Factors associated with Taiwan anesthesiologists' intention to leave anesthesia practice

Ju O. Wang, Chung-Yi Li, Senyeong Kao, Te Chun Yeh, James F. Arens, Shung Tai Ho

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background/purpose: Anesthesiologists in Taiwan had the heaviest workload compared with other Taiwanese specialists. In a previous study, anesthesia-related mortality was >12 times the rate reported in the USA, UK, and Japan. Nine percent of Taiwanese anesthesiologists left their jobs to work as general practitioners in clinics. This study aims to assess the current working conditions of anesthesiologists in Taiwan and their satisfaction with their occupation, and to identify the factors associated with the intentions of anesthesiologists in Taiwan to leave anesthesia practice. Methods: A self-reported questionnaire was completed by 474 attending anesthesiologists in Taiwan. The Chi-square test was used for categorical variables and the t test for continuous variables. Multivariate logistic regression was conducted to identify the factors significantly associated with the willingness of anesthesiologists to continue in anesthesiology. Results: The sample anesthesiologists worked 59.9 hours/week, however a reasonable length of time to work is 49.6 hours/week. They simultaneously covered four operating rooms daily, but three rooms is considered reasonable. Surprisingly, 54.9% of them expressed their unwillingness to practice clinical anesthesia. Those anesthesiologists dissatisfied with their overall working conditions had a substantially increased odds ratio (6.96) of deterring continuing to practice in anesthesia. Furthermore, an inability to take care of the family and a low salary significantly decreased the willingness to practice in anesthesia (odds ratio: 0.42 and 0.38, respectively). Conclusion: Unfavorable working conditions were considered to lower the satisfaction of anesthesiologists in Taiwan. In particular, an inability to take care of the family and a low salary were major factors in deterring anesthesiologists in Taiwan from continuing in anesthesia.

Original languageEnglish
Pages (from-to)509-516
Number of pages8
JournalJournal of the Formosan Medical Association
Volume114
Issue number6
DOIs
Publication statusPublished - 2015 Jun 1

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Taiwan
Anesthesia
Salaries and Fringe Benefits
Odds Ratio
Anesthesiologists
Anesthesiology
Operating Rooms
Chi-Square Distribution
Workload
Occupations
General Practitioners
Japan
Logistic Models
Mortality

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Wang, Ju O. ; Li, Chung-Yi ; Kao, Senyeong ; Yeh, Te Chun ; Arens, James F. ; Ho, Shung Tai. / Factors associated with Taiwan anesthesiologists' intention to leave anesthesia practice. In: Journal of the Formosan Medical Association. 2015 ; Vol. 114, No. 6. pp. 509-516.
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abstract = "Background/purpose: Anesthesiologists in Taiwan had the heaviest workload compared with other Taiwanese specialists. In a previous study, anesthesia-related mortality was >12 times the rate reported in the USA, UK, and Japan. Nine percent of Taiwanese anesthesiologists left their jobs to work as general practitioners in clinics. This study aims to assess the current working conditions of anesthesiologists in Taiwan and their satisfaction with their occupation, and to identify the factors associated with the intentions of anesthesiologists in Taiwan to leave anesthesia practice. Methods: A self-reported questionnaire was completed by 474 attending anesthesiologists in Taiwan. The Chi-square test was used for categorical variables and the t test for continuous variables. Multivariate logistic regression was conducted to identify the factors significantly associated with the willingness of anesthesiologists to continue in anesthesiology. Results: The sample anesthesiologists worked 59.9 hours/week, however a reasonable length of time to work is 49.6 hours/week. They simultaneously covered four operating rooms daily, but three rooms is considered reasonable. Surprisingly, 54.9{\%} of them expressed their unwillingness to practice clinical anesthesia. Those anesthesiologists dissatisfied with their overall working conditions had a substantially increased odds ratio (6.96) of deterring continuing to practice in anesthesia. Furthermore, an inability to take care of the family and a low salary significantly decreased the willingness to practice in anesthesia (odds ratio: 0.42 and 0.38, respectively). Conclusion: Unfavorable working conditions were considered to lower the satisfaction of anesthesiologists in Taiwan. In particular, an inability to take care of the family and a low salary were major factors in deterring anesthesiologists in Taiwan from continuing in anesthesia.",
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Factors associated with Taiwan anesthesiologists' intention to leave anesthesia practice. / Wang, Ju O.; Li, Chung-Yi; Kao, Senyeong; Yeh, Te Chun; Arens, James F.; Ho, Shung Tai.

In: Journal of the Formosan Medical Association, Vol. 114, No. 6, 01.06.2015, p. 509-516.

Research output: Contribution to journalArticle

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