a Department of Management , Bar-Ilan University , Ramat-Gan , Israel.
b Internal Medicine department "T" , Chaim Sheba Medical Center in Tel-Ha'Shomer , Ramat-Gan , Israel.
Med Teach. 2017 May;39(5):548-554. doi: 10.1080/0142159X.2017.1297891. Epub 2017 Mar 10.
In an attempt to address severe medical manpower shortages in several medical disciplines, the Israeli Ministry of Health offered grants to residents who chose one of these fields.
A total of 220 residents from various disciplines were surveyed on demographic, academic, and professional data, and asked to rank considerations in the choice of their field of residency.
Residents in targeted fields attributed significantly more importance to the grant in their decision-making process (U = 3704.5, p < 0.001). This effect remained significant in a multivariate model (OR 1.67, 95%CI 1.32-2.10, p < 0.001). Higher age (OR 1.15, 95%CI 1.01-1.31, p = 0.031) and attribution of significance to the working conditions compared to other residency fields (OR 1.69, 95%CI 1.23-2.32, p = 0.001) were significantly associated with receptivity toward the grant in a multivariate analysis.
Receptivity toward the offered grants correlated with real-life data shows a rise in physician in these fields, and the weak association between such receptivity and most variables tested may suggest that the grants were perceived as a property of the specific choice rather than a special bonus.
Grants may be useful in diverting medical manpower. Further analysis and modeling are required to determine causal relationship and budgetary feasibility.
为了解决几个医学学科严重的医疗人力短缺问题，以色列卫生部向选择这些领域之一的住院医师提供补助金。
对来自不同学科的 220 名住院医师进行了人口统计学、学术和专业数据调查，并要求他们对选择住院医师领域的考虑因素进行排名。
目标领域的住院医师在决策过程中对补助金的重视程度显著更高（U=3704.5，p<0.001）。在多变量模型中，这种影响仍然显著（OR 1.67，95%CI 1.32-2.10，p<0.001）。较高的年龄（OR 1.15，95%CI 1.01-1.31，p=0.031）和将工作条件与其他住院医师领域相比较（OR 1.69，95%CI 1.23-2.32，p=0.001）被认为与对补助金的接受程度显著相关。
对提供补助金的接受程度与实际数据相关，表明这些领域的医生人数有所增加，而这种接受程度与大多数测试变量之间的弱关联可能表明，补助金被视为特定选择的属性，而不是特殊奖金。
补助金可能有助于转移医疗人力。需要进一步分析和建模来确定因果关系和预算可行性。
