Table 4

Adjusted associations between career intentions and general practitioner (GP) attributes

How likely is it that you will permanently leave direct patient care within the next 2 years?How likely is it that you will permanently leave direct patient care within the next 5 years?How likely is it that you will reduce your weekly average hours spent in direct patient care within the next 5 years?How likely is it that you will take a career break (or another career break) within the next 5 years?
OR* (95% CI)pOR* (95% CI)pOR* (95% CI)pOR* (95% CI)p
GenderMaleReference0.181Reference0.810Reference<0.001Reference0.019
Female0.83 (0.64 to 1.09)1.03 (0.80 to 1.33)0.58 (0.47 to 0.71)1.27 (1.04 to 1.55)
Age<400.89 (0.56 to 1.41)<0.0010.58 (0.40 to 0.85)<0.0011.47 (1.14 to 1.90)<0.0012.63 (2.02 to 3.42)<0.001
40–49ReferenceReferenceReferenceReference
50–541.70 (1.14 to 2.55)4.73 (3.49 to 6.41)2.11 (1.61 to 2.77)1.31 (0.98 to 1.73)
55–5911.69 (8.18 to 16.72)44.15 (29.77 to 65.48)5.62 (4.12 to 7.66)1.79 (1.35 to 2.38)
60–6936.87 (22.53 to 60.34)194.43 (84.32 to 448.34)9.58 (5.76 to 15.95)2.03 (1.35 to 3.04)
70+110.61 (25.85 to 473.26) 4.93 (1.47 to 16.55)1.83 (0.61 to 5.48)
Country of qualificationUK/IrelandReference0.193Reference0.048Reference0.829Reference0.738
Europe0.60 (0.27 to 1.37)0.48 (0.23 to 0.99)0.98 (0.57 to 1.70)0.73 (0.41 to 1.29)
South Asia0.21 (0.04 to 1.15)0.13 (0.02 to 0.97)0.61 (0.19 to 1.96)0.98 (0.31 to 3.05)
Other0.83 (0.30 to 2.31)0.94 (0.39 to 2.25)0.83 (0.40 to 1.71)1.08 (0.53 to 2.22)
Ethnic groupWhiteReference0.109Reference0.142Reference0.209Reference0.483
Mixed 2.84 (1.15 to 7.04)1.32 (0.60 to 2.92)1.74 (0.79 to 3.81)
Asian1.58 (0.70 to 3.54)0.84 (0.38 to 1.86)1.89 (1.04 to 3.46)0.87 (0.48 to 1.57)
Black6.07 (1.00 to 36.99)2.26 (0.29 to 17.71)2.89 (0.48 to 17.28)0.54 (0.10 to 2.87)
Other0.45 (0.10 to 2.16)0.45 (0.08 to 2.43)1.17 (0.39 to 3.45)1.57 (0.56 to 4.41)
Role/positionGP partnerReference0.177Reference0.153Reference0.005Reference<0.001
Salaried GP1.10 (0.76 to 1.59)0.81 (0.58 to 1.14)0.97 (0.75 to 1.24)1.15 (0.89 to 1.47)
Locum GP1.55 (1.04 to 2.30)1.37 (0.91 to 2.07)1.74 (1.26 to 2.39)2.09 (1.55 to 2.81)
Other0.91 (0.39 to 2.15)0.73 (0.29 to 1.86)1.19 (0.64 to 2.20)1.15 (0.62 to 2.13)
Reported moraleVery low5.77 (1.96 to 17.00)<0.00113.07 (3.72 to 45.88)<0.0016.74 (2.76 to 16.47)<0.0013.49 (1.49 to 8.14)<0.001
Low1.87 (0.65 to 5.38)3.89 (1.13 to 13.34)3.27 (1.38 to 7.74)1.50 (0.66 to 3.45)
Neither low/high0.86 (0.30 to 2.47)2.15 (0.63 to 7.39)1.75 (0.74 to 4.14)0.93 (0.40 to 2.12)
High0.80 (0.27 to 2.39)1.29 (0.36 to 4.60)0.86 (0.36 to 2.08)0.59 (0.25 to 1.40)
Very highReferenceReferenceReferenceReference
  • Adjustment was made for all factors shown in table.

  • *ORs >1 indicate category is more likely to leave direct patient care/reduce hours/take a career break than the reference category.

  • †This group has been excluded from the analysis due to perfect prediction, that is, all over 70 year olds reported being likely to leave direct patient in 5 years and no mixed ethnicity GPs reported being likely to leave direct patient care in 2 years.