TY - JOUR
T1 - Health care workplace discrimination and physician turnover
AU - Nunez-Smith, Marcella
AU - Pilgrim, Nanlesta
AU - Wynia, Matthew
AU - Desai, Mayur M.
AU - Bright, Cedric
AU - Krumholz, Harlan M.
AU - Bradley, Elizabeth H.
N1 - Funding Information:
Funding/Support: Dr Bradley was supported by the Patrick and Catherine Weldon Donaghue Medical Research Foundation Investigator Award (grant 02-102). Dr Nunez-Smith was supported in part by a grant through the Yale Center for Clinical Investigation. The funders did not contribute to the design and conduct of the study; collection, management, analysis, and interpretation of the data; or preparation, review, or approval of the manuscript.
PY - 2009/12
Y1 - 2009/12
N2 - 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.
AB - 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.
KW - Health care careers
KW - Hospital/office administration
KW - Race/ethnicity
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U2 - 10.1016/S0027-9684(15)31139-1
DO - 10.1016/S0027-9684(15)31139-1
M3 - Article
C2 - 20070016
AN - SCOPUS:75149166498
SN - 0027-9684
VL - 101
SP - 1274
EP - 1282
JO - Journal of the National Medical Association
JF - Journal of the National Medical Association
IS - 12
ER -