Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Human Resources for Health
Published in: Human Resources for Health 1/2023

Open Access 01-12-2023 | Research

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

Authors: Elif İşlek, Bayram Şahin

Published in: Human Resources for Health | Issue 1/2023

Login to get access

Abstract

Background

In 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.

Methods

A 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.

Results

The 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.

Conclusion

Both 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.
Appendix
Available only for authorised users
Literature
1.
2.
3.
4.
5.
6.
Lehmann U, Dieleman M, Martineau T. Staffing remote rural areas in middle-and low-income countries: a literature review of attraction and retention. BMC Health Serv Res. 2008;8(1):19.CrossRefPubMedPubMedCentral
7.
8.
9.
10.
Sempowski IP. Effectiveness of financial incentives in exchange for rural and underserviced area return-of-service commitments: systematic review of the literature. Can J Rural Med. 2004;9(2):82–8.PubMed
11.
12.
Sağır T. İşletmelerde motivasyon uygulamaları. Yayınlanmamış Yüksek Lisans Tezi. Marmara Üniversitesi, Sosyal Bilimler Enstitüsü, İstanbul. 2004. (In Turkish)
13.
14.
15.
Lagarde M, Blaauw DA. Review of the application and contribution of discrete choice experiments to inform human resources policy interventions. Hum Resour Health. 2009;7(1):1–10.CrossRef
16.
17.
18.
19.
20.
21.
Kjær TA. review of the discrete choice experiment-with emphasis on its application in health care. Health Economics Papers. University Of Southern Denmark. 2005.
22.
23.
24.
25.
26.
27.
28.
29.
30.
Osmanoğlu S. Kesikli Seçim Analizi ve Bir Uygulama. Yüksek Lisans Tezi. Hacettepe Üniversitesi. Ankara. 2005. (In Turkish)
31.
32.
33.
34.
35.
36.
37.
38.
Rubin G, Bate A, George A, Shackley P, Hall N. Preferences for access to the GP: a discrete choice experiment. Br J Gen Pract. 2006;56(531):743–8.PubMedPubMedCentral
39.
Vujicic, M., Alfano, M., Ryan, M., Wesseh, C. S., & Brown-Annan, J. Policy options to attract nurses to rural Liberia: evidence from a discrete choice experiment. HNP Discussion Paper. No: 58020. The World Bank: Washington. 2010.
40.
Wordsworth S, Skåtun D, Scott A, French F. Preferences for general practice jobs: a survey of principals and sessional GPs. Br J Gen Pract. 2004;54(507):740–6.PubMedPubMedCentral
41.
42.
43.
44.
45.
46.
Fowkes T, Wardman M. The design of stated preference travel choice experiments: with special reference to interpersonal taste variations. JTEP. 1988;1:27–44.
47.
48.
49.
50.
Wu D, Shi Y, Wu S. Aspects prioritized by nursing undergraduates during choosing a position in grassroots medical institutions analyzed based on the discrete choice experiment. Chin Gen Pract. 2017;20(30):3759–62.
51.
52.
Law TJ, Subhedar S, Bulamba F, O’Hara NN, Nabukenya MT, Sendagire C, Hewitt-Smith A, Lipnick MS, Tumukunde J. Factors affecting job choice among physician anesthesia providers in Uganda: a survey of income composition, discrete choice experiment, and implications for the decision to work rurally. Hum Resour Health. 2021;19(93):1–10. https://​doi.​org/​10.​1186/​s12960-021-00634-8.CrossRef
53.
54.
55.
Kahneman, D., & Tversky, A. Prospect theory: An analysis of decision under risk. In: Handbook of the fundamentals of financial decision making: Part I (ss. 99–127): 2013, World Scientific.
56.
Vujicic M, Shengelia B, Alfano M, Thu HB. Physician shortages in rural Vietnam: using a labor market approach to inform policy. Soc Sci Med. 2011;73(7):970–7.CrossRefPubMed
Metadata
Title
What are the job attribute preferences of physicians and nurses in Türkiye? Evidence from a discrete choice experiment
Authors
Elif İşlek
Bayram Şahin
Publication date
01-12-2023
Publisher
BioMed Central
Published in
Human Resources for Health / Issue 1/2023
Electronic ISSN: 1478-4491
DOI
https://doi.org/10.1186/s12960-023-00826-4

Other articles of this Issue 1/2023

Human Resources for Health 1/2023 Go to the issue

Review

Professional care workforce: a rapid review of evidence supporting methods of recruitment, retention, safety, and education

Research

Profile of health care workers in a context of instability: a cross-sectional study of four rural health zones in eastern DR Congo (lessons learned)

Research

How surface acting affects turnover intention among family doctors in rural China: the mediating role of emotional exhaustion and the moderating role of occupational commitment

Research

Managing uncertainty in forecasting health workforce demand using the Robust Workforce Planning Framework: the example of midwives in Belgium

Research

Characterizing worker compensation claims in long-term care and examining the association between facility characteristics and severe injury: a repeated cross-sectional study from Alberta, Canada

Research

Factors associated with retention of health workers in remote public health centers in Northern Uganda: a cross-sectional study