Medicine is a draining profession in itself. Additionally, doctors’ satisfaction with inter- nal factors is much higher than their satisfaction with external factors . We suggest expanding the scope of the study and adding the variable ‘satisfaction with profession’. It could be interesting to investigate whether burnout and stress affect various types of satisfaction. It is possible that among doctors, satisfaction with their profession mediates the relationship between stress and dissatisfaction with the organization.
Additionally, turnover intentions are a form of psychological withdrawal. It should be examined whether, as a result of burnout and dissatisfaction, more serious withdrawal behaviors occur, as was found in many models , or whether among doctors due to their complex and important profession a different with-drawal model occurs.
Doctors may experience challenge stress in major parts of their work. We therefore recommend an indepth examination of the research model that differentiates between hindrance and challenge stressors. We believe that challenge stressors reduce burnout, and thus reduce turnover intentions, both directly and mediated by satisfaction.
The present research was conducted among hospital physicians. Hospitals are bureaucratic organizations, which include numerous stressors that negatively affect employees: overload, lack of independence and rewards, and stressors that stem from the service receivers. We have seen that there are differences rooted in the doctors’ employment base. We recommend examining the research model on physicians in less bureaucratic organizations, and comparing the results.