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Retention rate of physicians in public health administration agencies and their career paths in Japan.

Koike S, Kodama T, Matsumoto S, Ide H, Yasunaga H, Imamura T - BMC Health Serv Res (2010)

Bottom Line: Many of these physicians came from or left for a hospital position, with the proportion entering academic hospital institutions increasing in recent years.In many cases, physicians left or entered internal medicine clinical practices.At present in Japan, the number of physicians who leave and the number who begin a position are almost the same; thus, some of the problems associated with physicians leaving are yet to become apparent.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Planning, Information and Management, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan. koikes@adm.h.u-tokyo.ac.jp

ABSTRACT

Background: Physicians who serve as public health specialists at public health centers and health departments in local or central government have significant roles because of their public health expertise. The aim of this study is to analyze the retention and career paths of such specialists in Japan.

Method: We analyzed the data of seven consecutive surveys, spanning 1994 to 2006. We first analyzed the 2006 survey data by sex, age group, and facility type. We then examined the changes over time in the proportion of physicians working in public health administration agencies. We also examined the distribution of the facility types and specialties in which physicians worked both before beginning and after leaving their jobs. These analyses were performed by using physician registration numbers to cross-link data from two consecutive surveys.

Results: The proportion of physicians working in public health administration agencies was 0.7% in 2006. The actual numbers for each survey ranged between 1,800 and 1,900. The overall rate remaining in public health administration agencies during the two-year survey interval was 72.8% for 1994-1996. The ratio declined to 67.2% for 2004-2006. Among younger physicians with 1-10 years of experience, the retention rate showed a sharp decline, dropping from 72.6% to 50.0%. Many of these physicians came from or left for a hospital position, with the proportion entering academic hospital institutions increasing in recent years. In many cases, physicians left or entered internal medicine clinical practices.

Conclusion: At present in Japan, the number of physicians who leave and the number who begin a position are almost the same; thus, some of the problems associated with physicians leaving are yet to become apparent. However, the fact that the retention period is shortening for younger physicians may represent a future problem for ensuring the quality of physicians in public health administration agencies. Possible strategies include: increasing the number of physicians entering positions; reducing the number leaving positions; and creating a system where physicians can easily reenter positions after leaving while also establishing a revolving door type of career development system, involving both public health departments and hospital clinical departments.

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Retention rates of physicians in public health administration agencies by survey year and age group. Retention rate for physicians with 1-10 years of experience was 72.8% between 1994 and 1996, but this dropped to 50.0% between 2004 and 2006.
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Figure 1: Retention rates of physicians in public health administration agencies by survey year and age group. Retention rate for physicians with 1-10 years of experience was 72.8% between 1994 and 1996, but this dropped to 50.0% between 2004 and 2006.

Mentions: Among physicians employed by public health administration agencies in 2004, the overall proportion of those who remained in the agency two years later, in 2006, was 67.2%. The percentages showed an overall decreasing trend during the 1994-2006 period, from 72.8% to 69.1%, 70.5%, 66.1%, 64.7%, and then to 67.2%. Particularly with younger physicians with 1-10 years of experience, the retention rate declined in every survey year, decreasing from over 70% (72.8%) at the time of the 1994 survey to 50.0% in 2004 (Figure 1). The ratios of those who did not report two years later (no-report ratio) ranged between 10.8% (2004) and 14.1% (2000), showing no significant difference between the surveys.


Retention rate of physicians in public health administration agencies and their career paths in Japan.

Koike S, Kodama T, Matsumoto S, Ide H, Yasunaga H, Imamura T - BMC Health Serv Res (2010)

Retention rates of physicians in public health administration agencies by survey year and age group. Retention rate for physicians with 1-10 years of experience was 72.8% between 1994 and 1996, but this dropped to 50.0% between 2004 and 2006.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2877024&req=5

Figure 1: Retention rates of physicians in public health administration agencies by survey year and age group. Retention rate for physicians with 1-10 years of experience was 72.8% between 1994 and 1996, but this dropped to 50.0% between 2004 and 2006.
Mentions: Among physicians employed by public health administration agencies in 2004, the overall proportion of those who remained in the agency two years later, in 2006, was 67.2%. The percentages showed an overall decreasing trend during the 1994-2006 period, from 72.8% to 69.1%, 70.5%, 66.1%, 64.7%, and then to 67.2%. Particularly with younger physicians with 1-10 years of experience, the retention rate declined in every survey year, decreasing from over 70% (72.8%) at the time of the 1994 survey to 50.0% in 2004 (Figure 1). The ratios of those who did not report two years later (no-report ratio) ranged between 10.8% (2004) and 14.1% (2000), showing no significant difference between the surveys.

Bottom Line: Many of these physicians came from or left for a hospital position, with the proportion entering academic hospital institutions increasing in recent years.In many cases, physicians left or entered internal medicine clinical practices.At present in Japan, the number of physicians who leave and the number who begin a position are almost the same; thus, some of the problems associated with physicians leaving are yet to become apparent.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Planning, Information and Management, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan. koikes@adm.h.u-tokyo.ac.jp

ABSTRACT

Background: Physicians who serve as public health specialists at public health centers and health departments in local or central government have significant roles because of their public health expertise. The aim of this study is to analyze the retention and career paths of such specialists in Japan.

Method: We analyzed the data of seven consecutive surveys, spanning 1994 to 2006. We first analyzed the 2006 survey data by sex, age group, and facility type. We then examined the changes over time in the proportion of physicians working in public health administration agencies. We also examined the distribution of the facility types and specialties in which physicians worked both before beginning and after leaving their jobs. These analyses were performed by using physician registration numbers to cross-link data from two consecutive surveys.

Results: The proportion of physicians working in public health administration agencies was 0.7% in 2006. The actual numbers for each survey ranged between 1,800 and 1,900. The overall rate remaining in public health administration agencies during the two-year survey interval was 72.8% for 1994-1996. The ratio declined to 67.2% for 2004-2006. Among younger physicians with 1-10 years of experience, the retention rate showed a sharp decline, dropping from 72.6% to 50.0%. Many of these physicians came from or left for a hospital position, with the proportion entering academic hospital institutions increasing in recent years. In many cases, physicians left or entered internal medicine clinical practices.

Conclusion: At present in Japan, the number of physicians who leave and the number who begin a position are almost the same; thus, some of the problems associated with physicians leaving are yet to become apparent. However, the fact that the retention period is shortening for younger physicians may represent a future problem for ensuring the quality of physicians in public health administration agencies. Possible strategies include: increasing the number of physicians entering positions; reducing the number leaving positions; and creating a system where physicians can easily reenter positions after leaving while also establishing a revolving door type of career development system, involving both public health departments and hospital clinical departments.

Show MeSH