title: Factors relating to doctors' desire to change hospitals in Japan.
abstract: OBJECTIVE
  This study seeks to investigate doctors' desire to change the hospital where they work to sustain higher quality care.
  
  
  METHODS
  Self-administered questionnaires were sent to doctors in Aichi Prefecture, Japan. Data were analyzed using univariate and logistic regression analysis and recursive partitioning.
  
  
  RESULTS
  Factors related to doctors' desire to change hospitals, according to logistic regression, were interaction between working hours and satisfaction with the hospital, evaluation, local government hospitals versus private ones, small vs large hospitals, ophthalmology versus internal medicine, desire to continue working as a hospital doctor and age. Additionally, working hours were also found to be related, based on recursive partitioning.
  
  
  CONCLUSIONS
  The response rate was low and sampling bias was observed--therefore results need careful interpretation. Also, because this was a cross-sectional study, causal relationships could not be identified. Desire to change hospitals, but not actual behavior, was measured.
  
  
  CONCLUSIONS
  Efforts to prevent doctors from changing hospitals should include considering job satisfaction and workload, doctor evaluation methods, support for career progression and organizational management.
  
  
  CONCLUSIONS
  As the hospital doctor shortage in rural areas becomes more serious, exploring doctors' desire to leave their current hospital is meaningful for Japanese hospital managers and hospitals worldwide aiming to provide sustainable and higher quality care.
authors.affiliation: Department of Medical Information and Management Science, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan. tokatok@gmail.com
authors.forename: Ken
authors.initials: K
authors.lastname: Kato
authors.forename: Kazunobu
authors.initials: K
authors.lastname: Yamauchi
authors.forename: Makoto
authors.initials: M
authors.lastname: Miyaji
authors.forename: Nakako
authors.initials: N
authors.lastname: Fujiwara
authors.forename: Kimiko
authors.initials: K
authors.lastname: Katsuyama
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Amano
authors.forename: Santaro
authors.initials: S
authors.lastname: Kobayashi
authors.forename: Michio
authors.initials: M
authors.lastname: Naito
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Maki
authors.forename: Hirohisa
authors.initials: H
authors.lastname: Kawahara
authors.forename: Mitsuaki
authors.initials: M
authors.lastname: Maseki
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Senoo
mesh_terms: D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D001291:Attitude of Health Personnel; D002322:Career Mobility; D003430:Cross-Sectional Studies; D005260:Female; D018578:Hospital-Physician Relations; D006761:Hospitals / Q000145:classification; D006801:Humans; D007564:Japan; D007588:Job Satisfaction; D016015:Logistic Models; D008297:Male; D008505:Medical Staff, Hospital / Q000458:organization & administration / Q000523:psychology* / Q000600:supply & distribution; D008875:Middle Aged; D010561:Personnel Staffing and Scheduling; D010820:Physicians / Q000523:psychology* / Q000600:supply & distribution; D015983:Selection Bias; D011795:Surveys and Questionnaires; D016526:Workload