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Ponte Academic Journal
Mar 2018, Volume 74, Issue 3

UNDERSTANDING THE MIGRATION DECISIONS OF MEDICAL PRACTITIONERS FROM THE PUBLIC TO THE PRIVATE HEALTHCARE SECTOR

Author(s): Sanjana Brijball Parumasur ,Joyce Adefunke Ayeni

J. Ponte - Mar 2018 - Volume 74 - Issue 3
doi: 10.21506/j.ponte.2018.3.2



Abstract:
The healthcare system in South Africa encounters a human resources calamity, as a result of the huge �brain drain� from the public sector and, inadequate funding. The influx of medical practitioners into the private sector is of utmost concern to both the government and the general public. The South African public healthcare sector is faced with the challenge of retaining health workers in the appropriate area of need. This study aims to identify the factors that are responsible for the migration of medical doctors from the public to the private sector and make recommendations that can foster retention. A total of 115 medical doctors, drawn using simple random sampling, participated in this study. The study used both qualitative and quantitative approaches to ensure a detailed analysis and reach an encircling supposition. They were supported by three research tools: semi-structured in-depth interviews, document review, and a survey. Data collected through semi-structured in-depth interviews were analysed using the thematic analysis method while content analysis was used to evaluate data collected through documentary method. Data collected via the use of questionnaires was analysed using both descriptive and inferential statistics. The findings from this study revealed that employee relations policy is the key reason why medical doctors seek employment in the private sector. The inability of some doctors to gain employment with the public sector due to the moratorium on employment was also identified as a reason they seek solace in the private sector. In order to foster the retention of doctors in the public sector, various strategies are recommended such as embracing a total reward approach, talent management planning, succession planning and lifting of the moratorium on employment.
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