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Original Articles
- Probability of Early Retirement Among Emergency Physicians
- Jaemyeong Shin, Yun Jeong Kim, Jong Kun Kim, Dong Eun Lee, Sungbae Moon, Jae Young Choe, Won Kee Lee, Hyung Min Lee, Kwang Hyun Cho
- J Prev Med Public Health. 2018;51(3):154-162. Published online May 17, 2018
- DOI: https://doi.org/10.3961/jpmph.18.079
- 6,753 View
- 142 Download
- 13 Crossref
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Abstract
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Supplementary Material - Objectives
Early retirement occurs when one’s job satisfaction suffers due to employment mismatch resulting from factors such as inadequate compensation. Medical doctors report high levels of job stress and burnout relative to other professionals. These levels are highest among emergency physicians (EPs), and despite general improvements in their working conditions, early retirement continues to become more common in this population. The purpose of this study was to identify the factors influencing EPs intention to retire early and to develop a probability equation for its prediction.
Methods
A secondary analysis of data from the 2015 Korean Society of Emergency Physicians Survey was performed. The variables potentially influencing early retirement were organized into personal characteristics, extrinsic factors, and intrinsic factors. Logistic regression analysis was performed to identify risk factors and to develop a probability equation; these findings were then arranged in a nomogram.
Results
Of the 377 survey respondents included in the analysis, 48.0% intended to retire early. Risk factors for early retirement included level of satisfaction with the specialty and its outlook, slanderous reviews, emergency room safety, health status, workload intensity, age, and hospital type. Intrinsic factors (i.e., slanderous reviews and satisfaction with the specialty and its outlook) had a stronger influence on early retirement than did extrinsic factors.
Conclusions
To promote career longevity among EPs, it is vital to improve emergency room safety and workload intensity, to enhance medical professionalism through a stronger vision of emergency medicine, and to strengthen the patient-doctor relationship. -
Summary
Citations
Citations to this article as recorded by
- Determining the research priorities for emergency care within the Western Cape province of South Africa: A consensus study
Robert Holliman, Lee Wallis, Colleen Saunders
African Journal of Emergency Medicine.2024; 14(1): 1. CrossRef - Emergency physician professionalism versus wellness: A conceptual model
Jay M. Brenner, Chadd Kraus, Rebecca R. Goett, Monisha Dilip, Elizabeth P. Clayborne, Nick Kluesner
Journal of the American College of Emergency Physicians Open.2023;[Epub] CrossRef - Working in value‐discrepant environments inhibits clinicians’ ability to provide compassion and reduces well‐being: A cross‐sectional study
Alina Pavlova, Sarah‐Jane Paine, Shane Sinclair, Anne O'Callaghan, Nathan S. Consedine
Journal of Internal Medicine.2023; 293(6): 704. CrossRef - Clinical adaptations for advanced career emergency physicians: an approach to support practice transition
Riyad B. Abu-Laban, Nicholas G. W. Rose, David Migneault, Erin Fukushima, Kerry E. Walker, Jill McEwen
Canadian Journal of Emergency Medicine.2023; 25(12): 931. CrossRef - Won't you stay just a little bit longer? A discrete choice experiment of UK doctors’ preferences for delaying retirement
Jennifer Cleland, Terry Porteous, Ourega-Zoé Ejebu, Mandy Ryan, Diane Skåtun
Health Policy.2022; 126(1): 60. CrossRef - Early-Career Physician Burnout
Leelach Rothschild, Ciera Ward
Anesthesiology Clinics.2022; 40(2): 315. CrossRef - Retiring From Pediatric Emergency Medicine Too Soon?
Bharati Beatrix Bansal, Matthew Sunil Mathew, Quiera Booker-Nubie, Sarah E. Messiah, Vincent J. Wang
Pediatric Emergency Care.2022; 38(6): 253. CrossRef - Cortisol awakening response in the airborne rescue service
D Braun, M Frank, L Theiler, K Petrowski
Occupational Medicine.2022; 72(5): 332. CrossRef - The age‐old question: Thematic analysis of focus groups on physician experiences of aging in emergency medicine
William Binder, Casey O. Abrahams, Jordan M. Fox, Elizabeth Nestor, Janette Baird
Journal of the American College of Emergency Physicians Open.2021;[Epub] CrossRef - Identifying contemporary early retirement factors and strategies to encourage and enable longer working lives: A scoping review
Donna M. Wilson, Begoña Errasti‐Ibarrondo, Gail Low, Pauline O'Reilly, Fiona Murphy, Anne Fahy, Jill Murphy
International Journal of Older People Nursing.2020;[Epub] CrossRef - ‘Should I stay or should I go now?’: A qualitative study of why UK doctors retire
Jennifer Cleland, Terry Porteous, Ourega‐Zoe Ejebu, Diane Skåtun
Medical Education.2020; 54(9): 821. CrossRef - Breaking the Gender Gap: A Two-part Observational Study of the Gender Disparity Among Korean Academic Emergency Physicians
Mi Jin Lee, ChangHo Kim
Journal of Preventive Medicine and Public Health.2020; 53(5): 362. CrossRef - Just when I thought I was out, they pull me back in: the older physician in the COVID-19 pandemic
Carmelle Peisah, Peter Hockey, Susan Mary Benbow, Betsy Williams
International Psychogeriatrics.2020; 32(10): 1211. CrossRef
- Health Conditions Sensitive to Retirement and Job Loss Among Korean Middle-aged and Older Adults
- Susan Park, Sung-Il Cho, Soong-Nang Jang
- J Prev Med Public Health. 2012;45(3):188-195. Published online May 31, 2012
- DOI: https://doi.org/10.3961/jpmph.2012.45.3.188
- 8,623 View
- 79 Download
- 14 Crossref
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Abstract
PDF
Objectives This study was conducted to examine the association between health condition and leaving the labor market among middle-aged and older adults in South Korea.
