| The role of monetary and nonmonetary incentives on the choice of practice establishment: a stated preference study of young physicians in Germany. | |
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MedLine Citation:
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PMID: 19780851 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: The study aimed to quantify the preferences of young physicians for different attributes relevant to practice establishment in Germany. METHODS: Qualitative in-depth interviews of 22 physicians were conducted to identify relevant practice attributes. Based on this information, a questionnaire was developed containing a discrete choice experiment comprised of a "best-worst scaling" (BWS) task. It was mailed to a representative sample of 14,939 young physicians who were close to making a decision regarding practice establishment. Regression analysis was used to estimate utility weights quantifying physicians' preferences for practice attributes. RESULTS: Qualitative interviews identified six attributes: "professional cooperation,""income,""career opportunities of the partner,""availability of child care,""leisure activities," and "on-call duties." For the BWS task, 5,026 returned questionnaires were analyzed. Results indicated that a change in income led to the largest utility change compared with changes in other attributes. Additional net income to compensate the disutility of a rural practice as compared with an urban practice was 9,044euro/months (U.S.$ 11,938). Yet, nonmonetary attributes such as on-site availability of childcare and fewer on-call duties would decrease the additional income required to compensate the disutility of a rural practice. DISCUSSION: The results offer quantifiable information about young physicians' preferences in establishing a practice. It can assist health policy makers in developing tailored incentive-based interventions addressing urban-rural inequalities in physician coverage. |
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Authors:
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Oliver H Günther; Beate Kürstein; Steffi G Riedel-Heller; Hans-Helmut König |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2009-09-24 |
Journal Detail:
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Title: Health services research Volume: 45 ISSN: 1475-6773 ISO Abbreviation: Health Serv Res Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2010-05-12 Completed Date: 2010-06-16 Revised Date: 2012-02-01 |
Medline Journal Info:
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Nlm Unique ID: 0053006 Medline TA: Health Serv Res Country: United States |
Other Details:
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Languages: eng Pagination: 212-29 Citation Subset: IM |
Affiliation:
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Health Economics Research Unit, Department of Psychiatry, University of Leipzig, Liebigstr. 26, D-04103 Leipzig, Germany. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Choice Behavior* Female Germany Humans Interviews as Topic Male Motivation* Physicians / psychology*, supply & distribution Practice Management, Medical* Questionnaires |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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