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首页> 外文期刊>Iranian Journal of Neurology >Policy interventions to improve rural retention among neurosurgeons in Iran: A discrete choice experiment
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Policy interventions to improve rural retention among neurosurgeons in Iran: A discrete choice experiment

机译：伊朗改善神经外科医师在农村地区的政策干预措施：一项离散选择实验

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Background: Health workforce shortages in rural and remote areas are a global challenge that almost every health system has to deal with. This study aimed to discover neurosurgeons’ job preferences and propose policy interventions that could possibly increase their retention in rural, remote, or underserved areas.Methods: A discrete choice experiment (DCE) was conducted in November 2014 with a sample of Iranian neurosurgeons selected from five contrary’s provinces representing the geographical diversity. Job attributes included income, dual practice opportunities, workload, proximity to family, clinical infrastructure, housing, educational facilities, and work location. Probit regression model was used to estimate the importance of different job attributes and examine the extent to which neurosurgeons were willing to tradeoff between monetary and nonmonetary attributes.Results: Findings indicated that increased salary, permission to undertake dual practice and access to adequate clinical infrastructure were the most important retention policies. Provision of subsidized housing and educational facilities also increased neurosurgeons’ attraction and retention in rural areas.Conclusion: A range of policy interventions focusing on both monetary and nonmonetary incentives are required to increase neurosurgeons’ retention in rural, remote, or underserved areas.
机译：背景：农村和偏远地区的卫生人力短缺是几乎每个卫生系统都必须应对的全球挑战。这项研究旨在发现神经外科医生的工作偏好，并提出可能增加其在农村，偏远或服务不足地区的政策干预措施。方法：2014年11月进行了离散选择实验（DCE），样本是从五个相反的省代表了地理多样性。工作属性包括收入，双重实践机会，工作量，与家庭的距离，临床基础设施，住房，教育设施和工作地点。 Probit回归模型用于估计不同工作属性的重要性，并检查神经外科医生愿意在货币属性和非货币属性之间进行权衡的程度。最重要的保留政策。提供补贴的住房和教育设施也增加了神经外科医师在农村地区的吸引力和保留率。结论：需要一系列针对金钱和非货币激励措施的政策干预措施，以增加神经外科医师在农村，偏远或服务不足地区的保留率。

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