ArticlePloS one2012
Stated preferences of doctors for choosing a job in rural areas of Peru: a discrete choice experiment.
Article in PloS one, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 5 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Application of discrete choice experiments to enhance stakeholder engagement as a strategy for advancing implementation: a systematic review.Implementation science : IS · 2017Pooled it
- Interventions for increasing the proportion of health professionals practising in rural and other underserved areas.The Cochrane database of systematic reviews · 2015Pooled it
- The use of discrete choice experiments to inform health workforce policy: a systematic review.BMC health services research · 2014Pooled it
- Discrete choice experiments in health economics: a review of the literature.PharmacoEconomics · 2014Pooled it
- Quality of care provided by mid-level health workers: systematic review and meta-analysis.Bulletin of the World Health Organization · 2013Pooled it
- 'Mind the professional gap': exploring how doctors experience working in peripheral areas.BMC health services research · 2025Article
- Job preferences of master of public health students in China: a discrete choice experiment.BMC medical education · 2024Article
- Hierarchical Medical: What are the Factors Driving ESKD Patients to Choose Community Hemodialysis Centers in China? A Labelled Discrete Choice Experiment.Patient preference and adherence · 2024Article
- Effect of the Mamás del Río programme on essential newborn care: a three-year before-and-after outcome evaluation of a community-based, maternal and neonatal health intervention in the Peruvian Amazon.Lancet regional health. Americas · 2023Article
- Increasing the availability of health workers in rural sub-Saharan Africa: a scoping review of rural pipeline programmes.Human resources for health · 2023Article
- Rural job preferences of graduate class medical students in Ethiopia-a discrete choice experiment (DCE).BMC medical education · 2023Article
- A qualitative inquiry of rural-urban inequalities in the distribution and retention of healthcare workers in southern Nigeria.PloS one · 2022Article
- The implications of COVID-19 for health workforce planning and policy: the case of Peru.The International journal of health planning and management · 2021Article
- Job preferences of medical and nursing students seeking employment in rural China: a discrete choice experiment.BMC medical education · 2021Article
- For more than money: willingness of health professionals to stay in remote Senegal.Human resources for health · 2019Article
- Physician preferences for working in deprived areas: a systematic review of discrete choice experiment.Medical journal of the Islamic Republic of Iran · 2019Review
- Geographical distribution and profile of medical doctors in public sector hospitals of the Limpopo Province, South Africa.African journal of primary health care & family medicine · 2017Article
- Human resources for health in Peru: recent trends (2007-2013) in the labour market for physicians, nurses and midwives.Human resources for health · 2017Article
- The gap in human resources to deliver the guaranteed package of prevention and health promotion services at urban and rural primary care facilities in Mexico.Human resources for health · 2017Observational
- Remaining missed opportunities of child survival in Peru: modelling mortality impact of universal and equitable coverage of proven interventions.BMC public health · 2016Article
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Authors and funding
7 authors.
Funding
Abstract
backgroundDoctors' scarcity in rural areas remains a serious problem in Latin America and Peru. Few studies have explored job preferences of doctors working in underserved areas. We aimed to investigate doctors' stated preferences for rural jobs. METHODS AND
findingsA labelled discrete choice experiment (DCE) was performed in Ayacucho, an underserved department of Peru. Preferences were assessed for three locations: rural community, Ayacucho city (Ayacucho's capital) and other provincial capital city. Policy simulations were run to assess the effect of job attributes on uptake of a rural post. Multiple conditional logistic regressions were used to assess the relative importance of job attributes and of individual characteristics. A total of 102 doctors participated. They were five times more likely to choose a job post in Ayacucho city over a rural community (OR 4.97, 95%CI 1.2; 20.54). Salary increases and bonus points for specialization acted as incentives to choose a rural area, while increase in the number of years needed to get a permanent post acted as a disincentive. Being male and working in a hospital reduced considerably chances of choosing a rural job, while not living with a partner increased them. Policy simulations showed that a package of 75% salary increase, getting a permanent contract after two years in rural settings, and getting bonus points for further specialisation increased rural job uptake from 21% to 77%. A package of 50% salary increase plus bonus points for further specialisation would also increase the rural uptake from 21% to 52%.
conclusionsDoctors are five times more likely to favour a job in urban areas over rural settings. This strong preference needs to be overcome by future policies aimed at improving the scarcity of rural doctors. Some incentives, alone or combined, seem feasible and sustainable, whilst others may pose a high fiscal burden.
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