Evidence map›Paper›PMID 35619135›Full record

ArticleCost effectiveness and resource allocation : C/E2022

What do Iranian physicians value most when choosing a specialty? Evidence from a discrete choice experiment.

Yaser Sarikhani, Sulmaz Ghahramani, Sisira Edirippulige, Yoshikazu Fujisawa, Matthew Bambling, Peivand Bastani

Abstract read
In one paragraph

Article in Cost effectiveness and resource allocation : C/E, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
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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

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Yaser SarikhaniResearch Center for Social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran.
Sulmaz GhahramaniHealth Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Sisira EdirippuligeCentre for Online Health, The University of Queensland, Brisbane, Australia.
Yoshikazu FujisawaSchool of Project Design, Miyagi University, Tokyo, Japan.
Matthew BamblingSchool of Clinical Medicine, Faculty of Medicine, The University of Queensland, Brisbane, Australia.
Peivand BastaniHealth Human Resources Research Center, School of Management and Information Sciences, Shiraz University of Medical Sciences, Almas Building, Alley 29, Qasrodasht Ave, Shiraz, Iran. bastanip@sums.ac.ir.ORCID http://orcid.org/0000-0002-0412-0267

Funding

Shiraz University of Medical Sciences 98.01.07.20054
6 · The paper itself

Abstract

backgroundChoosing a specialty by physicians is fundamentally linked to the performance of health systems and public health outcomes. Identifying the determinants of specialty selection is important to health policy for targeting resources and planning the development of services. This study examined preferences of Iranian physicians for medical specialty using a discrete choice experiment (DCE) method.

methodsIn this study, the attributes of the DCE were determined using rigorous qualitative approach. Then we applied D-efficiency criteria to design the DCE and validated it at a pilot study. In the final survey, we recruited participants from six Iranian provinces and analyzed data using conditional logit model. We estimated willingness to pay (WTP) for non-monetary attributes.

resultsThe WTP analysis revealed that the most important non-monetary attributes in the selection of a specialty were job burnout, opportunity for procedural activities, and job prestige. The results imply that the attributes that were related to the quality of personal life was more important only for physicians who preferred to choose non-surgical specialties.

conclusionsThe findings demonstrate that traditional gender patterns of specialty selection are changing and quality of personal life characteristics might be the most important factor when developing policies to recruit physicians into non-surgical specialties.

Indexed as

Discrete choice experimentGeneral physiciansIranSpecialty preferences

Identifiers

PMID35619135
PMCPMC9134140

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