Negative opinion on work as variable of career shift among doctors in Poland. Are we running out of doctors in post-COVID times?
DOI:
https://doi.org/10.12775/JEHS.2022.12.02.020Keywords
physicians, employment, professionalism, trendsAbstract
Introduction and objective. Work conditions and evaluation, stress, professional burnout among doctors are the subject of analyzes and research in Poland. Less attention is focused on the problem of leaving the profession. The aim of the study was to determine the relationship between the socio-demographic and professional characteristics of doctors and the subjective assessment of their current work and the willingness to undertake an alternative career.
Material and methods. A survey was conducted among 315 doctors attending courses at the Medical Center of Postgraduate Education in 2018/19. The questionnaire consisted of 14 questions. The dependent variable was the declaration of willingness to change the medical profession to another, if it was possible to maintain income. The explanatory variables were socio-demographic and professional characteristics: gender, age and the performance of surgical and non-surgical specialties as well as subjective assessment of current professional work in terms of 10 attributes of a doctor's work. The analysis used the Pearson χ2 test, Spearman's rank correlation coefficient and clustering.
Results. The vast majority of doctors admitted that their work was interesting (95.9%), but nervous (90.5%) and threatening (77.8%). Nervousness was significantly more often indicated by young doctors. 18.1% of physicians declared their willingness to change their profession. The desire to change profession was most strongly associated with the opinion that work was unpleasant and disgusting.
Conclusions. More doctors reported the disadvantages of their work than its advantages. Every fifth declared a willingness to change their profession. The willingness to change profession was strongly related to the overall negative assessment of one's own work. Presumably, as a result of the COVID-19 pandemic, more and more doctors will evaluate their work negatively, which may prompt them to change their profession. This situation requires monitoring the impact of COVID-19 on the workforce and taking remedial measures.
References
World Health Organization. Global strategy on human resources for health: Workforce 2030. World Health Organization, Geneva 2016: 10. https://apps.who.int/iris/bitstream/handle/10665/250368/9789241511131-eng.pdf
Huhtala M, Geurts S, Mauno S, et al. Intensified job demands in healthcare and their consequences for employee well-being and patient satisfaction: A multilevel approach. J Adv Nurs. 2021;77:3718–3732. https://doi.org/10.1111/jan.14861
https://onlinelibrary.wiley.com/doi/10.1111/jan.14861
Eurofund. Sixth European Working Conditions Survey – Overview report (2017 update), Publications Office of the European Union, Luxembourg 2017: 50. https://www.eurofound.europa.eu/sites/default/files/ef_publication/field_ef_document/ef1634en.pdf
Sirovich BE, Gottlieb DJ, Welch G, et al. Regional Variations in Health Care Intensity and Physician Perceptions of Quality of Care. Ann Intern Med2006 May 2;144(9):641-9.
https://www.acpjournals.org/doi/full/10.7326/0003-4819-144-9-200605020-00007
Visser MRM, Smets EMA, Oort FJ, et al. Stress, satisfaction and burnout among Dutch medical specialists. CMAJ. 2003 Feb 4; 168(3): 271–275. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC140468/
Labarda MP. Career shift phenomenon among doctors in tacloban city, philippines: lessons for retention of health workers in developing countries. Asia Pacific Family Medicine 2011;10:13. https://apfmj.biomedcentral.com/articles/10.1186/1447-056X-10-13
Medscape Physician Nonclinical Careers Report 2021. https://www.medscape.com/slideshow/2021-nonclinical-careers-6014472
Buchelt B, Iwona Kowalska-Bobko I, Masłyk T. Ostatni zgasi światło. Nastroje polskich lekarzy w postpandemicznej rzeczywistości. Małopolska Szkoła Administracji Publicznej Uniwersytetu Ekonomicznego w Krakowie.. Kraków, grudzień 2021: 20. https://politykipubliczne.pl/wp-content/uploads/2021/12/31.-Raport_Ostatni-zgasi-swiatlo.pdf
AMA (Victoria). Alternate career paths for doctors. https://amavic.com.au/careers-advice/career-resources/alternate-career-paths-for-doctors
Solecki L, Klepacka P. Przyczyny oraz czynniki sprzyjające występowaniu zespołu wypalenia zawodowego wśród lekarzy zatrudnionych w publicznych sektorach opieki zdrowotnej. Med Srod. 2017;20(1):7–16. http://www.environmed.pl/Przyczyny-oraz-czynniki-sprzyjajace-wystepowaniu-zespolu-wypalenia-zawodowego-wsrod,112952,0,1.html
Baliński P. Mapy potrzeb zdrowotnych – Baza Analiz Systemowych i Wdrożeniowych. Ile pracują lekarze i lekarze dentyści w Polsce?. Warszawa, marzec 2018. https://nil.org.pl/uploaded_files/1575629838_mapy-zdrowia-2017-streszczenie-raportu.pdf
Naczelna Izba Lekarska. Instytut Filozofii I Socjologii PAN. Nasza praca 2018. Raport z badania wśród lekarzy i lekarzy dentystów. Warszawa, grudzień 2018 roku.
