The Role of Clinical Workload and Satisfaction With Workload in Rural Primary Care Physician Retention
Arch G. Mainous III, PhD;
Mary Ramsbottom-Lucier, MD, MPH;
Eugene C. Rich, MD
Arch Fam Med. 1994;3(9):787-792.
Abstract
Objective
To examine the relationship between clinical workload and workload satisfaction in rural primary care physician retention.
Design
Data from a survey, "Practice Patterns of Young Physicians, 1987: United States," were analyzed.
Participants
Data on rural primary care (general or family practice, general internal medicine, or pediatrics) physicians working full time (>35 h/wk) in clinical care were analyzed (n=373).
Main Outcome Measures
Self-reported likelihood of leaving the current practice within the next 2 years.
Results
Twenty-five percent of the physicians indicated that they were somewhat or very likely to leave the practice within the next 2 years. The modal reason for the likelihood of leaving was working too many hours (21%). Forty-nine percent of the respondents were dissatisfied with their workload. Those who were dissatisfied with their workload reported a greater likelihood of leaving (P=.0005). However, a quantitative measure of workload was not significantly related to the likelihood of leaving. The results of a multiple regression indicated that employees and those dissatisfied with their workload were most likely to leave the practice within the next 2 years.
Conclusions
Satisfaction with clinical workload is an important factor in the likelihood of retaining rural primary care physicians.
Author Affiliations
From the Departments of Family Practice (Dr Mainous) and Internal Medicine (Drs Ramsbottom-Lucier and Rich), University of Kentucky College of Medicine, and the Veterans Affairs Medical Center (Drs Ramsbottom-Lucier and Rich), Lexington.
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
Hands on: Is there an association between doing procedures and job satisfaction?
Rivet et al.
cfp 2007;53:92-93.
ABSTRACT
| FULL TEXT
A Review of Physician Turnover: Rates, Causes, and Consequences
Misra-Hebert et al.
American Journal of Medical Quality 2004;19:56-66.
ABSTRACT
Variations in the Management of Primary Care: Effect on Cost in an HMO Network
Rich et al.
Arch Intern Med 1998;158:2363-2371.
ABSTRACT
| FULL TEXT
Rural Physician Retention And Workload: A Moving Target
Kriebel
Arch Fam Med 1995;4:204-204.
ABSTRACT
Rural Physician Retention And Workload: A Moving Target
Smith
Arch Fam Med 1995;4:205-205.
ABSTRACT
Rural Physician Retention And Workload: A Moving Target
Horowitz
Arch Fam Med 1995;4:204-204.
ABSTRACT
Rural Physician Retention And Workload: A Moving Target-Reply
Mainous et al.
Arch Fam Med 1995;4:205-205.
ABSTRACT
Rural Physician Retention And Workload: A Moving Target-Reply
Pathman
Arch Fam Med 1995;4:205-206.
ABSTRACT
When 1+2!=3 for Hard-working Rural Physicians
Pathman
Arch Fam Med 1994;3:757-759.
ABSTRACT
|
