What can discrete choice experiments do for you?
What can discrete choice experiments do for you?
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DOI：
10.1111/medu.13657
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发表时间：
2018-11-01
影响因子：
6
通讯作者：
Skatun, Diane
中科院分区：
文献类型：
--
作者：
Cleland, Jennifer;Porteous, Terry;Skatun, Diane
在日常生活中，我们所做的选择受到我们对可供选择的偏好的影响。在选择医学教育、培训和工作时也是如此。通常情况下，这些选项包含多个属性，我们的最终选择将受到我们对每个属性相对于其他属性的价值的指导。例如，在教育方面，大学的选择可能会受到对机构声誉、地点、成本和课程内容的偏好的影响;但这些属性中哪一个最有影响力？在高等教育和医疗就业市场中，了解申请人、学生、受训人员和同事的价值越来越重要，因为这将有助于我们制定满足他们需求和偏好的选择。一种从经济学中借鉴的调查方法，使我们能够量化受访者对商品和服务属性的价值，并探索他们是否以及在多大程度上愿意用较少的一种属性来换取更多的另一种属性。结论迄今为止，VCE已用于研究医疗劳动力问题，但在医学教育领域相对较少。然而，医学教育中的许多悬而未决的问题可以有效地解决使用DCE。需要更好地了解哪些属性对工作人员或学生满意度、大学选择和职业选择等影响最大，以及利益攸关方准备在多大程度上牺牲一个属性。这些知识将使我们能够调整提供医学教育的方式，以便在现有资源范围内更好地满足主要利益相关者的需求。
CONTEXT In everyday life, the choices we make are influenced by our preferences for the alternatives available to us. The same is true when choosing medical education, training and jobs. More often than not, those alternatives comprise multiple attributes and our ultimate choice will be guided by the value we place on each attribute relative to the others. In education, for example, choice of university is likely to be influenced by preferences for institutional reputation, location, cost and course content; but which of these attributes is the most influential? An understanding of what is valued by applicants, students, trainees and colleagues is of increasing importance in the higher education and medical job marketplaces because it will help us to develop options that meet their needs and preferences.METHODS In this article, we describe the discrete choice experiment (DCE), a survey method borrowed from economics that allows us to quantify the values respondents place on the attributes of goods and services, and to explore whether and to what extent they are willing to trade less of one attribute for more of another.CONCLUSIONS To date, DCEs have been used to look at medical workforce issues but relatively little in the field of medical education. However, many outstanding questions within medical education could be usefully addressed using DCEs. A better understanding of which attributes have most influence on, for example, staff or student satisfaction, choice of university and choice of career, and the extent to which stakeholders are prepared to trade one attribute against another is required. Such knowledge will allow us to tailor the way medical education is provided to better meet the needs of key stakeholders within the available resources.