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首页> 外文期刊>Human Resources for Health >Does salary affect the choice of residency in non-university teaching hospitals? A panel analysis of Japan Residency Matching Programme data
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Does salary affect the choice of residency in non-university teaching hospitals? A panel analysis of Japan Residency Matching Programme data

机译：工资是否会影响非大学教学医院的住院医师选择？对日本居留权匹配计划数据的面板分析

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Background Previous studies have investigated factors that are influential on the choice of training hospitals among residency physicians, but the effect of salary was not conclusive. In this study, we aimed to examine whether a higher salary attracted more residents to non-university hospitals participating in the Japanese Residency Matching Programme. Methods Data on 475 hospitals/programmes between 2006 and 2009 were available for analysis. We first conducted an ordinary least squares regression analysis on the ratio of the number of applicants to the residency programme quota as an index of resident’s choice, for comparison with previous studies. We further performed panel data analysis to better control for unobserved heterogeneity across hospitals, which could be confounded by the amount of salary. We also performed stratified analysis by the population size of the hospital location. Results In ordinary least squares regression, salary showed a positive, but not significant association, with the ratio of the number of applicants to the programme quota, while the results of a fixed effect model exhibited a positive and significant effect of salary (ε= 0.4995, P = 0.015) on the ratio. Analysis stratified by city size showed that the elasticity of salary was comparable (ε= 1.9089, P = 0.016 in large cities versus ε= 1.9185, P = 0.008 in small cities), while that of the number of teaching physicians was larger in large cities (ε= 1.9857, P = 0.009) compared with that in small cities (ε= 1.6253, P = 0.033). The number of teaching physicians had a significant and negative effect modification on salary, implying an antagonistic effect between these two attributes (ε= ?1.5223, P = 0.038). Conclusions Our results indicate that the amount of salary influences the choice of training hospitals among medical graduates who choose non-university settings. Use of a monetary reward in a residency programme could be a feasible tactic for hospitals to attract residents.
机译：背景技术先前的研究已经调查了影响住院医师选择培训医院的因素，但是薪水的影响并不确定。在这项研究中，我们旨在研究较高的薪水是否吸引了更多的居民加入参与“日本居住权匹配计划”的非大学医院。方法收集2006年至2009年间475家医院/项目的数据进行分析。我们首先对申请人数与居留计划配额的比率（作为居民选择的指标）进行了普通最小二乘回归分析，以与以前的研究进行比较。我们进一步进行了面板数据分析，以更好地控制各医院之间未观察到的异质性，这可能与工资金额混淆。我们还根据医院所在地的人口规模进行了分层分析。结果在普通最小二乘回归中，薪水与报名人数与计划配额的比率呈正相关关系，但无显着关联，而固定效应模型的结果则显示出薪水呈正显着效果（ε= 0.4995） ，P = 0.015）。按城市规模进行的分层分析显示，工资弹性相当（大城市的ε= 1.9089，P = 0.016，小城市的ε= 1.9185，P = 0.008），而大城市的执业医师人数更大（ε= 1.9857，P = 0.009），而小城市（ε= 1.6253，P = 0.033）。执业医师的数量对薪水有显着和负面的影响，这意味着这两个属性之间存在拮抗作用（ε= 1.5223，P = 0.038）。结论我们的结果表明，工资水平会影响选择非大学环境的医学毕业生中培训医院的选择。在住院计划中使用金钱奖励可能是医院吸引居民的可行策略。

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