The Economic Impact of Job Satisfaction on Doctor Retention: ‎Evidence from Public Hospitals and Health Centers In ‎Kendari City

  • Authors

    • Eka Fitriyawati Ladjiru Department of Science Study Program, Faculty of Science Study Program, Haluoleo University, Kendari, Sulawesi Tenggara, 93232, ‎Indonesia
    • Usman Rianse Department of Socio-Economic Agriculture, Faculty of International Trade, Haluoleo University, Kendari, Sulawesi Tenggara, 93232, ‎Indonesia
    • Nurwati Department of Management Science, Faculty of Management Science, Haluoleo University, Kendari, Sulawesi Tenggara, 93232, ‎Indonesia
    • Sri Wiyati Mahrani Department of Management Science, Faculty of Management Science, Haluoleo University, Kendari, Sulawesi Tenggara, 93232, ‎Indonesia
    https://doi.org/10.14419/xhvz0z92

    Received date: June 15, 2025

    Accepted date: July 10, 2025

    Published date: July 15, 2025

  • Job Satisfaction; Organizational Culture; Quality Systems; Teamwork; Turnover Intention

  • Abstract

    This study investigates the economic impact of physicians' turnover intention in public hospitals and community health centers in Kendari ‎City by examining how culture, quality systems, and teamwork influence job satisfaction and employee retention. Using a quantitative ‎approach with Partial Least Squares (PLS) analysis on survey data collected from 212 healthcare professionals via a validated 5-point Likert ‎scale questionnaire, the research found that culture and quality systems significantly and positively affect job satisfaction, which in turn ‎significantly impacts turnover intention. Specifically, higher job satisfaction reduces doctors' intention to leave their jobs, thereby lowering ‎turnover rates. The findings indicate that enhancing teamwork, quality systems, and organizational culture can improve job satisfaction, ‎decrease turnover intention, and consequently reduce the economic burden associated with doctor turnover. These results provide valuable ‎information for strategies and policies for the improvement of the economic activity of health management, medical adherence, and public ‎health organizations. This study addresses a critical issue in the management of the health care workforce and provides appropriate ‎information for policymaking, especially important for health care administrators and policymakers in low- and middle-income countries.

