Rural practice preferences among medical students in Ghana: a discrete choice experiment.
OBJECTIVE: To determine how specific job attributes influenced fourth year medical students' stated preference for hypothetical rural job postings in Ghana. METHODS: Based on discussions with medical student focus groups and physicians in practice and in the Ministry of Health, we created a discrete...
| Publicado en: | Bulletin of the World Health Organization Vol. 88; no. 5; pp. 333 - 342 |
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| Autores principales: | , , , , , , , , , |
| Formato: | equations & formulas research tables/charts Journal Article |
| Publicado: |
World Health Organization
May2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105019767&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105019767 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00429686 BUW jtl: Bulletin of the World Health Organization issn: 00429686 maglogo: N pubinfo: dt: May2010 vid: 88 iid: 5 pid: 437 pub: World Health Organization artinfo: ui: 105019767 2010675811 10.2471/BLT.09.072892 NLM20458371 PMC2865662 105019767 ppf: 333 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Rural practice preferences among medical students in Ghana: a discrete choice experiment. aug: au: Kruk ME Johnson JC Gyakobo M Agyei-Baffour P Asabir K Kotha SR Kwansah J Nakua E Snow RC Dzodzomenyo M affil: Department of Health Management and Policy, University of Michigan School of Public Health, 1415 Washington Heights M3166 SPH II, Ann Arbor, MI 48109, United States of America. mkruk@umich.edu sug: subj: Employment Ghana Students, Medical Ghana Adult Chi Square Test Confidence Intervals Contracts Data Analysis Software Descriptive Statistics Employee Incentive Programs Exploratory Research Female Focus Groups Funding Source Ghana Housing Human Logistic Regression Male Questionnaires Rural Areas Salaries and Fringe Benefits Surveys Univariate Statistics Adult: 19-44 years Female Male ab: OBJECTIVE: To determine how specific job attributes influenced fourth year medical students' stated preference for hypothetical rural job postings in Ghana. METHODS: Based on discussions with medical student focus groups and physicians in practice and in the Ministry of Health, we created a discrete choice experiment (DCE) that assessed how students' stated preference for certain rural postings was influenced by various job attributes: a higher salary, free superior housing, an educational allowance for children, improved equipment, supportive management, shorter contracts before study leave and a car. We conducted the DCE among all fourth year medical students in Ghana using a brief structured questionnaire and used mixed logit models to estimate the utility of each job attribute. FINDINGS: Complete data for DCE analysis were available for 302 of 310 (97%) students. All attribute parameter estimates differed significantly from zero and had the expected signs. In the main effects mixed logit model, improved equipment and supportive management were most strongly associated with job preference (beta = 1.42; 95% confidence interval, CI: 1.17 to 1.66, and beta = 1.17; 95% CI: 0.96 to 1.39, respectively), although shorter contracts and salary bonuses were also associated. Discontinuing the provision of basic housing had a large negative influence (beta = -1.59; 95% CI: -1.88 to -1.31). In models including gender interaction terms, women's preferences were more influenced by supportive management and men's preferences by superior housing. CONCLUSION: Better working conditions were strongly associated with the stated choice of hypothetical rural postings among fourth year Ghanaian medical students. Studies are needed to find out whether job attributes determine the actual uptake of rural jobs by graduating physicians. © World Health Organization 2010. All rights reserved. pubtype: Academic Journal doctype: equations & formulas research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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