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PubMed · 15736807

The AfC reality.

Susan Pirie
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Abstract

The Agenda for Change (AfC) proposals were implemented in the workplace with effect from 1 December 2004. AfC is the new pay and conditions package applicable to every NHS organisation in all four countries of the UK.

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Career MobilityHumansJob DescriptionOrganizational InnovationSalaries and Fringe BenefitsStaff DevelopmentState MedicineTask Performance and AnalysisUnited KingdomJournal Article

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Susan Pirie. 2005. The AfC reality.. https://doi.org/10.1177/175045890501500202

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The role of job satisfaction, job dissatisfaction and demographic factors on physicians' intentions to switch work sector from public to private.

This study is based on a unique data set for the years 1988-2003 and uses structural equation models to examine the impact of job satisfaction and job dissatisfaction on physicians' intention to switch from public- to private-sector work. In Finland, physicians who work primarily in a public-hospital or health-centre setting can also run a private practice. Therefore, we also analysed the impact of having a private practice on a physician's intention to change sector. We found that private practice had a positive, statistically significant effect on the intention to switch sector in 1998 and 2003. Results also suggest that job satisfaction decreases a physician's intention to switch sector, although for 1998 it had no effect. Surprisingly, job dissatisfaction significantly increased the physicians' intentions to leave the public sector only in the 1988 data.

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