  • References

    1. AbdELhay ES, Taha SM, El-Sayed MM, Helaly SH & AbdELhay IS (2025), Nurses retention: the impact of transformational leadership, career growth, work well-being, and work-life Balance. BMC Nursing 24(1), 1–15. https://doi.org/10.1186/s12912-025-02762-1.
    2. Ajoseh S, Langer A, Amoniyan O & Uyah U (2024), Navigating brain drain: understanding public discourse on legislation to retain medical profes-sionals in Nigeria. Globalization and Health 20(1), 1–11. https://doi.org/10.1186/s12992-024-01077-1.
    3. Alam A & Asim M (2019), Relationship between job satisfaction and turnover intention. International Journal of Human Resource Studies 9(2), 163–194. https://doi.org/10.5296/ijhrs.v9i2.14618.
    4. Al-Azzam M & Obeidat S (2025), Global Insights on Wage and employee Turnover in Microfinance. International Review of Economics & Finance 100(1), 1–17. https://doi.org/10.1016/j.iref.2025.104117.
    5. Alzoubi MM, Al-Mugheed K, Oweidat I, Alrahbeni T, Alnaeem MM, Alabdullah AAS, Abdelaliem SMF & Hendy A (2024), Moderating role of relationships between workloads, job burnout, turnover intention, and healthcare quality among nurses. BMC Psychology 12(1), 1-9. https://doi.org/10.1186/s40359-024-01891-7.
    6. Ayanponle NLO, Awonuga NKF, Asuzu NOF, Daraojimba NRE, Elufioye NOA & Daraojimba NOD (2024), A review of innovative HR strate-gies in enhancing workforce efficiency in the US. International Journal of Science and Research Archive 11(1), 817–827. https://doi.org/10.30574/ijsra.2024.11.1.0152.
    7. Bhattacharya I & Ramachandran A. (2015), A path analysis study of retention of healthcare professionals in urban India using health information technology. Human Resources for Health 13(1), 1–14. https://doi.org/10.1186/s12960-015-0055-x.
    8. Bimpong KAA, Khan A, Slight R, Tolley CL & Slight SP (2020), Relationship between labour force satisfaction, wages and retention within the UK National Health Service: a systematic review of the literature. BMJ Open 10(7), 1-7. https://doi.org/10.1136/bmjopen-2019-034919.
    9. Bragadóttir H, Kalisch BJ, Flygenring BG & Tryggvadóttir GB (2023), The relationship of nursing teamwork and job satisfaction in hospitals. SAGE Open Nursing 9, 1–12. https://doi.org/10.1177/23779608231175027.
    10. Cachón-Rodríguez G, Blanco-González A, Prado-Román C & Del-Castillo-Feito C (2022), How sustainable human resources management helps in the evaluation and planning of employee loyalty and retention: can social capital make a difference? Evaluation and Program Planning 95, 1-10. https://doi.org/10.1016/j.evalprogplan.2022.102171.
    11. Cayrat C & Boxall P (2023), The roles of the HR function: A systematic review of tensions, continuity and change. Human Resource Management Review 33(4), 1–26. https://doi.org/10.1016/j.hrmr.2023.100984.
    12. Chance EA, Florence D & Abdoul IS (2024), The effectiveness of checklists and error reporting systems in enhancing patient safety and reducing medical errors in hospital settings – a narrative review. International Journal of Nursing Sciences 11(3), 387–398. https://doi.org/10.1016/j.ijnss.2024.06.003.
    13. Chen X, Mamun AA, Hussain WMHW, Jingzu G, Yang Q & Shami SSAA (2023), Envisaging the job satisfaction and turnover intention among the young workforce: evidence from an emerging economy. PLOS ONE 18(6), 1-21. https://doi.org/10.1371/journal.pone.0287284.
    14. Coelho C, Mojtahedi M, Kabirifar K & Yazdani M (2022), Influence of organisational culture on total quality management implementation in the Australian construction industry. Buildings 12(4), 1–15. https://doi.org/10.3390/buildings12040496.
    15. Cole PG & Castro RC (2023), Job satisfaction and turnover intention of BPO workers: the mediating effect of service performance. European Journal of Human Resource Management Studies 6(2), 1–43. https://doi.org/10.46827/ejhrms.v6i2.1410.
    16. Davidescu AA, Apostu S, Paul A & Casuneanu I (2020), Work Flexibility, Job Satisfaction, and Job Performance among Romanian Employees—Implications for Sustainable Human Resource Management. Sustainability 12(15), 1–53. https://doi.org/10.3390/su12156086.
    17. De Sul SIR & Lucas PRMB (2020), Translation and validation of the anticipated turnover scale for the Portuguese cultural context. Nursing Open 7(5), 1475–1481. https://doi.org/10.1002/nop2.521.
    18. Dorta-Afonso D, González-De-La-Rosa M, García-Rodríguez F & Romero-Domínguez L (2021), Effects of high-performance work systems (HPWS) on hospitality employees’ outcomes through their organizational commitment, motivation, and job satisfaction. Sustainability 13(6), 1-18. https://doi.org/10.3390/su13063226.
    19. Filip R, Puscaselu RG, Anchidin-Norocel L, Dimian M & Savage WK (2022), Global challenges to public health care systems during the COVID-19 pandemic: a review of pandemic measures and problems. Journal of Personalized Medicine 12(8), 1-22. https://doi.org/10.3390/jpm12081295.
