Physician turnover in primary health care services in the East Zone of Sao Paulo City, Brazil: incidence and associated factors.

ABSTRACT:

Background

The shortage and high turnover of physicians is a recurrent problem in health care systems; this is especially harmful to the expansion and full operation of primary health care (PHC). The aim of this paper is to analyze incidence and associated factors with physician turnover in primary health care services in the East Zone of São Paulo City.

Methods

This is a retrospective cohort study of 1378 physicians over a 15 years' time period based on physicians' administrative records from two distinct secondary databases. Physicians' individual characteristics were analyzed including graduation and specialization. Survival analysis techniques such Kaplan-Meier and Cox Regression were used to analyze the termination of contract.

Results

One thousand three hundred

SUBMITTER: Bourget MMM 

PROVIDER: S-EPMC8815273 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature