The relationship between dual practice,intention to work abroad and job satisfaction: A population-based study in the Serbian public healthcare sector |
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| Institution: | 1. Centre – School of Public Health and Health Management, Faculty of Medicine University of Belgrade, Belgrade, Serbia;2. Institute of Social Medicine, Faculty of Medicine University of Belgrade, Belgrade, Serbia;3. Faculty of Dentistry, Pancevo, Serbia;4. Institute of Public Health of Serbia “Dr. Milan Jovanovic Batut”, Belgrade, Serbia;5. John Cabot University, Rome, Italy;6. Institute of Medical Statistics and Informatics, Faculty of Medicine University of Belgrade, Belgrade, Serbia;7. Department for Internal Medicine, Mayo Clinic, Rochester, USA;1. Università Cattolica del Sacro Cuore, Italy;2. Università Niccolò Cusano, Italy;3. Technische Universitat Berlin, Germany;4. Universitetet I Bergen, Norway;5. University of Manchester, Rotterdam, UK;6. Erasmus University, Rotterdam, The Netherlands;7. University of Aberdeen, UK;1. Dr.Marjorie Bonello, Department of Occupational Therapy, Faculty of Health Sciences, University of Malta, Msida, MSD2080, Malta;2. School of Health Sciences, University of Brighton, Robert Dodd Building, 49, Darley Road, Eastbourne, East Sussex, BN20 7UR, UK;3. Department of Health Service Management, Faculty of Health Sciences, University of Malta, Msida, MSD2080, Malta;1. College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates;2. Department of Health Management and Policy, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon;3. Institute for Healthcare & Public Management (530), University of Hohenheim, Stuttgart, Germany;2. University of Aberdeen, Scotland, United Kingdom;3. Charles University, Prague, Czech Republic;4. University of Manchester, England, United Kingdom;5. Technische Universität Berlin, Germany;6. Catholic University of Sacred Heart, Rome, Italy;7. Erasmus University Rotterdam, Netherlands;8. University of Bergen, Norway;9. University of Warsaw, Poland;10. Economic Policy Research Foundation of Turkey, Turkey;1. Department of Healthcare Management, Technische Universität Berlin, H 80, Straße des 17. Juni 135, 10623 Berlin, Germany |
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| Abstract: | Increasing dual practice and emigration of health workers threatens the effectiveness of the healthcare system. Insufficient information exists about these phenomena in the transitional countries of South-East Europe. Serbia, a European Union candidate, permits dual practice and there is a high intention to work abroad among its prospective healthcare professionals. A population-based, cross-sectional study was conducted to determine the prevalence and predictors of job satisfaction, dual practice, and intention to work abroad of all workers in the Serbian public healthcare sector (73,940 employees, a response rate of 83.8%). This study observed that 22.6% of the respondents were dissatisfied with their jobs, 11.7% reported dual practice, and 14.3% had an intention to work abroad. Physicians and nurses younger than 55 years of age employed in a tertiary healthcare institution, and males were more likely to be dissatisfied than other workers. Poor management and working conditions increased job dissatisfaction, with a subsequent increased odds for dual practice and intention to work abroad by 1.5 and 3.6 times, respectively. The national and institutional framework for health workforce policy and management must be powerful and efficient when taking advantage of the positive effects and managing the negative aspects of dual practice and the intention to work abroad. |
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| Keywords: | Dual job Intention to work abroad Job satisfaction Management Human resources for health Public-private |
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