https://nil.org.pl/uploaded_files/1575629903_osai-ifis-obpis-nasza-praca-2018-raport.pdf
Makara-Studzińska M, Tylec A, Kudlik A, i wsp. Analiza zjawiska wypalenia zawodowego w grupie lekarzy psychiatrów — przegląd badań. Psychiatria 2018; 15(1): 35-38. https://journals.viamedica.pl/psychiatria/article/view/56545
Makara-Studzińska M, Wontorczyk A, Izydorczyk B. Stress and occupational burnout in a population of Polish doctors – Organizational-professional and non-professional-social predictors. AAEM 2020; 27(3):456-468.
Naczelna Izba Lekarska. Opinie o pracy zawodowej, proteście lekarzy i cyfryzacji w ochronie zdrowia Raport z badania opinii środowiska lekarskiego. Warszawa, maj 2018 r. https://nil.org.pl/uploaded_files/1575629728_osai-obpis-sondaze2018-raport-final-v2.pdf
Marini M. Unproductive Participation and Protection Against Germs: Technical-Ritualistic Practices in Heart Surgery. Vibrant, Virtual Braz. Anthr. 16 • 2019 • https://doi.org/10.1590/1809-43412019v16d604 https://www.scielo.br/j/vb/a/yhQcCq8tzSvTFNXQpp7qsfC/?lang=en&format=pdf
Medscape National Physician Burnout & Suicide Report 2020: The Generational Divide
https://www.medscape.com/slideshow/2020-lifestyle-burnout-6012460?faf=1
OECD. Health at a Glance: Europe 2020 : State of Health in the EU Cycle. Availability of doctors. https://www.oecd-ilibrary.org/sites/1d767767-en/index.html?itemId=/content/component/1d767767-en
OECD, World Health Organization. State of Health in the EU. Poland. Country Health Profile 2021. 13 December 2021. https://eurohealthobservatory.who.int/publications/m/poland-country-health-profile-2021
Kowalska-Bobko I, Gałązka-Sobotka M, Zabdyr-Jamróz M, et al. Sustainability and Resilience in the Polish Health System. London School of Economics and Political Science, March 2021:38. https://www3.weforum.org/docs/WEF_PHSSR_Poland_Report.pdf
Naczelna Izba Lekarska. Zestawienie liczbowe lekarzy i lekarzy dentystów wg wieku, płci i tytułu zawodowego. 2022.01.03. https://nil.org.pl/uploaded_files/1641220880_za-grudzien-2021-zestawienie-nr-03.pdf
McKinley N, McCain RS, Clarke M, et al. Resilience, burnout and coping mechanisms in UK doctors: a cross-sectional study. BMJ Open 2020;10:e031765. doi:10.1136/ bmjopen-2019-031765 https://bmjopen.bmj.com/content/10/1/e031765
Medscape National Physician Burnout, Depression & Suicide Report 2019. https://www.medscape.com/slideshow/2019-lifestyle-burnout-depression-6011056
Kalmoe MC, Chapman MB, Gold JA, Andrea M. Giedinghagen AM. Physician Suicide: A Call to Action. Mo Med. 2019 May-Jun; 116(3): 211–216. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6690303/
Sotile WM, Fallon R, Orlando J. et al. Burnout Hysteria With Self-Compassion: A Key to Physician Resilience. Journal of Pediatric Orthopaedics: July 2020 - Volume 40 - Issue - p S8-S12 doi: 10.1097/BPO.0000000000001503 https://journals.lww.com/pedorthopaedics/Fulltext/2020/07001/Curbing_Burnout_Hysteria_With_Self_Compassion__A.4.aspx
Goddard AF, Patel M. The changing face of medical professionalism and the impact of COVID-19. The Lancet 2021; 397(10278): 950-952. DOI:https://doi.org/10.1016/S0140-6736(21)00436-0 https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)00436-0/fulltext
British Medical Association. Moral distress and moral injury. Recognising and tackling it for UK doctors. 2021: 2. https://www.bma.org.uk/media/4209/bma-moral-distress-injury-survey-report-june-2021.pdf
Delaney RK, Locke A, Pershing ML, et al. Experiences of a Health System’s Faculty, Staff and Trainees’ Career Development,Work Culture, and Childcare Needs During the COVID-19 Pandemic. JAMA Network Open. 2021;4(4):e213997. doi:10.1001/jamanetworkopen.2021.3997
House of Commons. Health and Social Care Committee Workforce burnout and resilience in the NHS and social care Second Report of Session 2021–22. Report, together with formal minutes relating to the report. 18 May 2021: 36. https://committees.parliament.uk/publications/6158/documents/68766/default/
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