The specialty choice of medical students in China: a stated preference experiment.
The specialty choice of medical students in China: a stated preference experiment.
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DOI：
10.1186/s12909-016-0619-z
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发表时间：
2016-04-12
影响因子：
3.6
通讯作者：
Tang CX
中科院分区：
文献类型：
--
作者：
Liang D;Tang CX
初级保健提供者（PCP），例如国际医生和全科医生，被认为是一种以平等的方式提供具有成本效益的方法，因为PCP负责为一般人群提供可访问的基本医疗服务。在中国老龄化的情况下，学生对基于PCP的专业选择的偏好。
我们实施了一个最佳缩放（BWS）实验，这是一种基于随机效用理论的最新偏好方法有条件的logit模型和K-均值聚类已被用来分析医学生的项目相对重要性和偏好异质性。
一百九十名学生完成了有效的问卷。一般性手术在整体样本中被确定为最喜欢的专业，但内科医学的重要性与手术相同。最后，K-均值聚类进一步表明我们样本中存在偏好异质性。
首先，通过我们的实验方法实现了两个目标。在采样的学生中最受欢迎的是，基于PCP的专业仍然是一个重要的选择。
Primary Care Providers (PCPs), such as internists and general practitioners, have been deemed a way of delivering cost-effective care in an equitable way because PCPs are responsible for providing accessible basic medical care for the general population. This study aims to examine medical students’ preferences for PCP-based specialty choices in the context of an ageing population in China. We implemented a Best-Worst Scaling (BWS) experiment, a recently developed preference elicitation method based on random utility theory. Three hundred and fifty graduating medical students from three medical colleges were randomly recruited to evaluate 11 common medical specialties in China. A counting approach, a conditional logit model, and K-means clustering have been used to analyse the relative importance of items and preference heterogeneity among medical students. One hundred and ninety of 350 students completed valid questionnaires. General surgery was identified as the most preferred specialty among the overall sample, yet internal medicine shares the same importance as surgery. Both geriatric medicine and psychiatric medicine were found to be the least selected specialties. Finally, the K-means clustering further suggested there was preference heterogeneity across our sample. Two aims were fulfilled in this study. First, through our experimental approach the results provide a better understanding of the career desires of medical students in China. Second, the results of this study indicate that despite the fact a non-PCP-based specialty is the most popular among the sampled students; a PCP-based specialty is still an important alternative choice.