Resident training physicians' job preference in Chengdu, China based on the discrete choice experiment

Wang Zhen; Yang Maoling; Gan Mi; Li Shuying; Liu Yuebai; Chen Yingyi; Liu Li

doi:10.3760/cma.j.cn116021-20231129-01686

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Resident training physicians' job preference in Chengdu, China based on the discrete choice experiment

Standardized Residency Training | 更新时间：2025-02-21

- Resident training physicians' job preference in Chengdu, China based on the discrete choice experiment
- Chinese Journal of Medical Education Research Vol. 24, Issue 2, Pages: 283-288(2025)
- 作者机构：
  
  1.四川省肿瘤医院·研究所/电子科技大学附属肿瘤医院教育处，成都　610042
  2.四川省妇幼保健院/成都医学院附属妇女儿童医院妇产科，成都　610045
- 作者简介：
  
  Liu Li, Email: lily2758@126.com
- 基金信息：
  
  Research Project on Graduate Education and Teaching Reform of Chengdu University of Traditional Chinese Medicine in 2023(2023YB34)
- DOI：10.3760/cma.j.cn116021-20231129-01686
  CLC： R05
- Received：29 November 2023，
  
  Published：20 February 2025
- 稿件说明：
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王真, 杨茂玲, 甘宓, 等. 基于离散选择实验的成都市住培医师就业选择偏好研究[J]. 中华医学教育探索杂志, 2025, 24(2): 283-288.

Wang Zhen, Yang Maoling, Gan Mi, et al. Resident training physicians' job preference in Chengdu, China based on the discrete choice experiment[J]. Chinese journal of medical education research, 2025, 24(2): 283-288.
王真, 杨茂玲, 甘宓, 等. 基于离散选择实验的成都市住培医师就业选择偏好研究[J]. 中华医学教育探索杂志, 2025, 24(2): 283-288. DOI： 10.3760/cma.j.cn116021-20231129-01686.

Wang Zhen, Yang Maoling, Gan Mi, et al. Resident training physicians' job preference in Chengdu, China based on the discrete choice experiment[J]. Chinese journal of medical education research, 2025, 24(2): 283-288. DOI： 10.3760/cma.j.cn116021-20231129-01686.

摘要

目的

了解成都市住培医师就业对工作属性的选择偏好和支付意愿。

方法

采用离散选择实验方法编制问卷，问卷包括调查对象基本信息、离散选择集（包括工作地点、工作强度、月收入、编制、晋升机会5个属性，每个属性包括若干水平）。选取成都市3家住院医师规范化培训基地的116名住培医师进行调研，并根据身份及专业进行亚组划分，运用混合Logit模型分析住培医师的就业选择偏好和支付意愿。

结果

除晋升机会外，其他4个属性对住培医师的就业选择均具有统计学意义（

0.05），工作强度的效用最大，支付意愿也最高。亚组分析结果显示，专业型研究生和非紧缺专业住培医师更在意编制。

结论

经济因素和非经济因素都会影响住培医师的就业偏好，工作强度是影响住培医师就业偏好的最重要因素，住培政策应注重调节招收规模及招收类型，加强住培医师的人文关怀和职业生涯教育。

Abstract

Objective

To explore the job preference and willingness to pay of resident training physicians in Chengdu

China.

Methods

The questionnaire was designed by means of the discrete choice experiment. The questionnaire contains the basic information of the survey object and the discrete choice set (including workplace

working intensity

monthly salary

staffing of public institution

and career development

each with several levels). A total of 116 resident training physicians recruited by three standardized residents training centers in Chengdu were selected to conduct the questionnaire survey

and grouped based on their identity and major. The mixed logit model was used to analyze job preferences and willingness to pay of resident training physicians.

Results

Except for career development

other four attributes had statistically significant effects on job selection of resident training physicians (

0.05)

of which working intensity was the most influential attribute

with the highest willingness to pay. The subgroup analysis results showed that staffing of public institution

was concerned by clinical postgraduates and resident training physicians in non-scarce majors.

Conclusions

Economic and non-economic factors both affect the job preferences of resident training physicians

while working intensity is the most important factor. Resident training policy should focus on adjusting the scale and type of resident physician enrollment

and strengthen humanistic care and career education of resident training physicians.

关键词

Keywords

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