Intention to leave job and its affecting factors among health care worker in primary health care settings

Abstract

Background: Centres providing primary health care services in Mongolia have insufÏcient human resources, instability of professional practitioners, increasing migration of workers and heavy workload, imbalance of work incentive, and high level of work stress for the specialists who are working in the primary health sectors in Mongolia. These issues have become the primary reasons as to why workers have been dissatisfied with their work and even want to change or leave their work field, due to all the high maintenance of stress coming from their work, physically and psychologically. Aim: To study association between organizational climate and intention to leave their work among health care workers in the primary health. Materials and Methods: In the survey, health workers from rural and urban healthcare institutions participated, total of 252 healthcare workers from 32 primary health cre centers took part in it, with 71.8% from the rural areas and 28.2% from the capital city, Ulaanbaatar. In our study, we used the standard questionaire Organizational Climate Measure that was done in 2003 by Parker. Data were collected using questionnaires from (Auerback, 2014) on workers wanting to work, having an interest in it, or even leaving their work field in social service. Results: Of the total number of participants, 92.5% were female, 7.5% male and the average age between them was 37.08. Of the participants 31.3% were doctors, 33.3% were nurses, 16.7% were feldsheres and midwives and 18.7% were other health care workers. 79.7% of primary healthcare workers intend to keep on working in their sectors until their retirement, while 38.5% have the mindset to quit their work field shortly. Comparing location and profession, the number of people choosing to quit their work in the rural area is statistically high. Doctors, midwives, and feldsheres working in rural areas have a high intention to quit their work compared to other professions. But in the capital city, the number of nurses intending to quit their work is high. Conclusion: 38.5 percent of respondents intend to leave the organization in the near future, and this depends on factors related to organizational climate such as job role, leadership, support, innovation, and justice