Evidence map›Paper›PMID 41270062›Full record

ArticlePloS one2025

Stay or go? Exploring physician turnover in European Hospitals-Evidence from the METEOR survey.

Laura Maniscalco, Marco Enea, Peter de Winter, Neeltje de Vries, Anke Boone, Olivia Lavreysen, Kamil Baranski, Walter Mazzucco, Adriano Filadelfio Cracò, Malgorzata Kowalska and 3 more

Abstract readMulticenter Study
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Laura ManiscalcoDepartment of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, Palermo, Italy.
Marco EneaDepartment of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, Palermo, Italy.
Peter de WinterChild and Youth Institute, KU Leuven, Louvain, Belgium.ORCID https://orcid.org/0000-0002-8476-5312
Neeltje de VriesDepartment of Internal Medicine, Spaarne Gasthuis, Hoofddorp, The Netherlands.ORCID https://orcid.org/0000-0001-9779-9055
Anke BooneDepartment of Public Health and Primary Care, Centre for Environment and Health, KU Leuven (University of Leuven), Leuven, Belgium.
Olivia LavreysenDepartment of Public Health and Primary Care, Centre for Environment and Health, KU Leuven (University of Leuven), Leuven, Belgium.
Kamil BaranskiDepartment of Epidemiology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland.ORCID https://orcid.org/0000-0002-0106-9662
Walter MazzuccoDepartment of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, Palermo, Italy.
Adriano Filadelfio CracòDepartment of Planning, Programming, Strategic Control and Management Control, Local health Authority of Agrigento, Agrigento, Italy.
Malgorzata KowalskaDepartment of Epidemiology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland.ORCID https://orcid.org/0000-0002-9386-0346
Szymon SzemikDepartment of Epidemiology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland.ORCID https://orcid.org/0000-0001-5819-8927
Lode GodderisDepartment of Public Health and Primary Care, Centre for Environment and Health, KU Leuven (University of Leuven), Leuven, Belgium.
Domenica MatrangaDepartment of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, Palermo, Italy.ORCID https://orcid.org/0000-0002-2466-937X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

According to the World Health Organization (WHO), in 2022 there was a shortfall of approximately 1.2 million doctors, impacting healthcare system and patient care. Understanding turnover intentions is crucial for managing the healthcare workforce and ensuring continuous, and high-quality patient care. This study investigates the prevalence of physicians planning to leave their hospital or the profession, and risk factors such as job demand, resources, satisfaction, and burnout across four European countries. A cross-sectional multicenter study was conducted in eight hospitals across Belgium, the Netherlands, Poland and Italy, including both academic and non-academic institutions. Data from Poland were excluded due to a low response rate, to preserve respondent anonymity. Multivariable logistic regression analyses were performed, adjusted for country, demographics, and work context, using significant variables from the univariable analysis. The overall intention to leave the hospital was 16.5%, with the highest rates in Belgium (19.6%) and Italy (19%), and the lowest in the Netherlands (9.8%). The intention to leave the profession was 9.1%, with the highest rate in the Netherlands (16.1%), followed by Belgium (6.3%) and Italy (5.7%). Physicians at higher risk of leaving the hospital were younger (adjOR = 0.90, 95%CI = 0.86-0.93), lacked colleague support (adjOR = 3.18, 95%CI = 1.06-9.36), and were dissatisfied with job prospects (adjOR = 2.38, 95%CI = 1.02-5.54) and overall work (adjOR = 2.71, 95%CI = 1.09-6.69). Those more likely to leave the profession were from the Netherlands (adjOR = 4.14, 95%CI = 1.62-11.4), surgeons (adjOR = 2.90, 95%CI = 1.22-6.78), working in non-academic hospitals (adjOR = 2.43, 95%CI = 1.01-5.97), lacked development opportunities (adjOR = 5.97, 95%CI = 1.01-36.2), or were dissatisfied with career prospects (adjOR = 2.77, 95%CI = 1.04-7.27). Health system managers and relevant stakeholders involved in the planning, implementation, or evaluation of health policies and reforms aimed at improving healthcare job retention should take into account the key determinants of the intention to leave identified in this study.

Indexed as

Personnel TurnoverPhysiciansAdultBelgiumBurnout, ProfessionalCross-Sectional StudiesEuropeFemaleHospitalsHumansItalyJob SatisfactionMaleMiddle AgedNetherlandsSurveys and Questionnaires

Identifiers

PMID41270062
PMCPMC12637990

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.