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The relationship between dual practice, intention to work abroad and job satisfaction: A population-based study in the Serbian public healthcare sector

Author

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  • Gacevic, Marijana
  • Santric Milicevic, Milena
  • Vasic, Milena
  • Horozovic, Vesna
  • Milicevic, Marko
  • Milic, Natasa

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.

Suggested Citation

  • Gacevic, Marijana & Santric Milicevic, Milena & Vasic, Milena & Horozovic, Vesna & Milicevic, Marko & Milic, Natasa, 2018. "The relationship between dual practice, intention to work abroad and job satisfaction: A population-based study in the Serbian public healthcare sector," Health Policy, Elsevier, vol. 122(10), pages 1132-1139.
    • Handle: RePEc:eee:hepoli:v:122:y:2018:i:10:p:1132-1139
    DOI: 10.1016/j.healthpol.2018.09.004
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    2. Byrne, John-Paul & Conway, Edel & McDermott, Aoife M. & Matthews, Anne & Prihodova, Lucia & Costello, Richard W. & Humphries, Niamh, 2021. "How the organisation of medical work shapes the everyday work experiences underpinning doctor migration trends: The case of Irish-trained emigrant doctors in Australia," Health Policy, Elsevier, vol. 125(4), pages 467-473.
    3. Katica Tripković & Milena Šantrić-Milićević & Milena Vasić & Mirjana Živković-Šulović & Marina Odalović & Vesna Mijatović-Jovanović & Zoran Bukumirić, 2021. "Factors Associated with Intention of Serbian Public Health Workers to Leave the Job: A Cross-Sectional, Population-Based Study," IJERPH, MDPI, vol. 18(20), pages 1-14, October.
    4. Ferreira, Pedro L. & Raposo, Vitor & Tavares, Aida Isabel & Correia, Tiago, 2020. "Drivers for emigration among healthcare professionals: Testing an analytical model in a primary healthcare setting," Health Policy, Elsevier, vol. 124(7), pages 751-757.
    5. Cheng-Feng Cheng, 2020. "Revisiting Internal Marketing for the Determinants of Job (Dis)Satisfaction by Using Asymmetric Approach," Sustainability, MDPI, vol. 12(9), pages 1-15, May.
    6. Marijana Vukmirovic & Nina Rajovic & Vedrana Pavlovic & Srdjan Masic & Momcilo Mirkovic & Radica Tasic & Simona Randjelovic & Danka Mostic & Igor Velickovic & Emilija Nestorovic & Petar Milcanovic & D, 2020. "The Burnout Syndrome in Medical Academia: Psychometric Properties of the Serbian Version of the Maslach Burnout Inventory—Educators Survey," IJERPH, MDPI, vol. 17(16), pages 1-12, August.

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