title: Retaining medical directors in community health centers. The importance of administrative relationships.
abstract: Physician retention has become a critical issue for maintaining the success of today's health care organizations. With many external factors--increasing malpractice premiums, lower reimbursement rates, and managed care controls--driving physicians out of the practice, it is imperative to understand how the internal functions of the organization can help maintain satisfaction in the workplace and prevent physicians from leaving (Reece, 2000; Taylor, 2002). This is especially important in Community and Migrant Health Centers (C/MHCs), federally supported health clinics providing care to low-income and uninsured patients in medically underserved communities and neighborhoods. In this study, we examine the medical directors' roles and responsibilities, their relationships with the C/MHC administrators, and whether these impact satisfaction and, ultimately retention in the centers.
authors.affiliation: University of Nevada-Las Vegas, Health Care Administration Program, Department of Public Administration, Las Vegas, NV 89154-6026, USA. ccochran@ccmail.nevada.edu
authors.forename: Christopher
authors.initials: C
authors.lastname: Cochran
authors.forename: James W
authors.initials: JW
authors.lastname: Peltier
mesh_terms: D001291:Attitude of Health Personnel; D003151:Community Health Centers / Q000458:organization & administration*; D017598:Efficiency, Organizational; D006270:Health Facility Administrators / Q000523:psychology*; D006801:Humans; D007400:Interprofessional Relations; D007587:Job Description; D007588:Job Satisfaction; D007857:Leadership; D017146:Models, Organizational; D010558:Personnel Loyalty; D008486:Physician Executives / Q000523:psychology* / Q000600:supply & distribution; D010820:Physicians / Q000600:supply & distribution; D024382:Professional Role; D011787:Quality of Health Care; D011795:Surveys and Questionnaires; D013647:Task Performance and Analysis; D014171:Transients and Migrants; D014481:United States; D000078329:Workforce