Job satisfaction and turnover intention among Iraqi doctors - a descriptive cross-sectional multicentre study

Human Resources for Health

Sami Abdo Radman AlDubai¹  Kurubaran Ganasegeran⁴  Mustafa Ali Mustafa³  Ruqiya Subhi Tawfeeq³  Ilker Dastan⁵  Syed Mohamed Aljunid²  Saad Ahmed Ali Jadoo⁶ 

[1] Department of Community Medicine, International Medical University (IMU), Bukit Jalil, Kuala Lumpur, Malaysia;International Centre for Case-Mix and Clinical Coding (ITCC), National University of Malaysia Medical Centre (UKMMC), Jalan Yaacob Latiff, Kuala Lumpur, 56000 Cheras, Malaysia;Department of Public Health, Faculty of Medicine, Tiqrit University, Tiqrit, Iraq;Medical Department, Tengku Ampuan Rahimah Hospital (HTAR), Jalan Langat, Klang, Selangor, Malaysia;Department of Economics, Izmir University of Economics, Izmir, Turkey;United Nations University-International Institute of Global Health (UNU-IIGH), International Centre for Case-Mix and Clinical Coding (ITCC), National University of Malaysia Medical Centre (UKMMC), Jalan Yaacob Latiff, Kuala Lumpur, 56000 Cheras, Malaysia

关键词: Job satisfaction;    Turnover intention;    Health human resources migration;    Iraqi doctors;   

Others  :  1209208
DOI  :  10.1186/s12960-015-0014-6

 received in 2015-01-12, accepted in 2015-04-09,  发布年份 2015

【 摘 要 】

Background

During the last two decades, the Iraqi human resources for health was exposed to an unprecedented turnover of trained and experienced medical professionals. This study aimed to explore prominent factors affecting turnover intentions among Iraqi doctors.

Methods

A descriptive cross-sectional multicentre study was carried out among 576 doctors across 20 hospitals in Iraq using multistage sampling technique. Participants completed a self-administered questionnaire, which included socio-demographic information, work characteristics, the 10-item Warr-Cook-Wall job satisfaction scale, and one question on turnover intention. Descriptive and bivariate and multiple logistic regression analyses were conducted to identify significant factors affecting turnover intentions.

Results

More than one half of Iraqi doctors (55.2%) were actively seeking alternative employment. Factors associated with turnover intentions among doctors were low job satisfaction score (odds ratio (OR) = 0.97; 95% confidence interval (CI): 0.95, 0.99), aged 40 years old or less (OR = 2.9; 95% CI: 1.74, 4.75), being male (OR = 4.2; 95% CI: 2.54, 7.03), being single (OR = 5.0; 95% CI: 2.61, 9.75), being threatened (OR = 3.5; 95% CI: 1.80, 6.69), internally displaced (OR = 3.1; 95% CI: 1.43, 6.57), having a perception of unsafe medical practice (OR = 4.1; 95% CI: 1.86, 9.21), working more than 40 h per week, (OR = 2.3; 95% CI: 1.27, 4.03), disagreement with the way manager handles staff (OR = 2.2; 95% CI: 1.19, 4.03), being non-specialist, (OR = 3.9, 95% CI: 2.08, 7.13), and being employed in the government sector only (OR = 2.0; 95% CI: 1.09, 3.82).

Conclusion

The high-turnover intention among Iraqi doctors is significantly associated with working and security conditions. An urgent and effective strategy is required to prevent doctors’ exodus.

【 授权许可】

   
2015 Ali Jadoo et al.; licensee BioMed Central.

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