Authors (including presenting author) :
Leung LH
Affiliation :
Department of Family Medicine & Primary Health Care, Kowloon West Cluster, Hospital Authority
Introduction :
There is a high staff attrition problem observed at the Department of Family Medicine & Primary Health Care of Kowloon West Cluster, Hospital Authority (KWCFM, HA). KWCFM is a large clinical unit consisting of over 100 Doctors. The project studied the manner and the factors affecting staff staying or leaving based on Herzberg’s two-factor theory model.
Objectives :
To explore motivation-hygiene factors that may influence doctors' staying or leaving HA.
Methodology :
Anonymous questionnaires (N=112) were delivered to doctors of KWCFM. Factors related to the Herzberg’s two-factor theory were studied.
Result & Outcome :
65 questionnaires (25 Specialist; 27 Trainees; 13 others) returned. Response rate was 58%. All staff groups rated “work stress” as the number one factor leading leaving HA. The most considered extrinsic (hygiene) factor in leaving was evening and public holiday service that is expanding in public sector.
Job stability, salary, and achievement were top-three factors leading doctors to stay in HA. Subgroup analysis (male vs female; specialist vs trainee) showed difference in two-factor distribution.
Discussion: a number of leave or stay factors had been identified in the project based on the Herzberg’s two-factor theory model. The factors could be grouped in a matrix of modifiable vs non-modifiable; and more important vs less important categories for further improvement management actions.
