ArticleBMJ global health2021
Incentivising doctor attendance in rural Bangladesh: a latent class analysis of a discrete choice experiment.
Article in BMJ global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- The Evolving Landscape of Discrete Choice Experiments in Health Economics: A Systematic Review.PharmacoEconomics · 2025Pooled it
- Preferences for advance care planning services among patients with recurrent stroke: a discrete choice experiment.BMC health services research · 2026Article
- Measuring and assessing corruption in public health systems in low- and middle-income countries: a scoping review of methods.Health policy and planning · 2026Article
- Citizens' feedback on health service and the responses of health authorities of Bangladesh: An analysis of the Grievance Redress System.PLOS digital health · 2025Article
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- Comparative differences in job preferences among doctors in different levels of public hospitals in Henan, China: a discrete choice experiment.Frontiers in psychology · 2025Article
- Preferences for Neurodevelopmental Follow-Up Care for Children: A Discrete Choice Experiment.The patient · 2024Article
- Job preferences of master of public health students in China: a discrete choice experiment.BMC medical education · 2024Article
- Who is absent and why? Factors affecting doctor absenteeism in Bangladesh.PLOS global public health · 2024Article
- The impacts of altruism levels on the job preferences of medical students: a cross-sectional study in China.BMC medical education · 2023Article
- Article
- Is it possible for drug shops to abide by the formal rules? The structural determinants of community medicine sales in Uganda.BMJ global health · 2023Article
- The Effectiveness of Family Medicine-Driven Interprofessional Collaboration on the Readmission Rate of Older Patients.Healthcare (Basel, Switzerland) · 2023Article
- It is not all about salary: a discrete-choice experiment to determine community health workers' motivation for work in Nigeria.BMJ global health · 2022Article
- Optimizing the Practice Environment for Medical Staff in the Post-pandemic Era: A Discrete Choice Experiment.Frontiers in public health · 2022Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveDoctor absenteeism is widespread in Bangladesh, and the perspectives of the actors involved are insufficiently understood. This paper sought to elicit preferences of doctors over aspects of jobs in rural areas in Bangladesh that can help to inform the development of packages of policy interventions that may persuade them to stay at their posts.
methodsWe conducted a discrete choice experiment with 308 doctors across four hospitals in Dhaka, Bangladesh. Four attributes of rural postings were included based on a literature review, qualitative research and a consensus-building workshop with policymakers and key health-system stakeholders: relationship with the community, security measures, attendance-based policies and incentive payments. Respondents' choices were analysed with mixed multinomial logistic and latent class models and were used to simulate the likely uptake of jobs under different policy packages.
resultsAll attributes significantly impacted doctor choices (p<0.01). Doctors strongly preferred jobs at rural facilities where there was a supportive relationship with the community (β=0.93), considered good attendance in education and training (0.77) or promotion decisions (0.67), with functional security (0.67) and higher incentive payments (0.5 per 10% increase of base salary). Jobs with disciplinary action for poor attendance were disliked by respondents (-0.63). Latent class analysis identified three groups of doctors who differed in their uptake of jobs. Scenario modelling identified intervention packages that differentially impacted doctor behaviour and combinations that could feasibly improve doctors' attendance.
conclusionBangladeshi doctors have strong but varied preferences over interventions to overcome absenteeism. We generated evidence suggesting that interventions considering the perspective of the doctors themselves could result in substantial reductions in absenteeism. Designing policy packages that take account of the different situations facing doctors could begin to improve their ability and motivation to be present at their job and generate sustainable solutions to absenteeism in rural Bangladesh.
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