From: What can we learn from general practitioners who left Spain? A mixed methods international study
Financial | Lack of stability | Workload | Poor governance | Lack of flexibility | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
N 119, 75.3% | OR (95% CI) | OR (95% CI)* | N 107, 67.7% | OR (95% CI) | OR (95% CI)* | N 107, 67.7% | OR (95% CI) | OR (95% CI)* | N 88, 55.7% | OR (95% CI) | OR (95% CI)* | N 69, 43.7% | OR (95% CI) | OR (95% CI)* | ||
Gender | Female | 58 (70.7) | 0.56 (0.20–1.04) | 0.45 (0.18–1.14) | 61 (74.4) | 1.67 (0.82–3.41) | 1.47 (0.67–3.23) | 55 (67.1) | 0.75 (0.37–1.55) | 0.73 (0.34–1.57) | 43 (52.4) | 0.59 (0.30–1.16) | 0.60 (0.29–1.22) | 38 (46.3) | 0.95 (0.49–1.83) | 0.82 (0.41–1.66) |
Male | 53 (84.1) | 1 | 1 | 40 (63.5) | 1 | 1 | 46 (73) | 1 | 1 | 41 (65.1) | 1 | 1 | 30 (47.6) | 1 | 1 | |
Non-binary | 1 (100) | 0 | 0 | 0 | 0 | |||||||||||
Missing | 7 (58.3) | 6 (50) | 6 (50) | 4 (33.3) | 1 (8.3) | |||||||||||
Age (median, IQR) | 40 (35,51) | 1.04 (0.99–1.09) | 1.07 (1.01–1.15) | 38 (34,45) | 0.94 (0.90–0.98) | 0.95 (0.90–0.99) | 39 (35,49) | 0.99 (0.95–1.03) | 1.01 (0.96–1.06) | 39.5 (35,51) | 1.01 (0.97–1.05) | 1.02 (0.97–1.07) | 37 (35,45) | 0.96 (0.92–0.99) | 0.96 (0.92–1.01) | |
Nationality | Spanish | 94 (78.3) | 2.07 (0.56–7.60) | 2.40 (0.55–10.40) | 81 (67.5) | 1.19 (0.33–4.30) | 1.43 (0.35–5.80) | 84 (70) | 1.33 (0.37–4.84) | 1.99 (0.50–8.02) | 72 (60) | 2.63 (0.73–9.46) | 2.63 (0.68–10.12) | 56 (46.7) | 1.05 (0.30–3.63) | 1.08 (0.29–4.00) |
Spanish & other | 11 (73.3) | 1.57 (0.29–8.42) | 2.16 (0.31–15.24) | 13 (86.7) | 3.71 (0.54–25.59) | 5.17 (0.66–40.56) | 10 (66.7) | 1.14 (0.22–5.84) | 1.67 (0.28–9.85) | 8 (53.3) | 2.00 (0.41–9.84) | 2.11 (0.39–11.54) | 7 (46.7) | 1.05 (0.22–5.00) | 1.27 (0.24–6.82) | |
Other/non-available | 14 (60.9) | 1 | 1 | 13 (56.5) | 1 | 1 | 13 (56.5) | 1 | 1 | 8 (34.8) | 1 | 1 | 6 (26.1) | 1 | 1 | |
Country | UK | 31 (68.9) | 1.44 (0.56–3.69) | 2.75 (0.86–8.76) | 36 (80) | 2.00 (0.72–5.59) | 3.43 (1.00–11.76) | 25 (55.6) | 0.46 (0.18–1.23) | 0.56 (0.19–1.66) | 26 (57.8) | 1.64 (0.66–4.06) | 2.10 (0.75–5.91) | 24 (53.3) | 2.63 (1.02–6.77) | 2.98 (1.04–8.50) |
France | 28 (84.9) | 3.64 (1.12–11.85) | 2.40 (0.63–9.20) | 20 (60.6) | 0.77 (0.28–2.20) | 1.21 (0.38–3.84) | 25 (75.8) | 1.17 (0.28–3.54) | 0.99 (0.29–3.34) | 21 (63.6) | 2.10 (0.78–5.63) | 1.69 (0.56–5.08) | 13 (38.4) | 1.50 (0.54–4.14) | 1.46 (0.48–4.41) | |
Ireland | 26 (69.7) | 5.63 (1.41–22.48) | 6.97 (1.22–39.62) | 15 (51.7) | 0.54 (0.19–1.50) | 0.88 (0.26–2.97) | 19 (65.5) | 0.71 (0.24–2.10) | 0.70 (0.21–2.41) | 16 (55.2) | 1.48 (0.54–4.02) | 1.58 (0.50–5.01) | 11 (37.9) | 1.41 (0.49–4.04) | 1.49 (0.47–4.77) | |
Sweden | 14 (77.8) | 2.28 (0.61–8.45) | 4.39 (0.87–22.08) | 14 (77.8) | 1.75 (0.46–6.59) | 3.80 (0.68–21.14) | 14 (77.8) | 1.31 (0.34–5.06) | 2.79 (0.50–15.74) | 10 (55.6) | 1.50 (0.47–4.76) | 2.23 (0.60–8.30) | 11 (61.1) | 3.61 (1.08–12.05) | 4.03 (1.06–15.24) | |
Other | 20 (60.6) | 1 | 1 | 22 (66.7) | 1 | 1 | 24 (72.7) | 1 | 1 | 15 (45.5) | 1 | 1 | 10 (30.3) | 1 | 1 | |
Exit year | Before 2015 | 22 (56.4) | 1 | 1 | 24 (61.5) | 1 | 1 | 21 (53.9) | 1 | 1 | 16 (41) | 1 | 1 | 15 (38.5) | 1 | 1 |
After 2015 | 97 (81.5) | 3.41 (1.56–7.46) | 7.52 (2.35–24.09) | 83 (69.8) | 1.44 (0.68–3.06) | 1.72 (0.60–4.92) | 86 (72.3) | 2.23 (1.06–4.71) | 2.31 (0.88–6.06) | 72 (60.5) | 2.20 (1.05–4.49) | 2.66 (1.04–6.85) | 54 (45.4) | 1.33 (0.63–2.78) | 1.27 (0.50–3.26) |