Effects of individual and organizational factors on job tenure of primary care physicians: A multilevel analysis from Brazil.

ABSTRACT:

Background

The short tenure of primary care physicians undermines the continuity of care, compromising health outcomes in low-, middle and in high-income countries. The purpose of this study was to investigate the contextual and individual factors associated with the tenure of physician in Primary Health Care (PHC) services. We consider individual-level sociodemographic variables such as education and work-related variables, as well as the characteristics of employers and services.

Methods

This study is a retrospective cohort study of 2,335 physicians in 284 Primary Health Care Units across the São Paulo, Brazil, public health care system from 2016 to 2020. A multivariate hierarchical model was selected, and an adjusted Cox regression with multilevel analysis was employed. T

SUBMITTER: Hossni Dias IW 

PROVIDER: S-EPMC10138250 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature