionnaire.
- Physicians who relocated completed a specific questionnaire on their reasons.
Main Results:
- Top relocation reasons: distance from home (65.3%), novelty seeking (25.6%), and burnout (24.8%).
- Risk factors for relocation included being female, longer medical experience, less time in family practice, and job dissatisfaction.
- Job dissatisfaction score ≤3 indicated a significant risk for relocation.
Conclusions:
- Physician migration within provinces is influenced by social and cultural factors, often towards residential areas.
- Young female physicians may prioritize location over financial incentives in underserved areas.
- Societal roles of female physicians might influence relocation preferences.
Aim:
The aim of this study was to determine the reasons for the relocation of contracted family physicians and the relationship of this situation with burnout and job satisfaction status.
Methods:
This study was conducted with contracted family physicians in Bursa province between May 2019 and December 2019. The physicians were visited in the family health centres where they worked. The participants were asked to fill out a socio-demographic data form, Maslach Burnout Inventory Scale and Minnesota Job Satisfaction Questionnaire. In addition, physicians who had relocated were asked to fill out a questionnaire examining the reasons for this change.
Results:
The most common reasons for the relocation of physicians were distance from home (65.30%), novelty seeking (25.60%) and burnout (24.80%). Being female (P = 0.004), duration of medical experience (P < 0.001), shorter time passed in family practice (P = 0.043) and job dissatisfaction (P = 0.006) were risk factors for relocation in a regression analysis model. Receiver operating characteristic analysis revealed a cut-off point value for the Minnesota overall score as ≤3.
Conclusions:
In family practice, it is favourable to provide continuity of care to the patient with the same physician. However, migration of physicians within the province for social and cultural reasons to more prosperous regions, often to where they live, was observed. Young female family doctors will probably continue to migrate to better locations within the city regardless of payment advantages in poor settlements. The roles of female physicians in society (as mother, wife and daughter) may have an effect on this preference.
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