What do hospital consultants value about their jobs? A discrete choice experiment

Ubach, Cristina; Scott, Anthony; French, Fiona; Awramenko, Morag; Needham, Gillian

doi:10.1136/bmj.326.7404.1432

Cited by 84 publications

(69 citation statements)

References 8 publications

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“…Os DCE têm sido aplicados em diversos países para fundamentar decisões em relação às políticas de saúde, planejamento e alocação de recursos, sobretudo para orientar políticas de atração e retenção de recursos humanos em saúde em áreas de maior necessidade 11,12,13,14 . Em anos recentes, registrou-se um uso crescente desta técnica 15,16,17,18,19,20,21,22,23,24,25 .…”

Section: Introductionunclassified

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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Section: Introductionunclassified

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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“…However, this may depend on study context (Ryan and Gerard, 2002), and there is some evidence that some respondents may not trade-off attributes, but adopt simpler decision heuristics (Scott, 2002;Lloyd, 2003). Although the choices presented to respondents are hypothetical, this allows researchers to have complete control over experimental design and ensures statistical robustness (Ubach et al, 2003). An important question with any stated preference technique is that of external validity: would respondents make the same choices in reality?…”

Section: Discussionmentioning

confidence: 99%

A discrete choice experiment of preferences for genetic counselling among Jewish women seeking cancer genetics services

et al. 2006

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To determine which aspects of breast cancer genetic counselling are important to Ashkenazi Jewish women, a discrete choice experiment was conducted. Participants consisted of 339 Australian Ashkenazi Jewish women who provided a blood sample for research used to test for Ashkenazi Jewish ancestral mutations in the genes BRCA1 and BRCA2, and were offered their genetic test result through a cancer genetics service. Main outcome measures were women's preferences for, and trade-offs between, the genetic counselling aspects of providing cancer, gene, and risk information (information); giving advice about cancer surveillance (surveillance); preparing for genetic testing (preparation); and, assistance with decision-making (direction). Respondents most valued information, about twice as much as advice about surveillance, four times as much as preparation for testing, and nine times as much as assistance with decision-making, which was least valued. Women's preferences were consistent with the major goals of genetic counselling, which include providing information and surveillance advice, and avoiding direction by facilitating autonomous decision-making. There were differences between the women in which aspects they most favoured, suggesting that counselling that elicits and responds to clients' preferences is more likely to meet clients' needs.

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“…While it is common practise to drop subjects who fail (some) consistency checks (e.g. Ryan and Farrar, 2000;Ubach et al, 2003;Wordswort et al, 2006), Özdemir et al (2010) raise concern about this practise in case specific subgroups fail consistency tests disproportionately. Therefore, key characteristics of the full sample need to be compared to the values in the subsample after consistency analysis.…”

Section: Modelling Resultsmentioning

confidence: 99%

Crowding Externalities from Tourist Use of Urban Space

2012

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Popular urban tourist destinations are attracting large numbers of both overnight visitors and excursionists. Since urban cities perform a multitude of functions, the space requirements of tourists can, at times, interfere with those of local users. This paper addresses the issue of disutilities of space congestion through a dichotomous choice experiment model in order to offer a monetary valuation of tourist crowding in urban public space. A resident survey was carried out in the city of Amsterdam in order to estimate a random parameter logit model through which the residents' willingness to pay to avoid unfavourable crowding situations could be assessed. Their willingness to pay in order to increase the use levels by visitors in the Dam area from 'not at all crowded' or 'not crowded' to 'crowded' was, respectively, €1.36 and €0.83 annually, while the mean willingness to pay for a decline in the use level from 'very crowded' to 'crowded' was estimated to be €11.06 a year. While tourism is only partly responsible for these crowding levels, the results demonstrate that the social effects of tourist consumption can be positive as well as negative, depending on the existing use level and attitudinal perceptions of residents.

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What do hospital consultants value about their jobs? A discrete choice experiment

Abstract: Objective To examine the strength of hospital consultants' preferences for various aspects of their work.

Cited by 84 publications

References 8 publications

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

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

A discrete choice experiment of preferences for genetic counselling among Jewish women seeking cancer genetics services

Crowding Externalities from Tourist Use of Urban Space

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