2023-09-28 14:46:10 +00:00
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abstract: 'Background One of the biggest barriers to accessing safe surgical and
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anesthetic care is lack of trained providers. Uganda has one of the
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largest deficits in anesthesia providers in the world, and though they
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are increasing in number, they remain concentrated in the capital city.
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Salary is an oft-cited barrier to rural job choice, yet the size and
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sources of anesthesia provider incomes are unclear, and so the potential
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income loss from taking a rural job is unknown. Additionally, while
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salary augmentation is a common policy proposal to increase rural job
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uptake, the relative importance of non-monetary job factors in job
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choice is also unknown. Methods A survey on income sources and
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magnitude, and a Discrete Choice Experiment examining the relative
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importance of monetary and non-monetary factors in job choice, was
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administered to 37 and 47 physician anesthesiologists in Uganda, between
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May-June 2019. Results No providers worked only at government jobs.
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Providers earned most of their total income from a non-government job
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(50\% of income, 23\% of working hours), but worked more hours at their
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government job (36\% of income, and 44\% of working hours). Providers
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felt the most important job attributes were the quality of the facility
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and scope of practice they could provide, and the presence of a
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colleague (33\% and 32\% overall relative importance). These were more
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important than salary and living conditions (14\% and 12\% importance).
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Conclusions No providers accepted the salary from a government job
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alone, which was always augmented by other work. However, few providers
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worked only nongovernment jobs. Non-monetary incentives are powerful
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influencers of job preference, and may be leveraged as policy options to
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attract providers. Salary continues to be an important driver of job
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choice, and jobs with fewer income generating opportunities (e.g.
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private work in rural areas) are likely to need salary augmentation to
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attract providers.'
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affiliation: 'Law, TJ (Corresponding Author), Univ Calif San Francisco, Dept Anesthesia
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\& Perioperat Care, Div Global Hlth Equ, 1001 Potrero Ave,Bldg 5,Ward 3C, San Francisco,
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CA 94110 USA.
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Law, Tyler J.; Lipnick, Michael S., Univ Calif San Francisco, Dept Anesthesia \&
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Perioperat Care, Div Global Hlth Equ, 1001 Potrero Ave,Bldg 5,Ward 3C, San Francisco,
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CA 94110 USA.
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Subhedar, Shivani, Univ Calif San Francisco, Inst Global Hlth Sci, San Francisco,
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CA 94132 USA.
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Bulamba, Fred; Hewitt-Smith, Adam, Busitema Univ, Fac Hlth Sci, Dept Anesthesia
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\& Crit Care, Tororo, Uganda.
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O''Hara, Nathan N., Univ Maryland, Sch Med, Dept Orthopaed, Baltimore, MD 21201
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USA.
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Nabukenya, Mary T.; Sendagire, Cornelius; Tumukunde, Janat, Makerere Univ, Coll
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Hlth Sci, Dept Anaesthesia, Kampala, Uganda.'
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article-number: '93'
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author: Law, Tyler J. and Subhedar, Shivani and Bulamba, Fred and O'Hara, Nathan N.
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and Nabukenya, Mary T. and Sendagire, Cornelius and Hewitt-Smith, Adam and Lipnick,
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Michael S. and Tumukunde, Janat
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author-email: tyler.law@ucsf.edu
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author_list:
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- family: Law
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given: Tyler J.
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- family: Subhedar
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given: Shivani
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- family: Bulamba
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given: Fred
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- family: O'Hara
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given: Nathan N.
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- family: Nabukenya
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given: Mary T.
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- family: Sendagire
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given: Cornelius
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- family: Hewitt-Smith
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given: Adam
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- family: Lipnick
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given: Michael S.
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- family: Tumukunde
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given: Janat
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da: '2023-09-28'
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doi: 10.1186/s12960-021-00634-8
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eissn: 1478-4491
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files: []
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journal: HUMAN RESOURCES FOR HEALTH
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keywords: 'Anesthesia; Rural; Uganda; Surgery; Discrete choice experiment; Salary;
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Income; Incentive'
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keywords-plus: 'HEALTH-WORKERS; SURGICAL CARE; RETENTION; WORKFORCE; INCENTIVES;
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MIGRATION; DOCTORS; REMOTE'
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language: English
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month: JUL 28
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number: '1'
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number-of-cited-references: '41'
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orcid-numbers: 'Law, Tyler/0000-0002-6141-4026
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Subhedar, Shivani/0000-0001-9606-6490'
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papis_id: 503ad7e49e4351a340e5ac5f1a98273b
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ref: Law2021factorsaffecting
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researcherid-numbers: 'Law, Tyler/AFN-4323-2022
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'
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times-cited: '4'
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title: 'Factors affecting job choice among physician anesthesia providers in Uganda:
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a survey of income composition, discrete choice experiment, and implications for
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the decision to work rurally'
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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:000678583800001
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usage-count-last-180-days: '5'
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usage-count-since-2013: '13'
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volume: '19'
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web-of-science-categories: Health Policy \& Services; Industrial Relations \& Labor
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year: '2021'
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