Heterogeneity in physician's job preferences in a dual practice context
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2024 |
| Outros Autores: | , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| Texto Completo: | http://hdl.handle.net/10362/162867 |
Resumo: | Publisher Copyright: © 2023 The Authors |
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Heterogeneity in physician's job preferences in a dual practice contextEvidence from a DCEDiscrete choice experimentsGeneral practiceHealth workforceHeterogeneous job preferencesHospitalMixed logitHealth(social science)History and Philosophy of SciencePublisher Copyright: © 2023 The AuthorsMany countries are facing challenges in recruiting and retaining physicians, particularly in regions where the public and private sectors compete for doctors. Understanding the factors influencing physicians’ job choices can help inform policies aimed at attracting and retaining this valuable workforce. This study aims to elicit the strength of physicians' preferences regarding various job-related aspects, including earnings, time flexibility, discussion of clinical cases, frequency of facilities and equipment updates, training opportunities and autonomy in decision making. To achieve this, a Discrete Choice Experiment (DCE) was administered to 697 physicians. Each participant completed a series of eight choice tasks, where they had to choose between two hypothetical jobs differing in these attributes with levels mirroring positions in the public and private sectors in Portugal. The resulting choices were analysed using mixed logit, generalized multinomial logit and latent classes models to account for diverse unobserved variations in physicians' preferences and to explore preference heterogeneity across different observable characteristics. Jobs that offered more autonomy and training opportunities were strongly preferred, as physicians would require additional compensation to work with reduced autonomy (equivalent to 28.62% of gross income) or less frequent training (equivalent to 22.75%). This study also shows that the ranking of the job characteristics is similar between physicians working exclusively in the public sector and those engaged in dual practice. Nevertheless, public sector physicians place more emphasis on the availability of frequent training possibilities and frequent updates of facilities and equipment compared to their counterparts in dual practice. These findings contribute to existing knowledge by highlighting the significance of non-monetary attributes and shedding light on the preferences of physicians across various employment scenarios. They offer valuable insights for policy development aimed at influencing physicians' allocation of time between sectors.NOVA School of Business and Economics (NOVA SBE)RUNPestana, JoanaFrutuoso, JoãoCosta, EduardoFonseca, Filipa2024-01-30T01:48:23Z2024-022024-02-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/162867eng0277-9536PURE: 82511525https://doi.org/10.1016/j.socscimed.2023.116551info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:45:54Zoai:run.unl.pt:10362/162867Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:59:07.955640Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
| dc.title.none.fl_str_mv |
Heterogeneity in physician's job preferences in a dual practice context Evidence from a DCE |
| title |
Heterogeneity in physician's job preferences in a dual practice context |
| spellingShingle |
Heterogeneity in physician's job preferences in a dual practice context Pestana, Joana Discrete choice experiments General practice Health workforce Heterogeneous job preferences Hospital Mixed logit Health(social science) History and Philosophy of Science |
| title_short |
Heterogeneity in physician's job preferences in a dual practice context |
| title_full |
Heterogeneity in physician's job preferences in a dual practice context |
| title_fullStr |
Heterogeneity in physician's job preferences in a dual practice context |
| title_full_unstemmed |
Heterogeneity in physician's job preferences in a dual practice context |
| title_sort |
Heterogeneity in physician's job preferences in a dual practice context |
| author |
Pestana, Joana |
| author_facet |
Pestana, Joana Frutuoso, João Costa, Eduardo Fonseca, Filipa |
| author_role |
author |
| author2 |
Frutuoso, João Costa, Eduardo Fonseca, Filipa |
| author2_role |
author author author |
| dc.contributor.none.fl_str_mv |
NOVA School of Business and Economics (NOVA SBE) RUN |
| dc.contributor.author.fl_str_mv |
Pestana, Joana Frutuoso, João Costa, Eduardo Fonseca, Filipa |
| dc.subject.por.fl_str_mv |
Discrete choice experiments General practice Health workforce Heterogeneous job preferences Hospital Mixed logit Health(social science) History and Philosophy of Science |
| topic |
Discrete choice experiments General practice Health workforce Heterogeneous job preferences Hospital Mixed logit Health(social science) History and Philosophy of Science |
| description |
Publisher Copyright: © 2023 The Authors |
| publishDate |
2024 |
| dc.date.none.fl_str_mv |
2024-01-30T01:48:23Z 2024-02 2024-02-01T00:00:00Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
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http://hdl.handle.net/10362/162867 |
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http://hdl.handle.net/10362/162867 |
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eng |
| language |
eng |
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0277-9536 PURE: 82511525 https://doi.org/10.1016/j.socscimed.2023.116551 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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