Methods Data was obtained from individuals aged 45 years and older participating in the 2006 and 2008 Korean Longitudinal Study of Ageing. We used various health measures including chronic diseases, comorbidities, traffic accident injuries, disabilit of instrumental activities of daily living, depressive symptoms, and self-rated health. The odds ratios of job loss, and retirement, versus employment were calculated using multinomial logistic regression by each health measure.
Results In our cross-sectional and longitudinal analysis, health problems related to physical disabilities had the greatest effect on leaving the worksite. A shift in health condition from good to poor in a short period was a predictor of increased risk of unemployment but a persistent pattern of health problems was not associated with unemployment. Women with health problems showed a high probability of retirement, whereas among men, health problems instantly the possibility of both job loss and retirement.
Conclusions Health problems of middle aged and older workers were crucial risk factors for retirement and involuntarily job loss. Especially functional defect and recent health problems strongly and instanty affected employment status.
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Summary
Citations
Citations to this article as recorded by- Patterns of change and factors associated with IADL function decline in community-dwelling older adults with arthritis
Jinhee Shin, Gwang Suk Kim
Scientific Reports.2022;[Epub] CrossRef - Effects of 9/11‐related injury on retirement patterns among World Trade Center Health Registry enrollees
Kacie Seil, Shengchao Yu, Robert Brackbill, Howard Alper, Junaid Maqsood
American Journal of Industrial Medicine.2021; 64(10): 873. CrossRef - Gender inequalities in poor self-rated health: Cross-national comparison of South Korea and Japan
Shuko Takahashi, Soong-nang Jang, Shiho Kino, Ichiro Kawachi
Social Science & Medicine.2020; 252: 112919. CrossRef - Socioeconomic disparities in self-rated health in two East Asian countries: Comparative study between Japan and Korea
Shiho Kino, Soong-nang Jang, Shuko Takahashi, Daniel K. Ebner, Ichiro Kawachi
Social Science & Medicine.2020; 253: 112945. CrossRef - Early labor force exit subsequent to permanently impairing occupational injury or illness among workers 50‐64 years of age
Kenneth A. Scott, Qing Liao, Gwenith G. Fisher, Lorann Stallones, Carolyn DiGuiseppi, Emile Tompa
American Journal of Industrial Medicine.2018; 61(4): 317. CrossRef - Predictors and estimation of risk for early exit from working life by poor health among middle and older aged workers in Korea
Wanhyung Lee, Jin-Ha Yoon, Jung-Wan Koo, Sei-Jin Chang, Jaehoon Roh, Jong-Uk Won
Scientific Reports.2018;[Epub] CrossRef - The effect of job loss on depressive symptoms: The results from the Korean Welfare Panel Study (2007–2013)
Hyo Jung Yoon, Jae Woo Choi, Suk-Young Jang, Sang Ah Lee, Eun-Cheol Park
International Journal of Social Psychiatry.2017; 63(1): 57. CrossRef - The Perceived Socioeconomic Status Is an Important Factor of Health Recovery for Victims of Occupational Accidents in Korea
Hongdeok Seok, Jin-Ha Yoon, Wanhyung Lee, June-Hee Lee, Pil Kyun Jung, Jaehoon Roh, Jong-Uk Won
Journal of Korean Medical Science.2016; 31(2): 164. CrossRef - Employment and occupation effects on late-life depressive symptoms among older Koreans: a cross-sectional population survey
Hyun Park, Young Hwangbo, Yong-Jin Lee, Eun-Chul Jang, Wook Han
Annals of Occupational and Environmental Medicine.2016;[Epub] CrossRef - Association between employment status change and depression in Korean adults
Ki-Bong Yoo, Eun-Cheol Park, Suk-Yong Jang, Jeoung A Kwon, Sun Jung Kim, Kyoung-hee Cho, Jae-Woo Choi, Jae-Hyun Kim, Sohee Park
BMJ Open.2016; 6(3): e008570. CrossRef - How are self-rated health and diagnosed disease related to early or deferred retirement? A cross-sectional study of employees aged 55-64
Kerstin Nilsson, Anna Rignell Hydbom, Lars Rylander
BMC Public Health.2016;[Epub] CrossRef - Conceptualisation of ageing in relation to factors of importance for extending working life – a review
Kerstin Nilsson
Scandinavian Journal of Public Health.2016; 44(5): 490. CrossRef - Association between Voluntary/Involuntary Job Loss and the Development of Stroke or Cardiovascular Disease: A Prospective Study of Middle-Aged to Older Workers in a Rapidly Developing Asian Country
Mo-Yeol Kang, Hyoung-Ryoul Kim, Agricola Odoi
PLoS ONE.2014; 9(11): e113495. CrossRef - Life Course Approach on Health Disparities in Older Adults
Soong-Nang Jang
Journal of the Korean Geriatrics Society.2013; 17(3): 111. CrossRef
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