The retention of health human resources in primary healthcare centers in Lebanon
Background Critical shortages of health human resources (HHR), associated with high turnover rates, have been a concern in many countries around the globe. Of particular interest is the effect of such a trend on the primary healthcare (PHC) sector; considered a cornerstone in any effective healthcar...
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2012
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| Online Access: | http://hdl.handle.net/10725/2239 http://dx.doi.org/10.1186/1472-6963-12-41 http://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-12-419 |
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| _version_ | 1864513457830756353 |
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| author | Dimassi, Hani |
| author2 | Alameddine, Mohamad Saleh, Shadi El-Jardali, Fadi Mourad, Yara. |
| author2_role | author author author author |
| author_facet | Dimassi, Hani Alameddine, Mohamad Saleh, Shadi El-Jardali, Fadi Mourad, Yara. |
| author_role | author |
| dc.creator.none.fl_str_mv | Dimassi, Hani Alameddine, Mohamad Saleh, Shadi El-Jardali, Fadi Mourad, Yara. |
| dc.date.none.fl_str_mv | 2012 2015-10-02T07:03:53Z 2015-10-02T07:03:53Z 2015-10-02 |
| dc.identifier.none.fl_str_mv | 1472-6963 http://hdl.handle.net/10725/2239 http://dx.doi.org/10.1186/1472-6963-12-41 Alameddine, M., Saleh, S., El-Jardali, F., Dimassi, H., & Mourad, Y. (2012). The retention of health human resources in primary healthcare centers in Lebanon: a national survey. BMC health services research, 12(1), 419. http://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-12-419 |
| dc.language.none.fl_str_mv | en |
| dc.relation.none.fl_str_mv | BMC health services research |
| dc.rights.*.fl_str_mv | info:eu-repo/semantics/openAccess |
| dc.title.none.fl_str_mv | The retention of health human resources in primary healthcare centers in Lebanon A national survey |
| dc.type.none.fl_str_mv | Article info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/article |
| description | Background Critical shortages of health human resources (HHR), associated with high turnover rates, have been a concern in many countries around the globe. Of particular interest is the effect of such a trend on the primary healthcare (PHC) sector; considered a cornerstone in any effective healthcare system. This study is a rare attempt to investigate PHC HHR work characteristics, level of burnout and likelihood to quit as well as the factors significantly associated with staff retention at PHC centers in Lebanon. Methods A cross-sectional design was utilized to survey all health providers at 81 PHC centers dispersed in all districts of Lebanon. The questionnaire consisted of four sections: socio-demographic/ professional background, organizational/institutional characteristics, likelihood to quit and level of professional burnout (using the Maslach-Burnout Inventory). A total of 755 providers completed the questionnaire (60.5% response rate). Bivariate analyses and multinomial logistic regression were used to determine factors associated with likelihood to quit. Results Two out of five respondents indicated likelihood to quit their jobs within the next 1–3 years and an additional 13.4% were not sure about quitting. The top three reasons behind likelihood to quit were poor salary (54.4%), better job opportunities outside the country (35.1%) and lack of professional development (33.7%). A U-shaped relationship was observed between age and likelihood to quit. Regression analysis revealed that high levels of burnout, lower level of education and low tenure were all associated with increased likelihood to quit. Conclusions The study findings reflect an unstable workforce and are not conducive to supporting an expanded role for PHC in the Lebanese healthcare system. While strategies aiming at improving staff retention would be important to develop and implement for all PHC HHR; targeted retention initiatives should focus on the young-new recruits and allied health professionals. Particular attention should be dedicated to enhancing providers’ role satisfaction and sense of job security. Such initiatives are of pivotal importance to stabilize the workforce and ensure its longevity. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | LAURepo_c73d28f9b6a3b90e7ccd7281efa4488a |
| identifier_str_mv | 1472-6963 Alameddine, M., Saleh, S., El-Jardali, F., Dimassi, H., & Mourad, Y. (2012). The retention of health human resources in primary healthcare centers in Lebanon: a national survey. BMC health services research, 12(1), 419. |
| language_invalid_str_mv | en |
| network_acronym_str | LAURepo |
| network_name_str | Lebanese American University repository |
| oai_identifier_str | oai:laur.lau.edu.lb:10725/2239 |
| publishDate | 2012 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| spelling | The retention of health human resources in primary healthcare centers in LebanonA national surveyDimassi, HaniAlameddine, MohamadSaleh, ShadiEl-Jardali, FadiMourad, Yara.Background Critical shortages of health human resources (HHR), associated with high turnover rates, have been a concern in many countries around the globe. Of particular interest is the effect of such a trend on the primary healthcare (PHC) sector; considered a cornerstone in any effective healthcare system. This study is a rare attempt to investigate PHC HHR work characteristics, level of burnout and likelihood to quit as well as the factors significantly associated with staff retention at PHC centers in Lebanon. Methods A cross-sectional design was utilized to survey all health providers at 81 PHC centers dispersed in all districts of Lebanon. The questionnaire consisted of four sections: socio-demographic/ professional background, organizational/institutional characteristics, likelihood to quit and level of professional burnout (using the Maslach-Burnout Inventory). A total of 755 providers completed the questionnaire (60.5% response rate). Bivariate analyses and multinomial logistic regression were used to determine factors associated with likelihood to quit. Results Two out of five respondents indicated likelihood to quit their jobs within the next 1–3 years and an additional 13.4% were not sure about quitting. The top three reasons behind likelihood to quit were poor salary (54.4%), better job opportunities outside the country (35.1%) and lack of professional development (33.7%). A U-shaped relationship was observed between age and likelihood to quit. Regression analysis revealed that high levels of burnout, lower level of education and low tenure were all associated with increased likelihood to quit. Conclusions The study findings reflect an unstable workforce and are not conducive to supporting an expanded role for PHC in the Lebanese healthcare system. While strategies aiming at improving staff retention would be important to develop and implement for all PHC HHR; targeted retention initiatives should focus on the young-new recruits and allied health professionals. Particular attention should be dedicated to enhancing providers’ role satisfaction and sense of job security. Such initiatives are of pivotal importance to stabilize the workforce and ensure its longevity.PublishedN/A2015-10-02T07:03:53Z2015-10-02T07:03:53Z20122015-10-02Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1472-6963http://hdl.handle.net/10725/2239http://dx.doi.org/10.1186/1472-6963-12-41Alameddine, M., Saleh, S., El-Jardali, F., Dimassi, H., & Mourad, Y. (2012). The retention of health human resources in primary healthcare centers in Lebanon: a national survey. BMC health services research, 12(1), 419.http://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-12-419enBMC health services researchinfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/22392017-03-01T12:48:49Z |
| spellingShingle | The retention of health human resources in primary healthcare centers in Lebanon Dimassi, Hani |
| status_str | publishedVersion |
| title | The retention of health human resources in primary healthcare centers in Lebanon |
| title_full | The retention of health human resources in primary healthcare centers in Lebanon |
| title_fullStr | The retention of health human resources in primary healthcare centers in Lebanon |
| title_full_unstemmed | The retention of health human resources in primary healthcare centers in Lebanon |
| title_short | The retention of health human resources in primary healthcare centers in Lebanon |
| title_sort | The retention of health human resources in primary healthcare centers in Lebanon |
| url | http://hdl.handle.net/10725/2239 http://dx.doi.org/10.1186/1472-6963-12-41 http://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-12-419 |