Probability of Early Retirement Among Emergency Physicians

신재명; 김윤정; 김종근; 이동은; 문성배; 최재영; 이원기; 이형민; 조광현

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자료유형: 학술저널

저자정보: 신재명 김윤정 김종근 이동은 문성배 최재영 이원기 이형민 조광현

저널정보: 대한예방의학회 예방의학회지 예방의학회지 제51권 제3호

발행연도: 2018.1

수록면: 154 - 162 (9page)

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Objectives: Early retirement occurs when one’s job satisfaction suffers due to employment mismatch resulting from factors such as inadequate compensation. Medical doctors report high levels of job stress and burnout relative to other professionals. These levels are highest among emergency physicians (EPs), and despite general improvements in their working conditions, early retirement continues to become more common in this population. The purpose of this study was to identify the factors influencing EPs intention to retire early and to develop a probability equation for its prediction. Methods: A secondary analysis of data from the 2015 Korean Society of Emergency Physicians Survey was performed. The variables potentially influencing early retirement were organized into personal characteristics, extrinsic factors, and intrinsic factors. Logistic regression analysis was performed to identify risk factors and to develop a probability equation; these findings were then arranged in a nomogram. Results: Of the 377 survey respondents included in the analysis, 48.0% intended to retire early. Risk factors for early retirement included level of satisfaction with the specialty and its outlook, slanderous reviews, emergency room safety, health status, workload intensity, age, and hospital type. Intrinsic factors (i.e., slanderous reviews and satisfaction with the specialty and its outlook) had a stronger influence on early retirement than did extrinsic factors. Conclusions: To promote career longevity among EPs, it is vital to improve emergency room safety and workload intensity, to enhance medical professionalism through a stronger vision of emergency medicine, and to strengthen the patient-doctor relationship.

참고문헌 (30)

참고문헌 신청

Jovanovic B / 1979 / Job matching and the theory of turnover / J Polit Econ 87(5):972~990

Landon BE / 2002 / Evolving dissatisfaction among primary care physicians / Am J Manag Care 8(10):890~901

Shanafelt TD / 2012 / Burnout and satisfaction with work-life balance among US physicians relative to the general US population / Arch Intern Med 172(18):1377~1385

Smith-Coggins R / 2014 / Night shifts in emergency medicine: the american board of emergency medicine longitudinal study of emergency physicians / J Emerg Med 47(3):372~378

Estryn-Behar M / 2011 / Emergency physicians accumulate more stress factors than other physicians-results from the French SESMAT study / Emerg Med J 28(5):397~410

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