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Physicians' Turnover Intention During the "Post-COVID-19" Era: Risk and Protective Factors.

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  • 1From the Department of Psychology, University of Milano-Bicocca, Milano, Italy (S.M., M.M.); Dipartimento di Sanità pubblica, Medicina Sperimentale e Forense, University of Pavia, Pavia, Italy (I.G.); ANAAO ASSOMED Lombardia Associazione Medici Dirigenti, Milano, Italy (ST.MA.); and Istituti Clinici Scientifici Maugeri IRCCS, Psychology Unit of Pavia Institute, Pavia, Italy (E.F.).

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Physician burnout and fear of infection increase turnover intention post-COVID-19. Enhancing self-efficacy can mitigate these risks, reducing the desire to leave the medical profession.

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Area of Science:

  • Medical research
  • Healthcare management
  • Occupational health

Background:

  • The COVID-19 pandemic has significantly impacted healthcare systems globally.
  • Physician turnover intention is a critical issue affecting healthcare workforce stability.
  • Understanding factors influencing physicians' decisions to leave is crucial for retention.

Purpose of the Study:

  • To investigate the risk and protective factors influencing physicians' turnover intention in the post-COVID-19 era.
  • To analyze the roles of burnout and fear of infection in physician turnover.
  • To examine the moderating effect of self-efficacy on turnover intention.

Main Methods:

  • A cross-sectional online survey was conducted.
  • 958 physicians from hospitals in Lombardy, Northern Italy, participated.
  • Statistical analyses were performed to identify significant factors.

Main Results:

  • Burnout significantly increases physicians' turnover intention.
  • Fear of infection by COVID-19 (FIC) indirectly elevates turnover intention through burnout.
  • Higher levels of FIC and burnout correlate with a greater intention to leave.
  • Self-efficacy was found to decrease turnover intention by reducing FIC and burnout.

Conclusions:

  • Burnout and fear of infection are key drivers of physician turnover post-pandemic.
  • Promoting physicians' self-efficacy is vital for mitigating turnover intention.
  • Targeted interventions aimed at reducing burnout and enhancing personal resources are essential for healthcare professional retention.