2023-09-28 14:46:10 +00:00
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abstract: 'Although the number of medical workers has increased rapidly, its
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scarcity in rural areas remains a serious problem in China. This study
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aimed to investigate medical students'' stated preferences when choosing
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a job, so as to assist policy makers with designing alternative
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interventions to address the unbalanced distribution of the health
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workforce in China.
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A discrete choice experiment (DCE) was conducted to elicit the job
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preferences of final year medical students. Attributes include work
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location, hospital type, monthly income, bianzhi (which can be loosely
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regarded as state administrative staffing), work environment, Training
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and career development opportunity. This study was carried out during
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April to June 2017 in 4 medical universities in Shandong Province,
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China. Mixed logit models were used to analyze the relative importance
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of job attributes.
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A total of 519 medical students participated in the survey. All 6
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attributes were statistically significant with the expected sign and
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demonstrated the existence of preference heterogeneity. In the main
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effects mixed logit model, working in the city and a superior working
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environment were most strongly associated with job preference. A
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relatively unexpected finding was the relatively lower utility of
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offering bianzhi in job preferences. Subgroup analysis showed that
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females and those who have an urban background were significantly
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willing to pay more for working in the city. The most preferred scenario
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for medical students was to select a better work environment job in a
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tertiary hospital in the city, which could offer 9000 CNY monthly, with
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sufficient training and career development opportunities and bianzhi.
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Both monetary and nonmonetary intervention could be considered by policy
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makers to attract medical students to work in rural areas in China.
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There exists preference heterogeneity on medical students'' job
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preferences, which should also be taken into account in developing more
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effective policy incentive packages.'
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affiliation: 'Li, SP (Corresponding Author), Shandong Univ, Sch Hlth Care Management,
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44 Wenhua Xi Rd, Jinan 250012, Shandong, Peoples R China.
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Li, SP (Corresponding Author), Shandong Univ, NHC Key Lab Hlth Econ \& Policy Res,
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44 Wenhua Xi Rd, Jinan 250012, Shandong, Peoples R China.
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Liu, Shimeng; Li, Shunping; Liu, Tongtong, Shandong Univ, Sch Hlth Care Management,
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44 Wenhua Xi Rd, Jinan 250012, Shandong, Peoples R China.
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Liu, Shimeng; Li, Shunping; Liu, Tongtong, Shandong Univ, NHC Key Lab Hlth Econ
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\& Policy Res, 44 Wenhua Xi Rd, Jinan 250012, Shandong, Peoples R China.
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Yang, Renyong, Jining Med Univ, Dept Finance, Jining, Peoples R China.
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Chen, Gang, Flinders Univ S Australia, Coll Med \& Publ Hlth, Adelaide, SA, Australia.'
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article-number: e12358
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author: Liu, Shimeng and Li, Shunping and Yang, Renyong and Liu, Tongtong and Chen,
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Gang
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author-email: lishunping@sdu.edu.cn
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author_list:
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- family: Liu
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given: Shimeng
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- family: Li
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given: Shunping
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- family: Yang
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given: Renyong
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- family: Liu
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given: Tongtong
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- family: Chen
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given: Gang
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da: '2023-09-28'
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doi: 10.1097/MD.0000000000012358
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eissn: 1536-5964
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files: []
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issn: 0025-7974
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journal: MEDICINE
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keywords: 'China; discrete choice experiment; inequality; job preference; medical
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students; mixed logit model'
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keywords-plus: HEALTH-CARE; REMOTE AREAS; POLICY
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language: English
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month: SEP
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number: '38'
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number-of-cited-references: '44'
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papis_id: 13b87784df63a3680fbb9c67256b4846
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ref: Liu2018jobpreferences
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times-cited: '8'
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title: Job preferences for medical students in China A discrete choice experiment
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000449338200043
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usage-count-last-180-days: '2'
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usage-count-since-2013: '22'
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volume: '97'
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web-of-science-categories: Medicine, General \& Internal
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year: '2018'
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