Abstract
Background: Family physician program is a complete health-care system, and its human resources are the most important resources like any other healthcare program. Organizational Commitment (OC) and Quality of Work-Life (QWL) are important factors in attracting and retaining employees. Objective: To investigate the association of OC and QWL with the intention to leave the job by family physicians in Shiraz, Iran in 2017. Methods: This was a descriptive analytical study conducted on a sample of 268 family physicians in 2017. For data collection, Porter's organizational commitment, Walton's Quality of Work Life, and Cammann's intention to leave the job questionnaires were used. The collected data were analyzed using SPSS 23.0. Results: The results showed that the levels of OC, QWL, and the intention to leave the job were moderate among the studied family physicians. In addition, the results showed that QWL and OC had negative and significant associations with the intention to leave the job (p-value<0.001), and the QWL had a greater association (Beta=-0.348). Conclusion: It is suggested that more attention should be paid to the family physicians at the Ministry of Health and the provincial level to improve the QWL and OC of the family physicians, and thereby preventing the physicians from leaving their job from the family physician program.
Highlights
In recent years, one of the approaches taken to improve the health service delivery in Iran has been the family physician program
It is suggested that more attention should be paid to the family physicians at the Ministry of Health and the provincial level to improve the Quality of Work-Life (QWL) and Organizational Commitment (OC) of the family physicians, and thereby preventing the physicians from leaving their job from the family physician program
Since the researchers did not find a comprehensive study on the associations of OC and QWL with the intention to leave the job by family physicians, the present study aimed to investigate their associations with the Shiraz family physicians' intention to leave their job in 2017
Summary
One of the approaches taken to improve the health service delivery in Iran has been the family physician program. This program started in rural areas in 2005, and in. 2011, it was implemented as a pilot program in Fars and Mazandaran provinces [1] According to this program, family physicians, at the first level of providing health services and with the help of other health team members, are responsible for providing and managing the defined health service package for all individuals and families covered, usually up to 2500 people depending on the needs and circumstances of the region and regardless of the individuals' age, sex, socioeconomic charac-. Organizational Commitment (OC) and Quality of Work-Life (QWL) are important factors in attracting and retaining employees
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