Evidence map›Paper›PMID 36921936›Full record

ReviewBMJ open2023

Eliciting primary healthcare physicians' preferences for job characteristics in rural China: a discrete choice experiment.

Meiling Bao, Cunrui Huang, Lei Wang, Gang Yan, Gang Chen

Abstract readReview
In one paragraph

Review in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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

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

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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.

Meiling BaoSchool of Public Health, Sun Yat-Sen University, Guangzhou, China.ORCID 0000-0002-6904-3418
Cunrui HuangSchool of Public Health, Sun Yat-Sen University, Guangzhou, China huangcr@mail.sysu.edu.cn.
Lei WangDepartment of Primary Health, Health Commission of Guizhou Province, Guiyang, Guizhou, China.
Gang YanCenter of Population Information of Guizhou Province, Guiyang, Guizhou, China.
Gang ChenCollege of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe outflow and scarcity of physicians in rural areas can adversely affect universal health coverage and population health outcomes, which are critical concerns in China. This study explored primary healthcare physicians' job preferences using a discrete choice experiment to identify appropriate incentives for retention.

methodsEight job characteristics were identified through a literature review and qualitative studies as the attributes relevant to designing the discrete choice experiment, with levels varying between two hypothetical jobs. The data were analysed using conditional logit model, mixed logit model and latent class model.

resultsA total of 1781 licensed physicians (including licensed assistant physicians) from township health centres in rural areas were surveyed. Policy simulation suggested that they were sensitive to both monetary and non-monetary policy incentives. As for non-monetary job characteristics, a highly intense doctor-patient relationship, bianzhi (the number of personnel allocated to each employer by the government) and educational opportunities were highly valued by the respondents. The latent class model could identify distinct groups with different job preferences according to their memberships.

conclusionUrban jobs were much preferred to rural ones. However, policy incentives can lend themselves to effective retention strategies. It is also important to tailor policy incentives to different subgroups.

Indexed as

Career ChoicePhysiciansChinaChoice BehaviorHumansPhysician-Patient RelationsPrimary Health CareHealth economicsHEALTH ECONOMICSHealth policyHuman resource management

Identifiers

PMID36921936
PMCPMC10030470

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