Evidence map›Paper›PMID 26286555›Full record

ArticleHuman resources for health2015

Young doctors' preferences for payment systems: the influence of gender and personality traits.

Birgit Abelsen, Jan Abel Olsen

Abstract read
In one paragraph

Article in Human resources for health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Do compensation models affect family physician job satisfaction? Scoping review.Canadian family physician Medecin de famille canadien · 2025
    Article
  5. Article
  6. The salaried PM&R physician.Journal of pediatric rehabilitation medicine · 2024
    Review
  7. A Realist Evaluation of Theory about Triggers for Doctors Choosing a Generalist or Specialist Medical Career.International journal of environmental research and public health · 2020
    Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Birgit AbelsenNational Centre of Rural Medicine, Department of Community Medicine, UiT The Arctic University of Norway, N-9037, Tromsø, Norway. birgit.abelsen@uit.no.
Jan Abel OlsenDepartment of Community Medicine, UiT The Arctic University of Norway, N-9037, Tromsø, Norway. jan.abel.olsen@uit.no.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveActivity-based payment contracts are common among doctors, but to what extent are they preferred? The aim of this paper is to elicit young doctors' preferences for alternative payment systems before they have adapted to an existing system. We examine the existence of gender differences and the extent to which personality traits determine preferences.

methodsA cross-sectional survey of all final-year medical students and all interns in Norway examined the extent to which preferences for different payment systems depend on gender and personality traits. Data analysis relied on one-way ANOVA and multinomial logistic regression.

resultsThe current activity-based payment systems were the least preferred, both in hospitals (16.6%) and in general practice (19.7%). The contrasting alternative "fixed salary" achieved similar relative support. Approximately half preferred the hybrid alternative. When certainty associated with a payment system increased, its appeal rose for women and individuals who are less prestige-oriented, risk-tolerant or effort-tolerant. Activity-based systems were preferred among status- and income-oriented respondents.

conclusionThe vast majority of young doctors prefer payment systems that are less activity-based than the current contracts offered in the Norwegian health service. Recruitment and retention in less prestigious medical specialities might improve if young doctors could choose payment systems corresponding with their diverse preferences.

Indexed as

Reimbursement MechanismsAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedNorwayPersonalityRisk AssessmentSalaries and Fringe BenefitsSex FactorsStudents, MedicalUncertainty

Identifiers

PMID26286555
PMCPMC4544792

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.