Attracting Doctors and Medical Students to Rural Vietnam : Insights from a Discrete Choice Experiment
Persuading medical doctors to work in rural areas is one of the main challenges facing health policy makers, in both developing and developed countries. Discrete Choice Experiments (DCEs) have increasingly been used to analyze the preferences of he...
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| Format: | Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2013
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| Online Access: | http://documents.worldbank.org/curated/en/2010/12/13246400/attracting-doctors-medical-students-rural-vietnam-insights-discrete-choice-experiment http://hdl.handle.net/10986/13596 |
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okr-10986-135962021-04-23T14:03:08Z Attracting Doctors and Medical Students to Rural Vietnam : Insights from a Discrete Choice Experiment Vujicic, Marko Alfano, Marco Shengelia, Bukhuti Witter, Sophie ABSENTEEISM BULLETIN CAREER CAREER PROSPECTS CAREERS CONTINUING EDUCATION DECISION MAKING DEVELOPING COUNTRIES EMPLOYMENT FIELD WORK FOCUS GROUP DISCUSSIONS GENDER COMPOSITION HEALTH CARE HEALTH CENTERS HEALTH ECONOMICS HEALTH FACILITIES HEALTH MANAGEMENT HEALTH POLICY HEALTH PROFESSIONALS HEALTH SECTOR HEALTH SYSTEM HEALTH WORKERS HEALTH WORKFORCE HOSPITAL HOSPITALS HUMAN DEVELOPMENT HUMAN RESOURCES INCOME INFORMATION SYSTEMS LABOR MARKET MARKETING MEDICAL DOCTOR MEDICAL DOCTORS MEDICAL SCHOOL MEDICAL STUDENTS MEDICAL UNIVERSITY MINISTRY OF HEALTH NURSES NURSING NURSING SCHOOLS NURSING STUDENTS NUTRITION PAPERS PHYSICIAN PHYSICIANS POLICY MAKERS POLICY RESEARCH POLICY RESEARCH WORKING PAPER PROBABILITY PUBLIC HEALTH RESEARCHERS RURAL AREAS SCHOOLS SERVICE DELIVERY SERVICE PROVIDERS SHORT-TERM TRAINING SKILLS DEVELOPMENT STUDENT POPULATION TEACHING TRAINING OPPORTUNITIES UNIVERSITIES URBAN AREAS URBAN CENTER WORKERS WORKFORCE WORKING CONDITIONS WORLD HEALTH ORGANIZATION Persuading medical doctors to work in rural areas is one of the main challenges facing health policy makers, in both developing and developed countries. Discrete Choice Experiments (DCEs) have increasingly been used to analyze the preferences of health workers, and how they would respond to alternative incentives associated with working in a rural location. Previous DCE studies focusing on the rural recruitment and retention problem have sampled either in-service health workers or students in the final year of their training program. This study is the first to sample both of these groups in the same setting. It carry out a DCE to compare how doctors and final-year medical students in Vietnam value six job attributes, and use the results to simulate the impact of alternative incentive packages on recruitment in rural areas. Results show significant differences between the two groups. The location of workplace (rural or urban) was by far the most important attribute for doctors; for medical students it was long-term education. More surprising, however, was the magnitude of the differences: there was fivefold difference in willingness-to-pay estimates for some job attributes. These differences strongly suggest that policy makers in Vietnam should consider moving away from the current uniform approach to rectifying rural shortages and tailor separate incentive packages to students and doctors. The results also suggest that future DCE studies should carefully consider the choice of sample if results are to be used for policy making. 2013-05-28T22:18:51Z 2013-05-28T22:18:51Z 2010-12 http://documents.worldbank.org/curated/en/2010/12/13246400/attracting-doctors-medical-students-rural-vietnam-insights-discrete-choice-experiment http://hdl.handle.net/10986/13596 English en_US Health, Nutrition and Population (HNP) discussion paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research East Asia and Pacific Vietnam |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
ABSENTEEISM BULLETIN CAREER CAREER PROSPECTS CAREERS CONTINUING EDUCATION DECISION MAKING DEVELOPING COUNTRIES EMPLOYMENT FIELD WORK FOCUS GROUP DISCUSSIONS GENDER COMPOSITION HEALTH CARE HEALTH CENTERS HEALTH ECONOMICS HEALTH FACILITIES HEALTH MANAGEMENT HEALTH POLICY HEALTH PROFESSIONALS HEALTH SECTOR HEALTH SYSTEM HEALTH WORKERS HEALTH WORKFORCE HOSPITAL HOSPITALS HUMAN DEVELOPMENT HUMAN RESOURCES INCOME INFORMATION SYSTEMS LABOR MARKET MARKETING MEDICAL DOCTOR MEDICAL DOCTORS MEDICAL SCHOOL MEDICAL STUDENTS MEDICAL UNIVERSITY MINISTRY OF HEALTH NURSES NURSING NURSING SCHOOLS NURSING STUDENTS NUTRITION PAPERS PHYSICIAN PHYSICIANS POLICY MAKERS POLICY RESEARCH POLICY RESEARCH WORKING PAPER PROBABILITY PUBLIC HEALTH RESEARCHERS RURAL AREAS SCHOOLS SERVICE DELIVERY SERVICE PROVIDERS SHORT-TERM TRAINING SKILLS DEVELOPMENT STUDENT POPULATION TEACHING TRAINING OPPORTUNITIES UNIVERSITIES URBAN AREAS URBAN CENTER WORKERS WORKFORCE WORKING CONDITIONS WORLD HEALTH ORGANIZATION |
