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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The role of monetary and nonmonetary incentives on the choice of practice establishment: a stated preference study of young physicians in Germany. / Günther, Oliver H; Kürstein, Beate; Riedel-Heller, Steffi G; König, Hans-Helmut.
in: HEALTH SERV RES, Jahrgang 45, Nr. 1, 1, 2009, S. 212-229.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - The role of monetary and nonmonetary incentives on the choice of practice establishment: a stated preference study of young physicians in Germany.
AU - Günther, Oliver H
AU - Kürstein, Beate
AU - Riedel-Heller, Steffi G
AU - König, Hans-Helmut
PY - 2009
Y1 - 2009
N2 - 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.
AB - 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.
M3 - SCORING: Zeitschriftenaufsatz
VL - 45
SP - 212
EP - 229
JO - HEALTH SERV RES
JF - HEALTH SERV RES
SN - 0017-9124
IS - 1
M1 - 1
ER -