Background: Retention of doctors is a global challenge and doctors working in different departments may face different problems. The study aimed to explore the turnover behavior and intention and correlated factors among Chinese dentists compared with clinicians.
Methods: A cross-sectional study was conducted online in 5 regions of China from March 12th to April 12th, 2020. The questionnaire included 3 parts, socio-demographic characteristics, turnover behavior and intention, and concern about work-related factors. Chi-square test and/or Wilcoxon Mann-Whitney test were applied for comparison, and binary logistic regression was used for finding the factors.
Results: 2428 eligible questionnaire were received, including 1954 dentists and 474 clinicians. Rate of turnover behavior and intention was 2.87% and 51.79% among dentists, significantly lower than that among clinicians (6.96% and 71.20%, P<0.000). Compared with clinicians, dentists had significantly lower concern about workload, salary, and strained doctor-patient relationship (P<0.01), but more concern about occupational exposure (P<0.000). Educational level was a common factor of clinicians’ and dentists’ turnover behavior, while concern about salary was only for dentists. Age, concern about workload and doctor-patient relationship was common factors of clinicians’ and dentists’ turnover intention. Gender and annual household income were also correlated with dentists’ turnover intention.
Conclusions: Low turnover rate but high turnover intention rate was the current status of Chinese doctors’ employment. Turnover behavior and intention were more optimistic among dentists than clinicians. Common factors correlated with turnover behavior and intention existed among dentists and clinicians, while correlations between concern about salary, gender, annual household income and turnover only existed among dentists.