International survey identifies culture and leadership as central radiation oncology retention drivers
Across 53 countries, workforce retention was shaped by culture, leadership, career development, resource strain, recognition and burnout.
Across 53 countries, workforce retention was shaped by culture, leadership, career development, resource strain, recognition and burnout.
Administrative burden and staffing concerns were widespread, while reimbursement dominated private-practice concerns and unstable research funding dominated physician-scientist concerns.
Intent to leave was reported by 51.7%, with team culture, wellbeing and career development independently associated with retention.
Patients generally expected high radiotherapy benefit, but expectations of benefit and adverse events were not significantly correlated.
Adding radiotherapy to systemic treatment was associated with longer overall and progression-free survival without significantly higher acute toxicity.
Commercial insurance, current smoking, single status, and neighborhood disadvantage were independently associated with radiotherapy-related debt sent to collections.