Psychosocial Factors for Leaving the Profession among Physicians: Stress as a Determinant
https://doi.org/10.47619/2713-2617.zm.2025.v.6i3;35-47
Abstract
Background. The article shows the results of rating the psychosocial factors that are important for primary care physicians working at primary healthcare organizations in Moscow and the Moscow Oblast who decide to leave the profession. The research was conducted using the author's questionnaire. Purpose. To determine the significance of psychosocial factors to leave the profession among physicians. Materials and methods. The survey involved primary care physicians from city polyclinics in Moscow and the Moscow Oblast (n=400). The sociological, statistical, and analytical methods were used. Results. The study presents the ranking of psychosocial factors that cause physicians to leave the profession and indicates stress as the leading determinant.
About the Authors
A. V. VorobevaRussian Federation
Anna V. Vorobeva – Junior Researcher
12, bldg. 1, Vorontsovo Pole ul., Moscow, 105064
M. A. Yakushin
Russian Federation
Michail A. Yakushin – Dr. Sci. in Medicine, Associate Professor, Chief Specialist in Geriatrics of the Ministry of Healthcare of the Moscow Oblast, Leading Researche; Leading Researcher
9, Sharikopodshipnikovskaya ul., Moscow, 115088
12, bldg. 1, Vorontsovo Pole ul., Moscow, 105064
References
1. Vecherina A.I., Zakharova A.A. Modern Problems of Personnel Policy in Healthcare. Youth Innovative Bulletin. 2022;11(S1):467-470. https://doi:10.21045/2071-5021-2020-66-1-7 (In Russ.)
2. World Health Organization 2020. Global strategy on human resources for health: Workforce 2030. Geneva, Seventy-third World Health Assembly. https://www.who.int/publications/i/item/9789241511131
3. Starshinin A.V., Bezymyanny A.S., Aksenova E.I. et al. Managing Changes in Primary Health Care: Research Competencies of Doctors and Critical Thinking. Moscow: Research Institute for Healthcare Organization and Medical Management; 2024. 118 p. (In Russ.)
4. Arseenkova O.Yu., Aksenova E.I., Vorobeva A.V. Characteristics of the Value-Based Attitude of Medical Workers to Healthy Lifestyle. Problems of Social Hygiene, Public Health and History of Medicine. 2023;31(S2):1092-1096. https://doi.org/10.32687/0869-866X-2023-31-s2-1092-1096 (In Russ.)
5. Kaneva D.A., Tararaeva T.Yu., Breusov A.V. et al. The Problem of Medical Staff Shortage in Health Care in Russia: Reasons and Solutions (Literary Review). Current Problems of Health Care and Medical Statistics. 2024;1:747-767. https://doi:10.24412/2312-2935-2024-1-747-767 (In Russ.)
6. Vorobeva A.V., Yakushin M.A. Factor Analysis that Forms a Medical and Social Portrait of a Modern Outpatient Doctor. City Healthcare. 2025;6(1);7-28. https://doi:10.47619/2713-2617.zm.2025.v.6i1:7-28 (In Russ.)
7. Yakushin M.A., Vorobeva A.V., Yarotsky S.Yu. et al. Age Dynamics of Doctor’s Professional Competencies. City Healthcare. 2023;4(1):22-37. https://doi:10.47619/2713-2617.zm.2023.v.4i1;22-37 (In Russ.)
8. Khudova I.Yu., Ulumbekova G.E. Healthcare Workers “Burn-out”: Diagnostics, Treatment, and Particularities During Epidemy of the COVID-19. HEALTHCARE MANEGEMENT: News, Views, Education. Bulletin of VSHOUZ. 2021;1(23):42-62. (In Russ.).
Supplementary files
Review
For citations:
Vorobeva A.V., Yakushin M.A. Psychosocial Factors for Leaving the Profession among Physicians: Stress as a Determinant. City Healthcare. 2025;6(3):35-47. (In Russ.) https://doi.org/10.47619/2713-2617.zm.2025.v.6i3;35-47

















