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老挝人民民主共和国基于离散选择实验的研究:护生与注册护士对农村工作岗位偏好的差异。

Differences in preferences for rural job postings between nursing students and practicing nurses: evidence from a discrete choice experiment in Lao People's Democratic Republic.

机构信息

Department of Global Health and Population, Harvard School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA.

出版信息

Hum Resour Health. 2013 May 24;11:22. doi: 10.1186/1478-4491-11-22.

DOI:10.1186/1478-4491-11-22
PMID:23705805
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3671159/
Abstract

BACKGROUND

A discrete choice experiment was conducted to investigate preferences for job characteristics among nursing students and practicing nurses to determine how these groups vary in their respective preferences and to understand whether differing policies may be appropriate for each group.

METHODS

Participating students and workers were administered a discrete choice experiment that elicited preferences for attributes of potential job postings. Job attributes included salary, duration of service until promotion to permanent staff, duration of service until qualified for further study and scholarship, housing provision, transportation provision, and performance-based financial rewards. Mixed logit models were fit to the data to estimate stated preferences and willingness to pay for attributes. Finally, an interaction model was fit to formally investigate differences in preferences between nursing students and practicing nurses.

RESULTS

Data were collected from 256 nursing students and 249 practicing nurses. For both groups, choice of job posting was strongly influenced by salary and direct promotion to permanent staff. As compared to nursing students, practicing nurses had significantly lower preference for housing allowance and housing provision as well as lower preference for provision of transportation for work and personal use.

CONCLUSIONS

In the Lao People's Democratic Republic, nursing students and practicing nurses demonstrated important differences in their respective preferences for rural job posting attributes. This finding suggests that it may be important to differentiate between recruitment and retention policies when addressing human resources for health challenges in developing countries, such as Laos.

摘要

背景

本离散选择实验旨在调查护理专业学生和在职护士对工作特征的偏好,以确定这两个群体在各自偏好上的差异,并了解是否对每个群体采用不同的政策可能更为合适。

方法

参与学生和工作人员接受了一项离散选择实验,以了解他们对潜在工作岗位属性的偏好。工作属性包括工资、晋升为永久员工之前的服务期限、有资格进一步学习和获得奖学金之前的服务期限、住房提供、交通提供和基于绩效的财务奖励。混合对数模型被拟合到数据中,以估计偏好和对属性的支付意愿。最后,拟合了一个交互模型,以正式调查护理学生和在职护士之间偏好的差异。

结果

从 256 名护理学生和 249 名在职护士中收集了数据。对于这两个群体,工作岗位的选择都受到工资和直接晋升为永久员工的强烈影响。与护理学生相比,在职护士对住房津贴和住房供应的偏好较低,对工作和个人使用的交通供应的偏好也较低。

结论

在老挝人民民主共和国,护理学生和在职护士对农村工作岗位属性的偏好存在显著差异。这一发现表明,在解决发展中国家(如老挝)的卫生人力资源挑战时,区分招聘和留用政策可能很重要。

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Health professionals for a new century: transforming education to strengthen health systems in an interdependent world.面向新世纪的卫生专业人员:变革教育,以加强相互依存世界中的卫生系统。
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Policy interventions that attract nurses to rural areas: a multicountry discrete choice experiment.吸引护士到农村地区的政策干预措施:一项多国家离散选择实验。
Bull World Health Organ. 2010 May;88(5):350-6. doi: 10.2471/BLT.09.072918.
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