Dokuz Eylul University, Faculty of Medicine, Department of Public Health, Epidemiology Subsection, Izmir, Turkey.
Izmir Katip Çelebi University, Faculty of Medicine, Department of Public Health, Izmir, Turkey.
Prim Health Care Res Dev. 2024 May 31;25:e31. doi: 10.1017/S1463423624000252.
To investigate the job preferences of senior medical students for mandatory service as general practitioners using discrete choice experiment.
Health workforce is directly associated with health service coverage and health outcomes. However, there is a global shortage of healthcare workers (HCWs) in rural areas. Discrete choice experiments can guide the policy and decision-makers to increase recruitment and retention of HCWs in remote and rural areas by determining their job preferences. The aim of this study is to investigate job preferences of senior medical students for mandatory service as general practitioners.
This cross-sectional survey was conducted among 144 medical students. To estimate students' preferences for different levels of job attributes, a mixed logit model was utilised. Simulations of job uptake rates and willingness to pay (WTP) estimates were computed.
All attributes had an impact on the job preferences of students with the following order of priority: salary, workload, proximity to family/friends, working environment, facility and developmental status. For a normal workload and a workplace closed to family/friends which were the most valued attributes after salary, WTPs were 2818.8 Turkish lira (TRY) ($398.7) and 2287.5 TRY ($323.6), respectively. The preference weights of various job characteristics were modified by gender, the presence of a HCW parent and willingness to perform mandatory service. To recruit young physicians where they are most needed, monetary incentives appear to be the most efficient intervention. Non-pecuniary job characteristics also affected job preferences. Packages of both monetary and non-monetary incentives tailored to individual characteristics would be the most efficient approach.
使用离散选择实验调查高年级医学生对作为全科医生进行强制服务的工作偏好。
卫生人力与卫生服务覆盖率和健康结果直接相关。然而，农村地区的医疗保健工作者（HCW）短缺。离散选择实验可以通过确定 HCW 的工作偏好，为政策制定者和决策者提供指导，以增加偏远和农村地区 HCW 的招聘和留用。本研究旨在调查高年级医学生对作为全科医生进行强制服务的工作偏好。
这项横断面调查在 144 名医学生中进行。为了估计学生对不同水平的工作属性的偏好，使用混合逻辑回归模型。计算了工作接受率和支付意愿（WTP）估计值的模拟。
所有属性都对学生的工作偏好产生了影响，优先级如下：工资、工作量、与家人/朋友的距离、工作环境、设施和发展状况。对于工资之后最看重的正常工作量和接近家人/朋友的工作场所，WTP 分别为 2818.8 土耳其里拉（TRY）（398.7 美元）和 2287.5TRY（323.6 美元）。各种工作特征的偏好权重因性别、是否有 HCW 父母以及是否愿意进行强制服务而有所改变。为了在最需要的地方招募年轻医生，金钱激励似乎是最有效的干预措施。非金钱工作特征也会影响工作偏好。针对个人特征量身定制的货币和非货币激励措施相结合的方案将是最有效的方法。
