Factors that predict National Health Service Corps physicians' intentions to remain at or leave their assigned clinic sites
Claud, David Allen
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Permalink
https://hdl.handle.net/2142/20213
Description
Title
Factors that predict National Health Service Corps physicians' intentions to remain at or leave their assigned clinic sites
Author(s)
Claud, David Allen
Issue Date
1996
Doctoral Committee Chair(s)
Rich, Robert F.
Department of Study
Kinesiology and Community Health
Discipline
Community Health
Degree Granting Institution
University of Illinois at Urbana-Champaign
Degree Name
Ph.D.
Degree Level
Dissertation
Keyword(s)
Health Sciences, General
Political Science, Public Administration
Language
eng
Abstract
This overall purpose of this research is to determine how the National Health Service Corps could be more efficient. Most National Health Service Corps (NHSC) physicians agree to practice in health professional shortage areas in exchange for payment of their medical school tuition or educational loans. The program could be more efficient if NHSC physicians remained at their payback sites longer. The specific goal of this research is to identify factors with which urban NHSC physicians must be satisfied to consider remaining at their practice sites beyond the obligatory period.
The research questions addressed by this dissertation include the following: (1) How well does job satisfaction predict NHSC physicians' intentions to remain at their payback sites? (2) Are any physician characteristics related to turnover intentions? (3) How do physician characteristics compare with physician satisfaction with respect to their ability to predict retention? (4) With which factors is it most important for NHSC physicians to be satisfied to consider remaining at their payback sites beyond their obligation? (5) Is program type (Loan Repayment Program versus Scholarship Program) related to retention? (6) Does an importance weighted global satisfaction index, where global satisfaction = $\Sigma$ (satisfaction with item x importance of being satisfied with an item)/number of items, perform better than an unweighted global satisfaction index? (7) Does direct satisfaction assessment perform well predicting turnover intention? (8) Is satisfaction with situational factors an important predictor of turnover intention?
To investigate these questions, questionnaires were mailed out to 310 NHSC physicians working at sites in cities of at least 50,000. Two hundred twenty (71%) usable questionnaires were returned. Four satisfaction indices were constructed to investigate the relationship between satisfaction and intentions. The amount of variance explained ranged from 30% to 43%, depending on the index used. As a group, the most important items for physicians to be satisfied were satisfaction with autonomy and income. Except for program type (i.e., scholarship program versus loan repayment program), none of the characteristics investigated were significantly associated with intention.
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