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How do doctors choose where they want to work? – Motives for choice of current workplace among physicians registered in Finland 1977–2006

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  • Heikkilä, Teppo Juhani
  • Hyppölä, Harri
  • Aine, Tiina
  • Halila, Hannu
  • Vänskä, Jukka
  • Kujala, Santero
  • Virjo, Irma
  • Mattila, Kari

Abstract

Though there are a number of studies investigating the career choices of physicians, there are only few concerning doctors’ choices of workplace. A random sample (N=7758) of physicians licensed in Finland during the years 1977–2006 was surveyed. Respondents were asked: “To what extent did the following motives affect your choice of your current workplace?” Respondents were grouped based on several background variables. The groups were used as independent variables in univariate analysis of covariance (ANCOVA). The factors Good workplace, Career and professional development, Non-work related issues, Personal contacts and Salary were formed and used as dependent variables. There were significant differences between groups of physicians, especially in terms of gender, working sector and specialties. The association of Good workplace, Career and professional development, and Non-work related issues with the choice of a workplace significantly decreased with age. Female physicians were more concerned with Career and professional development and Non-work related issues. Since more females are entering the medical profession and there is an ongoing change of generations, health care organizations and policy makers need to develop a new philosophy in order to attract physicians. This will need to include more human-centric management and leadership, better possibilities for continuous professional development, and more personalized working arrangements depending on physician's personal motives.

Suggested Citation

  • Heikkilä, Teppo Juhani & Hyppölä, Harri & Aine, Tiina & Halila, Hannu & Vänskä, Jukka & Kujala, Santero & Virjo, Irma & Mattila, Kari, 2014. "How do doctors choose where they want to work? – Motives for choice of current workplace among physicians registered in Finland 1977–2006," Health Policy, Elsevier, vol. 114(2), pages 109-117.
    • Handle: RePEc:eee:hepoli:v:114:y:2014:i:2:p:109-117
    DOI: 10.1016/j.healthpol.2013.12.001
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    1. de Jong, Judith D. & Heiligers, Phil & Groenewegen, Peter P. & Hingstman, Lammert, 2006. "Why are some medical specialists working part-time, while others work full-time?," Health Policy, Elsevier, vol. 78(2-3), pages 235-248, October.
    2. Bolduc, Denis & Fortin, Bernard & Fournier, Marc-Andre, 1996. "The Effect of Incentive Policies on the Practice Location of Doctors: A Multinomial Probit Analysis," Journal of Labor Economics, University of Chicago Press, vol. 14(4), pages 703-732, October.
    3. Hingstman, L. & Boon, H., 1989. "Regional dispersion of independent professionals in primary health care in the Netherlands," Social Science & Medicine, Elsevier, vol. 28(2), pages 121-129, January.
    4. Creed, Peter A. & Searle, Judy & Rogers, Mary E., 2010. "Medical specialty prestige and lifestyle preferences for medical students," Social Science & Medicine, Elsevier, vol. 71(6), pages 1084-1088, September.
    5. Gjerberg, Elisabeth, 2003. "Women doctors in Norway: the challenging balance between career and family life," Social Science & Medicine, Elsevier, vol. 57(7), pages 1327-1341, October.
    6. Heiligers, Phil J. M. & Hingstman, L., 2000. "Career preferences and the work-family balance in medicine: gender differences among medical specialists," Social Science & Medicine, Elsevier, vol. 50(9), pages 1235-1246, May.
    7. Neittaanmäki, Liisa & Gross, Edith B. & Virjo, Irma & Hyppölä, Harri & Kumpusalo, Esko, 1999. "Personal values of male and female doctors: gender aspects," Social Science & Medicine, Elsevier, vol. 48(4), pages 559-568, February.
    8. Mayorova, Tanja & Stevens, Fred & Scherpbier, Albert & Velden, Lud van der & Zee, Jouke van der, 2005. "Gender-related differences in general practice preferences: longitudinal evidence from the Netherlands 1982-2001," Health Policy, Elsevier, vol. 72(1), pages 73-80, April.
    9. Kankaanranta, Terhi & Nummi, Tapio & Vainiomaki, Jari & Halila, Hannu & Hyppola, Harri & Isokoski, Mauri & Kujala, Santero & Kumpusalo, Esko & Mattila, Kari & Virjo, Irma & Vanska, Jukka & Rissanen, P, 2007. "The role of job satisfaction, job dissatisfaction and demographic factors on physicians' intentions to switch work sector from public to private," Health Policy, Elsevier, vol. 83(1), pages 50-64, September.
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