| spellingShingle |
ABSENTEEISM BULLETIN CAREER CAREER PROSPECTS CAREERS CONTINUING EDUCATION DECISION MAKING DEVELOPING COUNTRIES EMPLOYMENT FIELD WORK FOCUS GROUP DISCUSSIONS GENDER COMPOSITION HEALTH CARE HEALTH CENTERS HEALTH ECONOMICS HEALTH FACILITIES HEALTH MANAGEMENT HEALTH POLICY HEALTH PROFESSIONALS HEALTH SECTOR HEALTH SYSTEM HEALTH WORKERS HEALTH WORKFORCE HOSPITAL HOSPITALS HUMAN DEVELOPMENT HUMAN RESOURCES INCOME INFORMATION SYSTEMS LABOR MARKET MARKETING MEDICAL DOCTOR MEDICAL DOCTORS MEDICAL SCHOOL MEDICAL STUDENTS MEDICAL UNIVERSITY MINISTRY OF HEALTH NURSES NURSING NURSING SCHOOLS NURSING STUDENTS NUTRITION PAPERS PHYSICIAN PHYSICIANS POLICY MAKERS POLICY RESEARCH POLICY RESEARCH WORKING PAPER PROBABILITY PUBLIC HEALTH RESEARCHERS RURAL AREAS SCHOOLS SERVICE DELIVERY SERVICE PROVIDERS SHORT-TERM TRAINING SKILLS DEVELOPMENT STUDENT POPULATION TEACHING TRAINING OPPORTUNITIES UNIVERSITIES URBAN AREAS URBAN CENTER WORKERS WORKFORCE WORKING CONDITIONS WORLD HEALTH ORGANIZATION Vujicic, Marko Alfano, Marco Shengelia, Bukhuti Witter, Sophie Attracting Doctors and Medical Students to Rural Vietnam : Insights from a Discrete Choice Experiment |
| geographic_facet |
East Asia and Pacific Vietnam |
| relation |
Health, Nutrition and Population (HNP)
discussion paper; |
| description |
Persuading medical doctors to work in
rural areas is one of the main challenges facing health
policy makers, in both developing and developed countries.
Discrete Choice Experiments (DCEs) have increasingly been
used to analyze the preferences of health workers, and how
they would respond to alternative incentives associated with
working in a rural location. Previous DCE studies focusing
on the rural recruitment and retention problem have sampled
either in-service health workers or students in the final
year of their training program. This study is the first to
sample both of these groups in the same setting. It carry
out a DCE to compare how doctors and final-year medical
students in Vietnam value six job attributes, and use the
results to simulate the impact of alternative incentive
packages on recruitment in rural areas. Results show
significant differences between the two groups. The location
of workplace (rural or urban) was by far the most important
attribute for doctors; for medical students it was long-term
education. More surprising, however, was the magnitude of
the differences: there was fivefold difference in
willingness-to-pay estimates for some job attributes. These
differences strongly suggest that policy makers in Vietnam
should consider moving away from the current uniform
approach to rectifying rural shortages and tailor separate
incentive packages to students and doctors. The results also
suggest that future DCE studies should carefully consider
the choice of sample if results are to be used for policy making. |
| format |
Publications & Research :: Working Paper |
| author |
Vujicic, Marko Alfano, Marco Shengelia, Bukhuti Witter, Sophie |
| author_facet |
Vujicic, Marko Alfano, Marco Shengelia, Bukhuti Witter, Sophie |
| author_sort |
Vujicic, Marko |
| title |
Attracting Doctors and Medical Students to Rural Vietnam : Insights from a Discrete Choice Experiment |
| title_short |
Attracting Doctors and Medical Students to Rural Vietnam : Insights from a Discrete Choice Experiment |
| title_full |
Attracting Doctors and Medical Students to Rural Vietnam : Insights from a Discrete Choice Experiment |
| title_fullStr |
Attracting Doctors and Medical Students to Rural Vietnam : Insights from a Discrete Choice Experiment |
| title_full_unstemmed |
Attracting Doctors and Medical Students to Rural Vietnam : Insights from a Discrete Choice Experiment |
| title_sort |
attracting doctors and medical students to rural vietnam : insights from a discrete choice experiment |
| publisher |
World Bank, Washington, DC |
| publishDate |
2013 |
| url |
http://documents.worldbank.org/curated/en/2010/12/13246400/attracting-doctors-medical-students-rural-vietnam-insights-discrete-choice-experiment http://hdl.handle.net/10986/13596 |
| _version_ |
1764423860358217728 |