For money or service? a cross-sectional survey of preference for financial versus non-financial rural practice characteristics among ghanaian medical students
| Autor: | Mawuli Dzodzomenyo, S Rani Kotha, Janet Kwansah, Emmanuel Kweku Nakua, Mawuli Gyakobo, Rachel C. Snow, Jennifer C Johnson, Kwesi Asabir, Peter Agyei-Baffour, Margaret E Kruk |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Students Medical Medical psychology human resources for health education medical doctors Ghana Health informatics Health administration Young Adult rural practice medicine Humans Socioeconomics Motivation Career Choice Salaries and Fringe Benefits business.industry lcsh:Public aspects of medicine Health Policy Nursing research Public health lcsh:RA1-1270 rural incentives Preference Cross-Sectional Studies Incentive Family medicine Female emigration Rural Health Services Rural area business Research Article |
| Zdroj: | BMC Health Services Research, Vol 11, Iss 1, p 300 (2011) BMC Health Services Research |
| ISSN: | 1472-6963 |
| DOI: | 10.1186/1472-6963-11-300 |
| Popis: | Background Health worker shortage and maldistribution are among the biggest threats to health systems in Africa. New medical graduates are prime targets for recruitment to deprived rural areas. However, little research has been done to determine the influence of workers' background and future plans on their preference for rural practice incentives and characteristics. The purpose of this study was to identify determinants of preference for rural job characteristics among fourth year medical students in Ghana. Methods We asked fourth-year Ghanaian medical students to rank the importance of rural practice attributes including salary, infrastructure, management style, and contract length in considering future jobs. We used bivariate and multivariate ordinal logistic regression to estimate the association between attribute valuation and students' socio-demographic background, educational experience, and future career plans. Results Of 310 eligible fourth year medical students, complete data was available for 302 students (97%). Students considering emigration ranked salary as more important than students not considering emigration, while students with rural living experience ranked salary as less important than those with no rural experience. Students willing to work in a rural area ranked infrastructure as more important than students who were unwilling, while female students ranked infrastructure as less important than male students. Students who were willing to work in a rural area ranked management style as a more important rural practice attribute than those who were unwilling to work in a rural area. Students studying in Kumasi ranked contract length as more important than those in Accra, while international students ranked contract length as less important than Ghanaian students. Conclusions Interventions to improve rural practice conditions are likely to be more persuasive than salary incentives to Ghanaian medical students who are willing to work in rural environments a priori. Policy experiments should test the impact of these interventions on actual uptake by students upon graduation. |
| Databáze: | OpenAIRE |
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