Effect of Turnover Labor on the Quality of Health Services in the Ministry of Health Institutions in Mecca

Abstract

Background: Service quality and patient outcomes are strongly influenced by the turnover of healthcare personnel. Management of healthcare in Mecca's Ministry of Health (MOH) depends on an awareness of this link.
Methods: 500 healthcare professionals (physicians, nurses, and administrative personnel) were involved in a cross-sectional study spanning MOH institutions in Mecca. Structured questionnaires, interviews, and quality metric analysis gathered the data. Across departments, the study looked at personnel satisfaction, turnover rates, causes for turnover, and quality indicators.
Results: Nurses comprised the largest workforce group (45.0%), followed by physicians (30.0%). Emergency Department showed the highest turnover rate (28.5%), while Administration had the lowest (15.5%). Better career opportunities (29.0%) and work-life balance (25.0%) were primary reasons for turnover. High turnover units demonstrated significantly lower quality metrics compared to low turnover units (p<0.001), including increased medication errors (+165.6%) and longer patient stays (+38.1%). A strong negative correlation (r=-0.92) was found between turnover rates and performance scores.
Conclusion: In Mecca's MOH institutions, especially in acute care departments, labor turnover clearly affects the quality of healthcare provided. The close relationship between quality measurements and turnover rates points to the requirement of focused retention plans and better workforce management practices.