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Physician shortages in rural Vietnam: Using a labor market approach to inform policy

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  • Vujicic, Marko
  • Shengelia, Bakhuti
  • Alfano, Marco
  • Thu, Ha Bui

Abstract

This paper investigates labor market dynamics for physicians in Vietnam, paying particular attention to geographic distribution and dual job holding. The analysis is based on a survey of a random sample of physicians in 3 regions in 2009–10. We found that the labor market for physicians in Vietnam is characterized by very little movement among both facility levels and geographic areas. Dual practice is also prominent, with over one-third of physicians holding a second job. After taking account of the various sources of income for physicians and controlling for key factors, there is a significant wage premium associated with locating in an urban area. This premium is driven by much higher earnings from dual job holding rather than official earnings in the primary job. There are important policy implications that emerge. With such low job turnover rates, policies to increase the number of physicians in rural areas could focus on initial recruitment. Once in place, physicians tend to remain in their jobs for a very long time. Lastly, findings from an innovative discrete choice experiment suggest that providing long-term education and improving equipment are the most effective instruments to recruit physicians to work in rural areas.

Suggested Citation

  • Vujicic, Marko & Shengelia, Bakhuti & Alfano, Marco & Thu, Ha Bui, 2011. "Physician shortages in rural Vietnam: Using a labor market approach to inform policy," Social Science & Medicine, Elsevier, vol. 73(7), pages 970-977.
    • Handle: RePEc:eee:socmed:v:73:y:2011:i:7:p:970-977
    DOI: 10.1016/j.socscimed.2011.06.010
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    Cited by:

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    2. Caroline Vass & Dan Rigby & Katherine Payne, 2017. "The Role of Qualitative Research Methods in Discrete Choice Experiments," Medical Decision Making, , vol. 37(3), pages 298-313, April.
    3. Mandeville, Kate L. & Ulaya, Godwin & Lagarde, Mylène & Muula, Adamson S. & Dzowela, Titha & Hanson, Kara, 2016. "The use of specialty training to retain doctors in Malawi: A discrete choice experiment," Social Science & Medicine, Elsevier, vol. 169(C), pages 109-118.
    4. Windle, Jill & Rolfe, John, 2013. "Using discrete choice experiments to assess the preferences of new mining workforce to commute or relocate to the Surat Basin in Australia," Resources Policy, Elsevier, vol. 38(2), pages 169-180.
    5. Mylene Lagarde & Nonglak Pagaiya & Viroj Tangcharoensathian & Duane Blaauw, 2013. "One Size Does Not Fit All: Investigating Doctors' Stated Preference Heterogeneity For Job Incentives To Inform Policy In Thailand," Health Economics, John Wiley & Sons, Ltd., vol. 22(12), pages 1452-1469, December.
    6. Ilene L. Hollin & Benjamin M. Craig & Joanna Coast & Kathleen Beusterien & Caroline Vass & Rachael DiSantostefano & Holly Peay, 2020. "Reporting Formative Qualitative Research to Support the Development of Quantitative Preference Study Protocols and Corresponding Survey Instruments: Guidelines for Authors and Reviewers," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 13(1), pages 121-136, February.
    7. Shimeng Liu & Shunping Li & Yujia Li & Haipeng Wang & Jingjing Zhao & Gang Chen, 2019. "Job preferences for healthcare administration students in China: A discrete choice experiment," PLOS ONE, Public Library of Science, vol. 14(1), pages 1-19, January.
    8. Mehdi Ammi & Christine Peyron, 2016. "Heterogeneity in general practitioners’ preferences for quality improvement programs: a choice experiment and policy simulation in France," Health Economics Review, Springer, vol. 6(1), pages 1-11, December.

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