How to attract health students to remote areas in Indonesia: a discrete choice experiment

Efendi, Ferry; Chen, Ching Min; Nursalam, Nursalam; Andriyani, Nurul Wachyu Fitriyah; Kurniati, Anna; Nancarrow, Susan

doi:10.1002/hpm.2289

Cited by 38 publications

(65 citation statements)

References 25 publications

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“…Final year health students viewed a higher salary as a very important attribute. This reinforces previous studies in China [33], which might be due to the fact that they are less satisfied with their salaries. As Chinese health students still value the most fundamental needs, the lowest level of needs in Maslow's theory, that is basic needs for safety [21].…”

Section: Discussionsupporting

confidence: 91%

“…Unlike several studies showing that financial incentives were not found to be most powerful policy levers [13,26,28,31,33,36,38,44]. However, our findings conformed that monthly income had a significant impact on the job choices of undergraduate health students, similar with other studies [10,37,45].…”

Section: Discussionsupporting

confidence: 87%

“…Recently, the use of mixed logit models is increasing [1,10,15,26,[30][31][32][33][34][35][36][37][38] which take the preference heterogeneity among respondents into consideration. The underpinning of discrete choice model is random utility theory, stipulating that respondents as a rational economic individual consider all the relevant information and choose the option that can maximize the utility.…”

Section: Discussionmentioning

confidence: 99%

“…This design generated 2304 (4 2 ×3 2 ×2 4 ) potential scenarios with different combinations of levels of the eight job attributes and 2,653,056 ((2304×2303)/2) potential choice tasks. As this was too many to present to each individual, the number of potential scenarios was reduced by a fractional factorial experiment design using %MktRuns macros of SAS 9.4 to optimize D-efficiency, maximize level balance and orthogonality, and minimize overlap among attributes levels, furthermore a restrictions macro was also used to avoid dominated alternatives [27,33]. Dominance in a DCE means a participant always selected job scenarios on the basis of one attribute.…”

Section: Experimental Design and Choice Set Constructionmentioning

confidence: 99%

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Job preferences for medical and nursing students to work in rural Guizhou Province, China: a discrete choice experiment

Bao¹,

Huang²

2020

Preprint

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Background Maldistribution of health workers between urban and rural areas has been a critical difficulty in China. The shortage of health workers in disadvantaged areas reduces access to essential health services delivery, and adversely affects the population health. Policies on attracting health workers to locate in rural areas are needed to be explored. In order to identify the appropriate incentives, we conducted a discrete choice experiment to determine how specific job attributes might be valued by final year students in medical university in Guizhou Province, China. Methods Attributes of potential job were developed through literature review, in-depth semi-structured interviews and pretest. Salary, education opportunity, transportation, job location, workload, essential equipment, medical order, and identification ('bianzhi') were included. The questionnaire was formulated through a fractional factorial experiment design using %MktRuns macros of SAS 9.4. All medical and nursing students in the final year at Guizhou Medical University were invited to participate in the study. Mixed logit model was used to estimate stated preferences of attributes. Willingness to pay and uptake rates for a defined job were also calculated based on the mixed logit estimates. Results The final sample comprised 787 respondents, including 388 medical students and 399 nursing students. Attributes were statistically significant (with the exception of once every two years for education opportunity) and had expected signs. The results indicate that physical conflict between doctors and patients and identification ('bianzhi') were two of the most important non-monetary job characteristics for both medical and nursing students. And nursing students placed more value on identification ('bianzhi'). Policy simulation suggests that as for the individual incentive respondents were most sensitive to salary increasing. Incentive packages effects were stronger for students from rural background. Conclusions Strategies on medical order, identification ('bianzhi') and salary should be considered to attract final year medical and nursing students to work in rural areas. In addition, specific recruitment policy design tailored for subgroups should be taken into account.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Experimental Design and Choice Set Constructionmentioning

confidence: 99%

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Job preferences for medical and nursing students to work in rural Guizhou Province, China: a discrete choice experiment

Bao¹,

Huang²

2020

Preprint

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“…Apesar de esse atributo se mostrar relevante em diversos experimentos de preferência declarada 16,19,20 , no presente estudo sua importância se mostrou ainda maior, o que também foi encontrado em experimentos com estudantes realizados em Gana 20 e na Indonésia 36 . Isso pode ser atribuído à falta de vivência, por parte dos estudantes, da realidade do trabalho como médicos, em que outros atributos passam a ser mais valorizados.…”

Section: Discussão E Conclusãounclassified

Preferências para o trabalho na atenção primária por estudantes de medicina em Minas Gerais, Brasil: evidências de um experimento de preferência declarada

et al. 2017

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Este artigo tem por objetivo apresentar os resultados da aplicação de um experimento de preferência declarada (DCE - discrete choice experiment) realizado em 2012 com 277 estudantes do último ano dos cursos de medicina do Estado de Minas Gerais, Brasil. O experimento permitiu investigar as preferências dos estudantes sobre o trabalho futuro como médicos na atenção primária à saúde, com base em de cenários de emprego hipotéticos que visavam aferir a probabilidade de deslocamento para áreas com escassez de médicos. A aplicação do DCE envolveu (i) uma etapa qualitativa para definição dos atributos e seus respectivos níveis que comporiam os cenários de emprego, (ii) uma etapa de construção e aplicação do instrumento e (iii) uma etapa de análise com a aplicação de logit multinomial de probabilidade condicional para estimativa dos pesos de cada atributo e construção de cenários de probabilidade de escolha. Os resultados apontaram que o atributo do emprego que mais impactou a escolha dos respondentes foi o de localização do trabalho, seguido por condições de trabalho, remuneração, acesso à residência médica, tipo de vínculo e carga de trabalho. Constatou-se que os entrevistados de faculdades privadas, com maior renda familiar e do sexo feminino, em geral, têm maior resistência para deslocar-se para as regiões urbanas inseguras e áreas remotas do interior. Os cenários de emprego que se mostraram mais plausíveis em termos de intervenção pública foram aqueles que combinavam os salários de valores intermediários, boas condições de trabalho e obtenção de 10 a 20 pontos adicionais nos exames de residência médica.

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Dairy workers' preferences for compensatory benefits: A field choice experiment with US immigrants and students

Caputo

Kaminski

Porter

2023

J of Agr & App Econ Assoc

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We designed a discrete choice experiment to elicit preferences for compensatory benefits among two sets of workers in the dairy sector: immigrants and US college students planning to work in the sector. We find that immigrants rank benefits as follows (highest to lowest): retirement plan, health insurance, milk quality incentive bonus, housing assistance, and a bonus meat allotment. Immigrant workers are willing to pay more for a retirement plan and health insurance than college students. Neither group prefers to work more than 48 h per week. Our findings inform ongoing debates on the role of immigrant and industry‐trained dairy workers.

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How to attract health students to remote areas in Indonesia: a discrete choice experiment

Cited by 38 publications

References 25 publications

Job preferences for medical and nursing students to work in rural Guizhou Province, China: a discrete choice experiment

Job preferences for medical and nursing students to work in rural Guizhou Province, China: a discrete choice experiment

Preferências para o trabalho na atenção primária por estudantes de medicina em Minas Gerais, Brasil: evidências de um experimento de preferência declarada

Dairy workers' preferences for compensatory benefits: A field choice experiment with US immigrants and students

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