title: The role of job satisfaction, job dissatisfaction and demographic factors on physicians' intentions to switch work sector from public to private.
abstract: 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.
authors.affiliation: Tampere School of Public Health, FI-33014 University of Tampere, Finland. terhi.kankaaranta@uta.fi
authors.forename: Terhi
authors.initials: T
authors.lastname: Kankaanranta
authors.forename: Tapio
authors.initials: T
authors.lastname: Nummi
authors.forename: Jari
authors.initials: J
authors.lastname: Vainiomäki
authors.forename: Hannu
authors.initials: H
authors.lastname: Halila
authors.forename: Harri
authors.initials: H
authors.lastname: Hyppölä
authors.forename: Mauri
authors.initials: M
authors.lastname: Isokoski
authors.forename: Santero
authors.initials: S
authors.lastname: Kujala
authors.forename: Esko
authors.initials: E
authors.lastname: Kumpusalo
authors.forename: Kari
authors.initials: K
authors.lastname: Mattila
authors.forename: Irma
authors.initials: I
authors.lastname: Virjo
authors.forename: Jukka
authors.initials: J
authors.lastname: Vänskä
authors.forename: Pekka
authors.initials: P
authors.lastname: Rissanen
mesh_terms: D002322:Career Mobility; D003625:Data Collection; D003710:Demography; D005260:Female; D005387:Finland; D006801:Humans; D033182:Intention; D007588:Job Satisfaction; D008297:Male; D009313:National Health Programs; D010820:Physicians; D017149:Private Sector; D017150:Public Sector