Retention among full-time occupational physicians in Japan
Retention among full-time occupational physicians in Japan
复制标题
DOI：
10.1093/occmed/kqy130
复制
发表时间：
2019-03-01
影响因子：
5.1
通讯作者：
Ogawa, M.
中科院分区：
文献类型：
--
作者：
Koike, S.;Isse, T.;Ogawa, M.
研究背景分析职业医学人才流失趋势及影响因素，对于保障职业医学人才的安全具有重要意义。然而，目前知之甚少关于这个topic.Aims要确定职业医生保留的趋势，以确定与此保留的相关因素，并讨论政策含义的findings.Methods我们分析了数据，从2002年至2014年由日本政府进行的两年一度的全国医师普查调查。在这项研究中，那些从调查问卷中预先确定的列表中选择“作为职业医生工作”作为工作场所/工作类型的人被认为是全职职业医生。我们通过计算每组连续两次调查的年度留存率来呈现留存趋势。然后，我们使用逻辑回归，以确定与保留之间的职业physics.Results的全职职业physics.Results的年度留存率从2012年至2014年的保留率估计为76%，这代表了6%的保留在研究期间的改善。继续执业为职业医师的几率较高，职业医师在城市工作的那些在城镇或village.Conclusions改善和促进临床实践和职业医学之间的平稳过渡，将有助于确保职业医学的人力资源，即使目前的趋势低保留继续。
Background To secure human resources for occupational medicine, it is important to analyse occupational physician retention trends and the factors associated with retention. However, little is currently known about this topic.Aims To identify occupational physician retention trends, to identify factors associated with this retention and to discuss the policy implications of the findings.Methods We analysed data from the biannual national physician census surveys conducted by the government of Japan from 2002 to 2014. In this study, those who chose 'working as an occupational physician' as their workplace/type of work from a pre-determined list in the survey questionnaire were considered full-time occupational physicians. We presented retention trends by calculating the annual retention rate for each set of two consecutive surveys. We then used logistic regression to identify factors associated with retention among occupational physicians.Results The annual retention rate of full-time occupational physicians from 2012 to 2014 was estimated as 76%, which represents a 6% improvement in retention over the study period. The odds of continuing to practise as an occupational physician were higher for occupational physicians working in cities compared with those working in towns or villages.Conclusions Improving and facilitating smooth transitions between clinical practice and occupational medicine would help to secure human resources in occupational medicine, even if the current trend of low retention continues.