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Factors Associated with Physicians' Choice of Working Sector: A National Longitudinal Survey in Finland

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Author Info

  • Terhi Kankaanranta

    (Tampere School of Public Health, University of Tampere, Tampere, Finland)

  • Jari Vainiomaki

    (Department of Economics and Accounting, University of Tampere, Tampere, Finland)

  • Ville Autio

    (Tampere School of Public Health, University of Tampere, Tampere, Finland, Research Unit, Tampere University Hospital, Tampere, Finland)

  • Hannu Halila

    (Finnish Medical Association, Helsinki, Finland)

  • Harri Hyppola

    (Department of Public Health and General Practice, University of Kuopio, Kuopio University Hospital, General Practice, Kuopio, Finland)

  • Mauri Isokoski

    (Tampere School of Public Health, University of Tampere, Tampere, Finland)

  • Santero Kujala

    (Finnish Medical Association, Helsinki, Finland)

  • Esko Kumpusalo

    (Department of Public Health and General Practice, University of Kuopio, Kuopio University Hospital, General Practice, Kuopio, Finland)

  • Kari Mattila

    (Pirkanmaa Hospital District, Centre of General Practice, Medical School, University of Tampere, Tampere, Finland)

  • Irma Virjo

    (Medical School, Department of General Practice, University of Tampere, Tampere, Finland)

  • Jukka Vanska

    (Finnish Medical Association, Helsinki, Finland)

  • Pekka Rissanen

    (Tampere School of Public Health, University of Tampere, Tampere, Finland)

Abstract

Objective: To analyse factors affecting physicians' choice to work in either the public or the private sector. Method: We undertook a longitudinal data analysis in the years 1988, 1993, 1998 and 2003 (n = 12_909) using a multilevel modelling technique. Factors related to economic factors, physician identity, appreciation as well as demographic factors were hypothesised to influence sector choice. Results: Physicians seem to make their career choices prior to graduation, at least to some extent. Wage levels, the physician's personal characteristics and whether or not the physician knew his or her place of work before graduation were the key factors affecting the decision-making process in the years 1988, 1993, 1998 and 2003. Physicians for whom wages were important were less likely to choose the public sector. Also, physicians who regarded themselves as entrepreneurial preferred to work in the private sector. If a physician had worked in the public sector during his or her medical training before graduation, the probability of applying for a vacancy in the public sector was higher. Conclusion: It is not only economic factors, such as salary, that are involved in the physician's decision to choose the working sector.

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Bibliographic Info

Article provided by Springer Healthcare | Adis in its journal Applied Health Economics and Health Policy.

Volume (Year): 5 (2006)
Issue (Month): 2 ()
Pages: 125-136
Download reference. The following formats are available: HTML (with abstract), plain text (with abstract), BibTeX, RIS (EndNote, RefMan, ProCite), ReDIF
Handle: RePEc:wkh:aheahp:v:5:y:2006:i:2:p:125-136

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Keywords: Health-care-services; Health-economics;

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