Rana Sana Azmat, Sarfraz Mariyam, Kamran Irum, Jadoon Huma
Department of Public Health, Health Services Academy, Quaid-e-Azam University, Islamabad, Pakistan.
Department of Community Medicine, Ayub Medical College, Abbottabad, Pakistan.
J Ayub Med Coll Abbottabad. 2016 Jul-Sep;28(3):591-596.
Developing countries are faced with acute shortages of human resources in rural/remote areas. Decisions of human resources for health to work in rural areas are influenced by many financial and non-financial factors. This study focused on preferences of doctors for working in rural and resource constrained areas of Pakistan.
The study was based on qualitative research techniques. Focus group discussions (FGDs) were conducted with final year medical students and house officers and In-depth Interviews (IDIs) with senior health managers of Islamabad Capital Territory (ICT). Results were analyzed using qualitative content analysis technique to present the findings.
The results showed that quality of facilities; career development, lack of incentives, quality of life, and lack of connectivity between rural and urban health facilities, transportation services and governance issues are some of the main factors identified by young doctors of ICT that contribute in their decision of choosing a certain job or not in rural areas.
Study results show the indepth detail of deciding factors for attracting and retaining health workforce in rural areas. These can be used for designing DCE (Discrete Choice Experiment) questionnaire to further analyze the preference incentive packages for attracting doctors to work in rural Islamabad.
发展中国家农村/偏远地区面临人力资源严重短缺的问题。卫生人力资源在农村地区工作的决策受到许多财务和非财务因素的影响。本研究聚焦于巴基斯坦医生在农村及资源受限地区工作的偏好。
本研究基于定性研究方法。对最后一年的医学生和住院医师进行了焦点小组讨论（FGD），并对伊斯兰堡首都地区（ICT）的高级卫生管理人员进行了深入访谈（IDI）。使用定性内容分析技术对结果进行分析以呈现研究发现。
结果表明，设施质量、职业发展、缺乏激励措施、生活质量、农村与城市卫生设施之间缺乏连通性、交通服务以及治理问题是ICT年轻医生确定的一些主要因素，这些因素影响他们是否选择在农村地区工作的决定。
研究结果显示了吸引和留住农村地区卫生人力的决定因素的详细情况。这些可用于设计离散选择实验（DCE）问卷，以进一步分析吸引医生到伊斯兰堡农村地区工作的偏好激励方案。
