1. THE RETENTION STRATEGY FOR MEDICAL DOCTORS AT COMMUNE HEALTH STATIONS: USING DISCRETE CHOICE EXPERIMENTS IN TUYEN QUANG AND THAI BINH IN 2023
Main Article Content
Abstract
Objective: The article analyzes the influencing factors and impact levels of retention strategy packages for medical doctors at CHSs.
Methods: Direct survey was conducted with 118 doctors working at CHSs in Tuyen Quang and Thai Binh during May, 2023. Using discrete choice experiments to analyze the impact of the retention strategy packages for medical doctors at CHSs.
Result: The findings show that income is a priority factor in choosing a workplace for doctors participating in the survey, in which increasing the occupational incentive allowance is the most effective attribution. If occupational incentive allowance was increased to 100% and 140%, the proportion of doctors who will choose to work at CHSs is 95.8% and 98.2%, respectively. When there is no incentive to increase income, 74.8% of doctors will choose to work at CHSs if the working condition is ensured in terms of equipment and medicines, and 58.4% of doctors if the job has incentives for the health insurance of relatives.
Conclusion: Thus, in order to retain health workers working at the CHSs, policies need to be reviewed and consider these options to ensure human resources for the healthcare level as well as to strengthen the medical network in Vietnam
Article Details
Keywords
Doctors, retention, commune health station, primary health care, Vietnam.
References
human resources for health: workforce 2030,
2016.
[2] Popowitz E, Addressing the healthcare staffing
shortage: An exploration of why the industry
is losing thousands of workers, and how that’s
putting the health of healthcare at risk. A
Definitive Healthcare; 2022.
[3] Cheryl Tan, More healthcare workers in
S'pore quit amid growing fatigue as
Covid-19 drags on. The Straits Times, 2021.8
[4] Cổng thông tin điện tử Chính phủ, Bộ Y
tế đề nghị báo cáo tình hình viên chức thôi
việc, bỏ việc 2022 [Available from: https://
xaydungchinhsach.chinhphu.vn/bo-y-te-denghi-
bao-cao-tinh-hinh-vien-chuc-thoi-viec-
boviec-119220629161355714.htm.
[5] Hamouzadeh P, Akbarisari A, Olyaeemanesh
A et al., Physician preferences for working in
deprived areas: a systematic review of discrete
choice experiment. Med J Islam Repub Iran,
2019;33:83.
[6] Mandeville, Lagarde, Hanson, The use of discrete
choice experiments to inform health workforce
policy: a systematic review. BMC Health Serv
Res; 2014;14:367.
[7] Rao KD, Ryan M, Shroff Z et al., Rural Clinician
Scarcity and Job Preferences of Doctors and
Nurses in India: A Discrete Choice Experiment.
PLOS ONE;8(12), 2013, e82984.
[8] Lagarde M, Pagaiya N, Tangcharoensathian
V et al., One size does not fit all: investigating
doctors' stated preference heterogeneity for job
incentives to inform policy in Thailand. Health
Econ;22(12), 2013, 1452-69.
[9] Ravaghi H et al., Factors influencing the
geographic distribution of physicians in
Iran: a qualitative stud. Rural and Remote
Health;15(1), 2015.