What are the job attribute preferences of physicians and nurses in Türkiye? Evidence from a discrete choice experiment

Human Resources for Health

Research

Bayram Şahin¹  Elif İşlek² 

[1] Faculty of Economics and Administrative Sciences, Department of Healthcare Management, Hacettepe University, Beytepe, Çankaya, 06800, Ankara, Türkiye;Faculty of Health Sciences, Department of Social Work, Bartın University, Ağdacı mah, Merkez, 74100, Bartın, Türkiye;

关键词: Human resources for health;    Türkiye;    Discrete choice experiment;    Nurse;    Physician;    Incentive;    Job preference;    Willingness to Pay;   

DOI  :  10.1186/s12960-023-00826-4

 received in 2023-02-25, accepted in 2023-05-15,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundIn Türkiye, as in other countries, the maldistribution of the health workforce is a serious concern. Although policymakers have developed various incentive packages, this problem has not been thoroughly addressed yet. Discrete choice experiment (DCE) is a valuable method to provide evidence-based information for these incentive packages to attract healthcare staff for rural jobs. The main aim of this study is to investigate the stated preferences of physicians and nurses when choosing a job region.MethodsA labelled DCE was conducted to assess job preferences of physicians and nurses from two hospitals one of which is urban, and the other is in a rural region in Türkiye Job attributes included wage, creche, infrastructure, workload, education opportunity, housing, and career opportunity. Mixed logit model was used to analyse the data.ResultsThe strongest attribute associated with job preferences was region (coefficient − 3.06, [SE 0.18]) for physicians (n = 126) and wages (coefficient 1.02, [SE 0.08]) for nurses (n = 218). According to the Willingness to Pay (WTP) calculations, while the physicians claimed 8627 TRY (1,813 $), the nurses claimed 1407 TRY (296 $) in addition to their monthly salaries to accept a rural job.ConclusionBoth financial and non-financial factors did affect the preferences of physicians and nurses. These DCE results provide information for policymakers about what characteristics might increase the motivation of physicians and nurses to work in rural areas in Türkiye.

【 授权许可】

CC BY   
© The Author(s) 2023