A review of the application and contribution of discrete choice experiments to inform human resources policy interventions.
A review of the application and contribution of discrete choice experiments to inform human resources policy interventions.
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DOI：
10.1186/1478-4491-7-62
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发表时间：
2009-07-24
影响因子：
4.5
通讯作者：
Blaauw D
中科院分区：
文献类型：
--
作者：
Lagarde M;Blaauw D
尽管影响卫生工作者短缺和分配不均的因素已经通过横断面调查得到了很好的记录，但关于卫生工作者工作选择的相对决定因素或旨在解决这些人力资源问题的政策的效果的证据较少。最近，一些研究采用了一种创新的方法来研究卫生工作者工作偏好的决定因素。在缺乏分析卫生工作者实际做出的决定的纵向数据集的情况下，作者借鉴了市场研究和运输经济学的方法，并使用离散选择实验来分析卫生保健提供者对不同工作特征的明确偏好。我们使用离散选择实验对发达国家和发展中国家卫生工作者的人力资源问题进行了文献综述。使用了几个经济和卫生系统书目数据库，并与该领域的从业人员进行了接触，以确定已出版的和灰色文献。十项研究发现，使用离散选择实验来调查卫生保健提供者的工作偏好。离散选择实验技术的使用使研究人员能够确定影响卫生工作者选择的不同因素的相对重要性。研究表明，非金钱激励是重要的决定因素，有时比金钱激励更有效。已确定的研究还强调了调查不同卫生工作者亚群的偏好的重要性。离散选择实验是一个宝贵的工具，可以让决策者了解如何设计战略来解决人力资源问题。由于离散选择实验是相对快速和廉价的调查工具，因此在发展中国家为政策提供信息方面具有各种优势，因为发展中国家的劳动力市场纵向数据很少。然而，它们是复杂的研究工具，需要许多不同领域的专业知识。因此，研究人员还必须了解离散选择实验方法的潜在局限性。
Although the factors influencing the shortage and maldistribution of health workers have been well-documented by cross-sectional surveys, there is less evidence on the relative determinants of health workers' job choices, or on the effects of policies designed to address these human resources problems. Recently, a few studies have adopted an innovative approach to studying the determinants of health workers' job preferences. In the absence of longitudinal datasets to analyse the decisions that health workers have actually made, authors have drawn on methods from marketing research and transport economics and used Discrete Choice Experiments to analyse stated preferences of health care providers for different job characteristics. We carried out a literature review of studies using discrete choice experiments to investigate human resources issues related to health workers, both in developed and developing countries. Several economic and health systems bibliographic databases were used, and contacts were made with practitioners in the field to identify published and grey literature. Ten studies were found that used discrete choice experiments to investigate the job preferences of health care providers. The use of discrete choice experiments techniques enabled researchers to determine the relative importance of different factors influencing health workers' choices. The studies showed that non-pecuniary incentives are significant determinants, sometimes more powerful than financial ones. The identified studies also emphasized the importance of investigating the preferences of different subgroups of health workers. Discrete choice experiments are a valuable tool for informing decision-makers on how to design strategies to address human resources problems. As they are relatively quick and cheap survey instruments, discrete choice experiments present various advantages for informing policies in developing countries, where longitudinal labour market data are seldom available. Yet they are complex research instruments requiring expertise in a number of different areas. Therefore it is essential that researchers also understand the potential limitations of discrete choice experiment methods.
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