    20. Fitri NS (2024), Evaluation of compensation policies and their impact on employee retention in the food industry. Involvement International Journal of Business 1(1), 43–59. https://doi.org/10.62569/iijb.v1i1.6.
    21. Gazi MAI, Yusof MFB, Islam MA, Amin MB & Senathirajah ARBS (2024), Analyzing the impact of employee job satisfaction on their job behav-ior in the industrial setting: an analysis from the perspective of job performance. Journal of Open Innovation Technology Market and Complexity 10(4), 1-16. https://doi.org/10.1016/j.joitmc.2024.100427.
    22. Geta A, Biks GA, Dellie E & Yazachew L (2021), Job Satisfaction and Associated Factors among Health Professionals Working at Public and Pri-vate Hospitals in Bahir Dar City, Northwest Ethiopia: A Comparative Cross-Sectional Study. BioMed Research International 2021, 1–13. https://doi.org/10.1155/2021/6632585.
    23. Ginting YM, Rismawati R & Aisyah S (2024), The moderating role of work environment in the relationship between organisational culture, em-ployee motivation, performance appraisal, and job satisfaction in Bali’s hotel industry. The South East Asian Journal of Management 18(2), 125–147. https://doi.org/10.21002/seam.v18i2.1775.
    24. Govindan K, Shaw M & Majumdar A (2020), Social sustainability tensions in multi-tier supply chain: A systematic literature review towards con-ceptual framework development. Journal of Cleaner Production 279, 1–22. https://doi.org/10.1016/j.jclepro.2020.123075.
    25. Guenther P, Guenther M, Ringle CM, Zaefarian G & Cartwright S (2023), Improving PLS-SEM use for business marketing research. Industrial Marketing Management 111, 127–142. https://doi.org/10.1016/j.indmarman.2023.03.010.
    26. Hollywood A, McCarthy D, Spencely C & Winstone N. (2019), Overwhelmed at first’: the experience of career development in early career aca-demics. Journal of Further and Higher Education 44(7), 998–1012. https://doi.org/10.1080/0309877X.2019.1636213.
    27. Hoxha G, Simeli I, Theocharis D, Vasileiou A & Tsekouropoulos G (2024), Sustainable healthcare quality and job satisfaction through organiza-tional culture: approaches and outcomes. Sustainability 16(9), 1-17. https://doi.org/10.3390/su16093603.
    28. Ike OO, Ugwu LE, Enwereuzor IK, Eze IC, Omeje O & Okonkwo E (2023), Expanded-multidimensional turnover intentions: scale development and validation. BMC Psychology 11(1), 1–12. https://doi.org/10.1186/s40359-023-01303-2.
    29. Koeswayo PS, Haryanto H & Handoyo S (2024), The impact of corporate governance, internal control and corporate reputation on employee en-gagement: a moderating role of leadership style. Cogent Business & Management 11(1), 1–34. https://doi.org/10.1080/23311975.2023.2296698.
    30. Maassen SM, Van Oostveen C, Vermeulen H & Weggelaar AM (2021), Defining a positive work environment for hospital healthcare professionals: a Delphi study. PLOS ONE 16(2), 1-14. https://doi.org/10.1371/journal.pone.0247530.
    31. Manyisa ZM & Van Aswegen EJ (2017), Factors affecting working conditions in public hospitals: A literature review. International Journal of Afri-ca Nursing Sciences 6(C), 28–38. https://doi.org/10.1016/j.ijans.2017.02.002.
    32. Marshall C (2020), Analysis of a comprehensive wellness program’s impact on job satisfaction in the workplace. International Hospitality Review 34(2), 221–241. https://doi.org/10.1108/IHR-05-2020-0014.
    33. Meneses-La-Riva ME, Fernández-Bedoya VH, Suyo-Vega JA, Ocupa-Cabrera HG, Grijalva-Salazar RV & Di Deus Ocupa-Meneses G (2025), En-hancing healthcare efficiency: The relationship between effective communication and teamwork among nurses in Peru. Nursing Reports 15(2), 1–13. https://doi.org/10.3390/nursrep15020059.
    34. Namal MK, Tufan C, Mert IS & Arun K (2024), Decent work, employee satisfaction, and the mediating role of social courage in reducing turnover. SAGE Open 14(2), 1–28. https://doi.org/10.1177/21582440241242060.
    35. Ning L, Jia H, Gao S, Liu M, Xu J, Ge S, Li M & Yu X (2023), The mediating role of job satisfaction and presenteeism on the relationship between job stress and turnover intention among primary health care workers. International Journal for Equity in Health 22(1), 1–155. https://doi.org/10.1186/s12939-023-01971-x.
    36. Nyambok GA & Hongo HO (2022), Staff turnover and knowledge loss: a case study of the University of Nairobi Library. Regional Journal of In-formation and Knowledge Management 7(1), 14–36. https://doi.org/10.70759/8bqh5575.
    37. Ortan F, Simut C & Simut R (2021), Self-Efficacy, Job Satisfaction and Teacher Well-Being in the K-12 educational system. International Journal of Environmental Research and Public Health 18(23), 1–32. https://doi.org/10.3390/ijerph182312763.
    38. Peltokorpi V & Allen DG (2023), Job embeddedness and voluntary turnover in the face of job insecurity. Journal of Organizational Behavior 45(3), 416–433. https://doi.org/10.1002/job.2728.
    39. Pomaranik W & Kludacz-Alessandri M (2023), Talent management and job satisfaction of medical personnel in Polish healthcare entities. Frontiers in Psychology 14, 1–18. https://doi.org/10.3389/fpsyg.2023.1146073.
