Factors impacting Turnover Intention of junior doctors in private hospitals in Bangalore
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Abstract
The healthcare workforce is an integral part of every country particularly so for a populous
newlinecountry such as India. Also the healthcare industry has been growing at an exponential rate in the
newlinelast decade. This has led to the need of a large healthcare workforce in India. This in turn demands
newlinefocus on the growth and development of this workforce. The healthcare workforce in India
newlineincludes both government and private hospitals. The private hospitals in urban regions such has
newlineBangalore city has also grown phenomenally in the last few years. With the rise of this and other
newlinefactors such as technological advancements, insurance, lifestyle changes and increased literacy,
newlinethere is an increase of people going to the private hospitals. With rapid growth there are also
newlinechallenges with regard to turnover of the workforce. This research study is on the turnover
newlineintention of the junior doctors in the private hospitals. Turnover intention is a direct measure of
newlineturnover. The researcher based on the review of literature identified four factors that can impact
newlineturnover intention work environment factors, financial factors, higher education factors and
newlinephysical work factors. The work environment factors are based on job related aspects, the
newlineorganization related aspects and other aspects such as relationship with peers and seniors. The
newlinefinancial factors look at the salary and allowances. Higher education factors include the aspiration
newlineof pursuing of post-graduation degree and specialization. It also includes aspects of working hours
newline
newlineand the aspects with regard to the studying, application, entrance and selection of the Post-
newlineGraduation degree. The physical factors include the work station or the department that the junior
newline
newlinedoctor is placed in. It also includes the parameters of safety and security at the workplace.
newlineData collection was done by the use of a Likert-scale based questionnaire. The questionnaire
newlinecollected information on both the demographic aspects and the objectives planned of the research
newlinestudy This was shared with junior doctors across shifts in private hospitals that are accredited by
newlineNational Accreditation Board for Hospitals and Healthcare providers in Bangalore. Secondary
newlinedata included journals in the field of Medicine, Management and Health. Statistical tools such as
newlineCorrelation, Reliability tests, ANOVA and Regression was done for analysis of data collected.
newlineThe findings of the data revealed that the work environment factors, finance related factors, higher
newline
newline24
newline
newlineGayathri Kuppuswamy
newlineeducation related factors and physical factors did affect turnover intention. The moderating effect
newlineof the demographic variables was also analyzed.
newlineThe implications of this research will help hospitals with regard to growth, development and
newlineretention of the critical junior doctor workforce in the Indian Healthcare context. The study also
newlinehelps the hospital with regard to the financial aspects such as revenue. As hospitals are service
newlinedriven, people are key for the growth of the hospital. The research also helps the medical fraternity
newlinewith regard to looking at new measures such as drafting of policies on the compensation front and
newlinesecurity front. The Healthcare industry is a major contributor to the economy of the country and
newlinefocus on the healthcare workforce will help the industry and country grow. This is one of the steps
newlinetowards contribution of this. Limitations of this study include targeting doctors within the 32 years
newlineof age and in the city of Bangalore. Future scope of research includes looking at training programs,
newlinesafety and security aspects of the junior doctors. With regard to the academic fraternity, there is
newlinemore scope for research in the fields of Human resources with regard to training, drafting of
newlinepolicies, emotional intelligence and communication. In the legal side, there is scope with regard to
newlinedrafting of new laws and policies with regard to the protection and prevention of violence at
newlinehospitals.
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