Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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Determinants of Intent to Leave among Physicians Working at General Hospitals After the Separation Program of Prescribing and Dispensing

의약분업 이후 종합병원 의사들의 이직의도 결정요인

  • 서영준 (연세대학교 보건행정학과) ;
  • 고종욱 (안양대학교 도시행정학과)
  • Published : 2002.12.01
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Abstract

The purpose of this study is to investigate the determinants of intent to leave among hospital physicians. A causal model of intent to leave among hospital physicians was constructed based on the exchange theory. The sample of this study consisted of 185 physicians from 8 general hospitals located in Seoul, Taegu, Kyunggi-province, and Kyungsangnam-province in Korea. Data were collected with self-administered questionnaires and analyzed using LISREL. The results of this study indicate that the following variables, listed in order of size, have significant negative effects on intent to leave among hospital physicians; job satisfaction, organizational commitment, task variety, promotional chances, task significance, and pay. Sex (female=0, male=1) was found to have significant positive effects on the intent to leave among hospital physicians. The results imply that hospital administrators should make an effort to improve job satisfaction and organizational commitment which are the key determinants of intent to leave among hospital physicians.

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References

  1. 고종욱. 인성 특성이 직무만족도에 미치는 영향. 한국사회학 1999; 33(2): 359-387.
  2. 고종욱. 질문지를 이용한 측정에서 방법분산의 원천으로서의 감성적 성향. 한국사회학 2001, 35(2): 59-89.
  3. 고종욱, 서영준. 일부 대학병원 의사의 조직몰입과 직업애착에 관한 연구. 보건행정학회지 1999; 9(1): 178-200.
  4. 김상욱, 유홍준. 직무만족과 이직의사의 행태학적 결정요인: 전국 패널자료를 사용한 GLM 및 GEE 추정, 2001년도 후기 한국사회학 학술대회 연제집. 2001.
  5. 병원신문. 2001. 11. 19.
  6. 서영준, 김정희. 보험심사간호사의 직무만족과 직장애착에 관한 연구. 보건행정학회지 2001; 11(1):62-86.
  7. 유홍준. 직업사회학, 서울, 경문사. 2000.
  8. 조병희. 의료문제의 사회학. 태일사. 2000. p. 141
  9. Agho AO. The moderating effects of dispositional affectivity on relationships between job characteristics and nurses' job satisfaction. Research in Nursing and Health 1993; 16: 451-458. https://doi.org/10.1002/nur.4770160609
  10. Brayfield AH. & Rothe HF. An index of job satisfaction, Journal of Applied Psychology 1951; 51: 1173-1182.
  11. Breaugh JA. The measurement of work autonomy. Human Relations 1985; 38: 551-570. https://doi.org/10.1177/001872678503800604
  12. Brief AP, Burke MJ, Atieh JM, Robinson BS, & Webster J. Should negative affectivity remain an unmeasured variable in the study of job stress. Journal of Applied Psychology 1988; 73(2): 193-198. https://doi.org/10.1037/0021-9010.73.2.193
  13. Chang YS. Personalism and social change in Korea. In Chang YS, Kwon TH, Donaldson PJ(Eds), Society in transition: with special reference to Korea, Seoul National University Press 1982; 29-43.
  14. Currivan DB. The causal order of job satisfaction and organizational commitment in models of employee turnover, Human Resource Management Review 1999; 9: 515-524.
  15. Freidson E. Profession of medicine; A study of the sociology of applied knowledge. New York, NY: Dood Mead, 1970.
  16. Hall RH. Sociology of Work. Thousand Oaks, CA: Pine Forge Press. 1994.
  17. Hom PW & Griffeth RW. Employee turnover. South Western Publishing, Cincinnati, OH. 1995.
  18. House JS. Work stress and social support. Reading, Massachusetts: Addison-Wesley Publishing Company. 1981.
  19. Kalleberg AL. Work values and job rewards: a theory of job satisfaction. American Sociological Review 1977; 42: 124-143. https://doi.org/10.2307/2117735
  20. Katz R & Van Maanan J. The loci of work satisfaction: job interaction and policy. Human Relations 1977; 30: 469-486. https://doi.org/10.1177/001872677703000505
  21. Kim SY, Price JL, Mueller CW, & Watson TW. The determinants of career intent among physicians at a U.S. air force hospital. Human Relations 1996; 49(7): 947-976. https://doi.org/10.1177/001872679604900704
  22. Kleinbaum DG, Kupper LL, & Mueller KE. Applied regression analysis and other multivariate method. Boston: PWS-KENT Publishing Co. 1988.
  23. Konrad TR, et al. Measuring physician job satisfaction in a changing workplace and a challenging environment. Medical Care 1999; 37: 1174-82. https://doi.org/10.1097/00005650-199911000-00010
