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Medical work force changes. Implications for general practice in Victoria.

I L Rowe
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Abstract

Annual surveys have supported claims that the medical work force has been increasing too rapidly and that the intake of Australian and foreign graduates should be reduced. The increase has led to changes in distribution, choice of vocation, style and work content. Female doctors have increased their working hours, are poorly represented in some specialties and are less likely than men to practice outside the metropolitan area.

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Career MobilityFamily PracticeFemaleForeign Medical GraduatesHealth WorkforceHumansMaleMedicinePhysicians, WomenSpecializationVictoriaJournal ArticleResearch Support, Non-U.S. Gov't

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I L Rowe. 1991. Medical work force changes. Implications for general practice in Victoria.. https://pubmed.ncbi.nlm.nih.gov/1898290/

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This study is based on a unique data set for the years 1988-2003 and uses structural equation models to examine the impact of job satisfaction and job dissatisfaction on physicians' intention to switch from public- to private-sector work. In Finland, physicians who work primarily in a public-hospital or health-centre setting can also run a private practice. Therefore, we also analysed the impact of having a private practice on a physician's intention to change sector. We found that private practice had a positive, statistically significant effect on the intention to switch sector in 1998 and 2003. Results also suggest that job satisfaction decreases a physician's intention to switch sector, although for 1998 it had no effect. Surprisingly, job dissatisfaction significantly increased the physicians' intentions to leave the public sector only in the 1988 data.

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