Doctors' career choices in health systems constrained by national medical exams: A discrete choice experiment

Ramos, Pedro; Alves, Hélio

doi:10.1002/hpm.2608

Cited by 2 publications

(2 citation statements)

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“…Migrations take place mainly from the former eastern bloc countries to the west of the EU. The reasons for migrations differ, but the main reasons are higher incomes and better working conditions . In 2020, the EU alone will need 230 000 more physicians than the number that are or will be available in the labour market .…”

Section: Introductionmentioning

confidence: 99%

“…The reasons for migrations differ, but the main reasons are higher incomes and better working conditions. [2][3][4] In 2020, the EU alone will need 230 000 more physicians than the number that are or will be available in the labour market. 1 According to the data of the World Health Organisation (WHO), the global shortage of physicians is 2.6 million.…”

Section: Introductionmentioning

confidence: 99%

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Slovenian health care system and possibilities for freelance medical specialists

Kušar

Smrke

Bernik

2019

Health Planning & Management

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Summary Introduction The purpose of the article is to present the results of the research aimed at establishing the current situation in the health care system in Slovenia and verifying whether the possibility and support exist for the introduction of a freelance medical specialist. Methods We conducted a survey among physicians and health care managers. The sample framework covered the total population of physicians and health care managers in Slovenia; surveys were completed by 318 physicians and 52 health care managers. Results The results of the quantitative research analysis provided an essential basis for and feedback information about possible areas for improving the current state of the health care system. The conclusions of semistructured interviews also considerably contributed to the elaboration of the freelance medical specialist proposal. Conclusion The findings of the research point out the need for changes in the Slovenian health care system and the support of the research participants in the implementation of the freelance medical specialist proposal. In the participants' opinions, the possibility of introducing freelance medical specialists would change the work organisation, particularly in terms of additional formalised possibilities for practising in the medical profession, which would further contribute to the overall improvement of the health care system.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Slovenian health care system and possibilities for freelance medical specialists

Kušar

Smrke

Bernik

2019

Health Planning & Management

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The impacts of altruism levels on the job preferences of medical students: a cross-sectional study in China

Zhang

Lin

et al. 2023

BMC Med Educ

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Background Rational allocation of human resources for health is crucial for ensuring public welfare and equitable access to health services. Understanding medical students’ job preferences could help develop effective strategies for the recruitment and retention of the health workforce. Most studies explore the relationship between extrinsic incentives and job choices through discrete choice experiments (DCEs). Little attention has been paid to the influence of intrinsic altruism on job choice. This study aimed to explore the heterogeneous preferences of medical students with different levels of altruism regarding extrinsic job attributes. Methods We conducted an online survey with 925 medical students from six hospitals in Beijing from July to September 2021. The survey combined job-choice scenarios through DCEs and a simulation of a laboratory experiment on medical decision-making behavior. Behavioral data were used to quantify altruism levels by estimating altruistic parameters based on a utility function. We fit mixed logit models to estimate the effects of altruism on job preference. Results All attribute levels had the expected effect on job preferences, among which monthly income (importance weight was 30.46%, 95% CI 29.25%-31.67%) and work location (importance weight was 22.39%, 95% CI 21.14%–23.64%) were the most salient factors. The mean altruistic parameter was 0.84 (s.d. 0.19), indicating that medical students’ altruism was generally high. The subgroup analysis showed that individuals with higher altruism levels had a greater preference for non-financial incentives such as an excellent work environment, sufficient training and career development opportunities, and a light workload. The change in the rate of the uptake of a rural position by individuals with lower levels of altruism is sensitive to changes in financial incentives. Conclusions Medical students’ altruism was generally high, and those with higher altruism paid more attention to non-financial incentives. This suggests that policymakers and hospital managers should further focus on nonfinancial incentives to better motivate altruistic physicians, in addition to appropriate economic incentive when designing recruitment and retention interventions. Medical school administrations could attach importance to the promotion of altruistic values in medical education.

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Doctors' career choices in health systems constrained by national medical exams: A discrete choice experiment

Cited by 2 publications

References 28 publications

Slovenian health care system and possibilities for freelance medical specialists

Slovenian health care system and possibilities for freelance medical specialists

The impacts of altruism levels on the job preferences of medical students: a cross-sectional study in China

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