ハマノ ツヨシ   HAMANO TSUYOSHI
  濱野 強
   所属   京都産業大学  現代社会学部 健康スポーツ社会学科
   職種   教授
言語種別 英語
発行・発表の年月 2015/05
形態種別 研究論文
査読 査読あり
標題 Job and life satisfaction and preference of future practice locations of physicians on remote islands in Japan
執筆形態 その他
掲載誌名 HUMAN RESOURCES FOR HEALTH
出版社・発行元 BIOMED CENTRAL LTD
巻・号・頁 13,pp.39
著者・共著者 Yoshiaki Nojima,Shunichi Kumakura,Keiichi Onoda,Tsuyoshi Hamano,Kiyoshi Kimura
概要 Background: The objective of this research is to investigate job and life satisfaction and preference of future practice locations of physicians in rural and remote islands in Japan.
Methods: A cross-sectional study was conducted for physicians who reside or resided on the Oki islands: isolated islands situated in the Sea of Japan between the Eurasian continent and the mainland of Japan. A questionnaire was sent to physicians on the Oki islands to evaluate physician satisfaction regarding job environment, career development, living conditions, salary, and support by local government.
Results: Data was analysed for 49 physicians; 47 were male and 2 were female, and the mean +/- SD age was 44.3 +/- 10.9 years. Among the variables related to physicians' satisfaction, most of the physicians (>90%) were satisfied with "team work" and "salary". On the other hand, the majority of physicians (approximately 70%) were not satisfied with the "opportunity to continue professional development". Age >= 50 years, graduates of medical schools other than Jichi Medical University (established in 1972 with the aim to produce rural physicians), self-selected the Oki islands as a practice location, and satisfaction in "work as a doctor", "opportunity to consult with peers about patients", "relationship with people in the community", and "acceptance by community" were found to be significant factors influencing the choice of the Oki islands as a future practice location. Factors influencing future practice locations on the remote islands were included in a self-reported questionnaire which illustrated the importance of factors that impact both the spouses and children of physicians.
Conclusions: Improving work satisfaction, providing outreach support programmes for career development and professional support in rural practice, and building appropriate relationships between physicians and people in the community, which can in turn improve work satisfaction, may contribute to physicians' choices of practising medicine on rural and remote islands in Japan. Addressing family issues is also crucial in encouraging the choice of a rural medical practice location.
DOI 10.1186/s12960-015-0029-z
ISSN 1478-4491