Evidence map›Paper›PMID 26885340›Full record

ArticleIranian journal of neurology2015

Policy interventions to improve rural retention among neurosurgeons in Iran: A discrete choice experiment.

Sima Rafiei, Mohammad Arab, Arash Rashidian, Mahmood Mahmoudi, Vafa Rahimi-Movaghar

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Article in Iranian journal of neurology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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

11 citing papers in PubMed.

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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

5 authors.

Sima RafieiDepartment of Health Management, School of Health, Qazvin University of Medical Sciences, Qazvin, Iran.
Mohammad ArabDepartment of Management and Health Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Arash RashidianDepartment of Management and Health Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Mahmood MahmoudiDepartment of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Vafa Rahimi-MovagharSina Trauma and Surgery Research Center, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth workforce shortages in rural and remote areas are a global challenge that almost every health system has to deal with. This study aimed to discover neurosurgeons' job preferences and propose policy interventions that could possibly increase their retention in rural, remote, or underserved areas.

methodsA discrete choice experiment (DCE) was conducted in November 2014 with a sample of Iranian neurosurgeons selected from five contrary's provinces representing the geographical diversity. Job attributes included income, dual practice opportunities, workload, proximity to family, clinical infrastructure, housing, educational facilities, and work location. Probit regression model was used to estimate the importance of different job attributes and examine the extent to which neurosurgeons were willing to tradeoff between monetary and nonmonetary attributes.

resultsFindings indicated that increased salary, permission to undertake dual practice and access to adequate clinical infrastructure were the most important retention policies. Provision of subsidized housing and educational facilities also increased neurosurgeons' attraction and retention in rural areas.

conclusionA range of policy interventions focusing on both monetary and nonmonetary incentives are required to increase neurosurgeons' retention in rural, remote, or underserved areas.

Indexed as

Discrete Choice ExperimentHealth ManpowerRural AreasStated Preference

Identifiers

PMID26885340
PMCPMC4754600

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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.