Health care workplace discrimination and physician turnover

Marcella Nunez-Smith, Nanlesta Pilgrim, Matthew Wynia, Mayur M. Desai, Cedric Bright, Harlan M. Krumholz, Elizabeth H. Bradley

Research output: Contribution to journalArticle

Abstract

Objective: To examine the association between physician race/ ethnicity, workplace discrimination, and physician job turnover. Methods: Cross-sectional, national survey conducted in 2006-2007 of practicing physicians (n = 529) randomly identified via the American Medical Association Masterfile and the National Medical Association membership roster. We assessed the relationships between career racial/ethnic discrimination at work and several career-related dependent variables, including 2 measures of physician turnover, career satisfaction, and contemplation of career change. We used standard frequency analyses, odds ratios and χ2 statistics, and multivariate logistic regression modeling to evaluate these associations. Results: Physicians who self-identified as nonmajority were significantly more likely to have left at least 1 job because of workplace discrimination (black, 29%; Asian, 24%; other race, 21%; Hispanic/Latino, 20%; white, 9%). In multivariate models, having experienced racial/ethnic discrimination at work was associated with high job turnover (adjusted odds ratio, 2.7; 95% Cl, 1.4-4.9). Among physicians who experienced workplace discrimination, only 45% of physicians were satisfied with their careers (vs 88% among those who had not experienced workplace discrimination, p value < .01), and 40% were contemplating a career change (vs 10% among those who had not experienced workplace discrimination, p value < .001 ). Conclusion: Workplace discrimination is associated with physician job turnover, career dissatisfaction, and contemplation of career change. These findings underscore the importance of monitoring for workplace discrimination and responding when opportunities for intervention and retention still exist.

Original languageEnglish (US)
Pages (from-to)1274-1282
Number of pages9
JournalJournal of the National Medical Association
Volume101
Issue number12
DOIs
StatePublished - Dec 2009

Keywords

  • Health care careers
  • Hospital/office administration
  • Race/ethnicity

ASJC Scopus subject areas

  • Medicine(all)

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    Nunez-Smith, M., Pilgrim, N., Wynia, M., Desai, M. M., Bright, C., Krumholz, H. M., & Bradley, E. H. (2009). Health care workplace discrimination and physician turnover. Journal of the National Medical Association, 101(12), 1274-1282. https://doi.org/10.1016/S0027-9684(15)31139-1