    40. Qaddumi B, Ayaad O, Al-Ma’aitah MA, Akhu-Zaheya L & Alloubani A (2021), The factors affecting team effectiveness in hospitals: the mediat-ing role of using electronic collaborative tools. Journal of Interprofessional Education & Practice 24(2), 100449. https://doi.org/10.1016/j.xjep.2021.100449.
    41. Raman SSS, McDonnell A & Beck M (2024), Hospital doctor turnover and retention: a systematic review and new research pathway. Journal of Health Organization and Management 38(9), 45–71. https://doi.org/10.1108/JHOM-04-2023-0129.
    42. Rosen MA, DiazGranados D, Dietz AS, Benishek LE, Thompson D, Pronovost PJ & Weaver SJ (2018), Teamwork in healthcare: Key discoveries enabling safer, high-quality care. American Psychologist 73(4), 433–450. https://doi.org/10.1037/amp0000298.
    43. Russell D, Mathew S, Fitts M, Liddle Z, Murakami-Gold L, Campbell N, Ramjan M, Zhao Y, Hines S, Humphreys JS & Wakerman J (2021), In-terventions for health workforce retention in rural and remote areas: a systematic review. Human Resources for Health 19(1), 1–24. https://doi.org/10.1186/s12960-021-00643-7
    44. Salmi QA, Fannah JA & De Roodenbeke E (2024), The imperative of professionalising healthcare management: a global perspective. Future Healthcare Journal 11(3), 1-5. https://doi.org/10.1016/j.fhj.2024.100170.
    45. Santika RR, Liswandi L & Hidayah Z (2021), Mediating Role of Job Satisfaction in Relationship Between Retention, Commitment, Competence In Improving Performance. Journal of Humanities and Social Studies 5(2), 184–189. https://doi.org/10.33751/jhss.v5i2.3912.
    46. Shahzad MF, Martins JM, Rita J, Xu S & Mushtaq HM (2024), Assessing the impact of strategic HR practices on talent retention through job satis-faction and work engagement: Moderating role of psychological empowerment. SAGE Open 14(3), 1–18. https://doi.org/10.1177/21582440241281836.
    47. Shiri R, El-Metwally A, Sallinen M, Pöyry M, Härmä M & Toppinen-Tanner S (2023), The role of continuing professional training or development in maintaining current employment: a systematic review. Healthcare 11(21), 1-17. https://doi.org/10.3390/healthcare11212900.
    48. Siddiqi KO, Rahman MH, Esquivias MA & Hutapea LM (2024), The effect of perceived organizational and supervisor support on nurses’ turnover intention in Bangladesh: Does work-family conflict play a role? Social Sciences & Humanities Open 10, 1–10. https://doi.org/10.1016/j.ssaho.2024.100992.
    49. Sobaih AEE & Hasanein AM (2020), Herzberg’s theory of motivation and job satisfaction: Does it work for hotel industry in developing countries? Journal of Human Resources in Hospitality & Tourism 19(3), 319–343. https://doi.org/10.1080/15332845.2020.1737768.
    50. Søvold LE, Naslund JA, Kousoulis AA, Saxena S, Qoronfleh MW, Grobler C & Münter L (2021), Prioritizing the mental health and well-being of healthcare workers: an urgent global public health priority. Frontiers in Public Health 9, 1–12. https://doi.org/10.3389/fpubh.2021.679397.
    51. Talwar S, Dhir A, Islam N, Kaur P & Almusharraf A (2023), Resistance of multiple stakeholders to e-health innovations: Integration of fundamen-tal insights and guiding research paths. Journal of Business Research 166, 1-27. https://doi.org/10.1016/j.jbusres.2023.114135.
    52. Tamminga SJ, Emal LM, Boschman JS, Levasseur A, Thota A, Ruotsalainen JH, Schelvis RM, Nieuwenhuijsen K & Van Der Molen HF (2023), Individual-level interventions for reducing occupational stress in healthcare workers. Cochrane Library 2023(5), 1–355. https://doi.org/10.1002/14651858.CD002892.pub6.
    53. Varkiani SM, Pattarin F, Fabbri T & Fantoni G (2025), Predicting employee attrition and explaining its determinants. Expert Systems With Applica-tions 272, 1–18. https://doi.org/10.1016/j.eswa.2025.126575.
    54. Weller JM, Mahajan R, Fahey-Williams K & Webster CS (2024), Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review. British Journal of Anaesthesia, 132(4), 771–778. https://doi.org/10.1016/j.bja.2023.12.035
    55. Wright ES (2021), The effects of organizational culture on employee turnover. Performance Improvement Quarterly 34(3), 303–319. https://doi.org/10.1002/piq.21372
    56. Younis JA, Hejase HJ, Dalal HR, Ibrahim NA & Hejase AJ (2021), The impact of human resource practices on nurses’ turnover intention: An em-pirical study of hospitals in North Lebanon. Journal of Business Theory and Practice 9(4), 8–46. https://doi.org/10.22158/jbtp.v9n4p8.
    57. Zaman S, Ansari AH & Chaturvedi S (2021), Work-life enablers for job satisfaction in healthcare: Moderating role of organization type. Industrial and Commercial Training 54(1), 95–122. https://doi.org/10.1108/ICT-05-2020-0060.

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    Ladjiru, E. F., Rianse , U. ., Nurwati, & Mahrani, S. W. . (2025). The Economic Impact of Job Satisfaction on Doctor Retention: ‎Evidence from Public Hospitals and Health Centers In ‎Kendari City. International Journal of Accounting and Economics Studies, 12(3), 74-82. https://doi.org/10.14419/xhvz0z92