Remuneraciones, beneficios e incentivos laborales percibidos por trabajadores del sector salud en el Perú: análisis comparativo entre el Ministerio de Salud y la Seguridad Social, 2009

Pardo, Karim; Andia, Marcelino; Rodriguez, Amado; Pérez, Walter; Moscoso, Betsy

doi:10.1590/s1726-46342011000200024

Cited by 6 publications

(4 citation statements)

References 10 publications

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“…Peruvian health professionals’ wages decreased enormously, in particular during the economic crisis that Peru faced in recent decades, [36]–[38], and have not yet been completely reversed. Moreover, within the public health sector, higher salaries are observed for those who work for EsSalud, Peru’s social security system, compared with those who work for the Ministry of Health [39], and the latter is by far the main provider of the health workforce for rural areas. In urban areas, dual practice is a widespread activity that is well-accepted as a mean of financial income generation [40].…”

Section: Discussionmentioning

confidence: 99%

Stated Preferences of Doctors for Choosing a Job in Rural Areas of Peru: A Discrete Choice Experiment

Miranda

Diez-Canseco

Lema³

et al. 2012

PLoS ONE

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BackgroundDoctors’ scarcity in rural areas remains a serious problem in Latin America and Peru. Few studies have explored job preferences of doctors working in underserved areas. We aimed to investigate doctors’ stated preferences for rural jobs.Methods and FindingsA labelled discrete choice experiment (DCE) was performed in Ayacucho, an underserved department of Peru. Preferences were assessed for three locations: rural community, Ayacucho city (Ayacucho’s capital) and other provincial capital city. Policy simulations were run to assess the effect of job attributes on uptake of a rural post. Multiple conditional logistic regressions were used to assess the relative importance of job attributes and of individual characteristics. A total of 102 doctors participated. They were five times more likely to choose a job post in Ayacucho city over a rural community (OR 4.97, 95%CI 1.2; 20.54). Salary increases and bonus points for specialization acted as incentives to choose a rural area, while increase in the number of years needed to get a permanent post acted as a disincentive. Being male and working in a hospital reduced considerably chances of choosing a rural job, while not living with a partner increased them. Policy simulations showed that a package of 75% salary increase, getting a permanent contract after two years in rural settings, and getting bonus points for further specialisation increased rural job uptake from 21% to 77%. A package of 50% salary increase plus bonus points for further specialisation would also increase the rural uptake from 21% to 52%.ConclusionsDoctors are five times more likely to favour a job in urban areas over rural settings. This strong preference needs to be overcome by future policies aimed at improving the scarcity of rural doctors. Some incentives, alone or combined, seem feasible and sustainable, whilst others may pose a high fiscal burden.

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Section: Discussionmentioning

confidence: 99%

Stated Preferences of Doctors for Choosing a Job in Rural Areas of Peru: A Discrete Choice Experiment

Miranda

Diez-Canseco

Lema³

et al. 2012

PLoS ONE

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“…Due to a more excellent scientific "value" (erroneously perceived by the wider scientific community) and the broader visibility of the positivist approach compared to the socio-phenomenological approach, it would be easier for doctors to disseminate their results research. Another key factor could be the difference in the access to research funding or the facilities to conduct ad honorem (non-profit) scientific research that doctors would have since they earn a higher income [46]. However, these are only hypotheses.…”

Section: Discussionmentioning

confidence: 99%

Disparities in scientific research activity between doctors and nurses working in the Peruvian health care system: Analysis of a nationally representative sample

et al. 2022

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Aim To evaluate disparities in the frequency of scientific activity between medical doctors and nurses in Peru. Methods We carried out a secondary data analysis of the National Health Services Users’ Satisfaction Survey (ENSUSALUD), 2016. This nationally representative survey evaluates doctors and nurses working in clinical settings. We defined scientific activity as i) having published an original article (journal indexed in Web of Science, Scopus or Medline); and ii) having authored an abstract in a national or international conference. We estimated crude and adjusted disparities prevalence ratios (aDPR) and 95% confidence intervals (95%CI). Results We included 2025 doctors and 2877 nurses in the analysis; 71% of doctors doctor were male, and 93% of nurses were female (p<0.001). Among doctors, 13.9% had published an article, and 8.4% presented an abstract at a conference in the last two years, while these proportions were 0.6% and 2.5% for nurses, respectively. The adjusted models showed that doctors, when compared to nurses, were approximately 27 times likely to have published a paper (aDPR = 27.86; 95% CI 10.46 to 74.19) and twice as likely to have authored a conference abstract (aDPR = 2.51; 95% CI 1.39 to 4.53). Conclusions There are important disparities in scientific activity between doctors and nurses working in clinical settings in Peru. Disparities are more significant for article publication than for authoring in conference abstracts. We suggest public policies that promote research dissemination between health professionals, with emphasis on nurses.

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“…In Peru, health professionals working at the Ministry of Health earn substantially lower wages than those serving in the Social Security, a fact that leads to a substantial health workforce migration from the former to the latter sector [ 54 ]. This salary gap should be addressed when planning attraction and retention strategies in developing settings with three-tiered health systems [ 55 - 57 ].…”

Section: Discussionmentioning

confidence: 99%

Factors behind job preferences of Peruvian medical, nursing and midwifery students: a qualitative study focused on rural deployment

et al. 2015

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BackgroundDeployment of health workforce in rural areas is critical to reach universal health coverage. Students’ perceptions towards practice in rural areas likely influence their later choice of a rural post. We aimed at exploring perceptions of students from health professions about career choice, job expectations, motivations and potential incentives to work in a rural area.MethodsIn-depth interviews and focus groups were conducted among medical, nursing and midwifery students from universities of two Peruvian cities (Ica and Ayacucho). Themes for assessment and analysis included career choice, job expectations, motivations and incentives, according to a background theory a priori built for the study purpose.ResultsPreference for urban jobs was already established at this undergraduate level. Solidarity, better income expectations, professional and personal recognition, early life experience and family models influenced career choice. Students also expressed altruism, willingness to choose a rural job after graduation and potential responsiveness to incentives for practising in rural areas, which emerged more frequent from the discourse of nursing and midwifery students and from all students of rural origin. Medical students expressed expectations to work in large urban hospitals offering higher salaries. They showed higher personal, professional and family welfare expectations. Participants consistently favoured both financial and non-financial incentives.ConclusionsNursing and midwifery students showed a higher disposition to work in rural areas than medical doctors, which was more evident in students of rural origin. Our results may be useful to improve targeting and selection of undergraduate students, to stimulate the inclination of students to choose a rural job upon graduation and to reorient school programmes towards the production of socially committed health professionals. Policymakers may also consider using our results when planning and implementing interventions to improve rural deployment of health professionals.

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Remuneraciones, beneficios e incentivos laborales percibidos por trabajadores del sector salud en el Perú: análisis comparativo entre el Ministerio de Salud y la Seguridad Social, 2009

Cited by 6 publications

References 10 publications

Stated Preferences of Doctors for Choosing a Job in Rural Areas of Peru: A Discrete Choice Experiment

Stated Preferences of Doctors for Choosing a Job in Rural Areas of Peru: A Discrete Choice Experiment

Disparities in scientific research activity between doctors and nurses working in the Peruvian health care system: Analysis of a nationally representative sample

Factors behind job preferences of Peruvian medical, nursing and midwifery students: a qualitative study focused on rural deployment

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