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What medical specialists want to stay in remote areas of Indonesia: Discrete choice experiments

Author

Listed:
  • Anna Kurniati
  • Ferry Efendi
  • Angger Rina Widowati
  • Agustina Simanjuntak
  • Siska Mudina
  • Budi Ikhwansyah
  • Arif Yustian Maulana Noor
  • Lisa McKenna

Abstract

Introduction: The equitable distribution of medical specialists in Indonesia’s remote areas remains a challenge. This study investigated the preferences of medical specialists regarding retention programs aimed at addressing this issue. Methods: A Discrete Choice Experiment (DCE) was utilized to collect stated preferences from 341 medical specialist working in district general hospitals across 10 Indonesian provinces. The DCE retention questionnaire focused on eight key characteristics: location, medical facilities, net income, continuing professional development program, security, length of commitment, source of incentives, and caseload. Results: The study found that the most influential factors for retention in remote areas were security guarantees from the local government (OR = 6.11), fully funded continuing professional development programs (OR = 2.84), and access to advanced medical facilities (OR = 2.35). Conclusion: The findings indicate that a comprehensive intervention package, with a particular emphasis on security provisions, is necessary to retain medical specialists in remote areas. Financial incentives are also recommended to improve retention. However, it is crucial to acknowledge that no single intervention will suffice, as the factors influencing specialist retention in remote areas of Indonesia are complex and multifaceted.

Suggested Citation

  • Anna Kurniati & Ferry Efendi & Angger Rina Widowati & Agustina Simanjuntak & Siska Mudina & Budi Ikhwansyah & Arif Yustian Maulana Noor & Lisa McKenna, 2024. "What medical specialists want to stay in remote areas of Indonesia: Discrete choice experiments," PLOS ONE, Public Library of Science, vol. 19(8), pages 1-14, August.
    • Handle: RePEc:plo:pone00:0308225
    DOI: 10.1371/journal.pone.0308225
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    References listed on IDEAS

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    3. Juan Marcos Gonzalez, 2019. "A Guide to Measuring and Interpreting Attribute Importance," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 12(3), pages 287-295, June.
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