  24. Lincoln JR. & Kalleberg AL. Culture, commitment and control: A study of work organization and work attitudes in the United States and Japan. New York: Appleton-Century-Crofts. 1990.
  25. Mathieu JE & Zajac DM. A review and meta-analysis of the antecedents, corelates and consequences of organizational commitment, Psychological Bulletin 1990; 108: 171-194. https://doi.org/10.1037/0033-2909.108.2.171
  26. Meyer JP, Allen NJ & Smith CA. Commitment to organizations and occupations: extension and test of a three-component conceptualization. Journal of Applied Psychology 1993; 78(4): 538-551. https://doi.org/10.1037/0021-9010.78.4.538
  27. Mobley WH. Intermediate linkages in the relationship between job satisfaction and employee turnover, Journal of Applied Psychology 1977; 62: 237-240. https://doi.org/10.1037/0021-9010.62.2.237
  28. Mobley WH. Employee turnover: cases, consequences, and control. Reading: Addison-Wesley. 1982.
  29. Mottaz CJ. Determinants of organizational commitment. Human Relations 1988; 41: 4 467-482. https://doi.org/10.1177/001872678804100604
  30. Mowday RT, Porter LM, & Steers RM. Employee-organization linkages: the psychology of commitment, absenteeism, and turnover. New York: Academic Press. 1982.
  31. Oldham GL, Kulik CT, Stepina LP & Ambrose ML. Relations between situational factors and the comparative referents used by employees. Academy of Management Journal 1986; 29: 599-608. https://doi.org/10.2307/256226
  32. Pathman DE, et al. Rural physician satisfaction: Its sources and relationship to retention. Journal of Rural Health 1996; 12(5): 366-377. https://doi.org/10.1111/j.1748-0361.1996.tb00804.x
  33. Phelan, J. The Paradox of the Contented Female Workers: An Assessment of Alternative Explanations, Social Psychological Quarterly 1994; 57: 95-107. https://doi.org/10.2307/2786704
  34. Price JL. A role for demographic variables in the study of absenteeism and turnover, The International Journal of Career Management 1995; 7: 26-32. https://doi.org/10.1108/09556219510093302
  35. Price JL. Reflections on the determinants of voluntary turnover, International Journal of Manpower 2001; 22(7): 600-624. https://doi.org/10.1108/EUM0000000006233
  36. Price JL & Mueller CW. Professional Turnover. Luce, Bridgeport, CT. 1981.
  37. Price & Mueller CW. Absenteeism and Turnover of Hospital Employees. JAI Press, Greenwich, CT. 1986.
  38. Price JL & Mueller CW. Wilford Hall Medical Center retention survey. Lackland Air Force Base, Tx. 1990.
  39. Rizzo JR, House RJ, & Lirtzman SI. Role conflict and ambiguity in complex organization. Administrative Science Quarterly 1970; 15: 150-163. https://doi.org/10.2307/2391486
  40. Ross, C. & J. Mirowski. Economic and Interpersonal Work Rewards: Subjective Utilities of Men's and Women's Compensation. Social Forces 1996; 75: 223-246. https://doi.org/10.2307/2580763
  41. Scott WR. The organization pf medical care services: Toward an integrated theoretical model. Medical Care Review 1993; 50(3): 271-303. https://doi.org/10.1177/002570879305000303
  42. Seo YJ, Ko JW, & Price JL. Estimating a causal model of job satisfaction in a Korean hospital. Korean Journal of Health Policy and Administration 1995; 5(1):161-191.
  43. Steers RM & Mowday RT. Employee turnover and postdecision accomodation processes. in Research in Organizational Behavior, ed. L. Cummings & B. Staw, 1981; 3: 235-281. Greenwich, Conn.: JAI Press.
  44. Taylor FW. The principles of scientific management. NY: Harper and Row. 1911.
  45. Watson D. & Clark LA. Negative affectivity: the disposition to experience aversive emotional states. Psychological Bulletin 1984; 96: 465-490. https://doi.org/10.1037/0033-2909.96.3.465
  46. Weiss A. Determinants of Quit Behavior. Journal of Labor Economics 1984; 2: 371-387. https://doi.org/10.1086/298038
  47. Williams ES, Konrad TR, Scheckler WE, Pathman DE, Linzer M, McMurray JE, Gerrity M, & Schwartz M. Understanding physicians' intentions ti withdraw from practice: The role of job satisfaction, job stress, mental and physical health. Health Care Management Review 2001; 26(1); 7-19. https://doi.org/10.1097/00004010-200101000-00002

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