Margaret E Kruk|Jennifer Johnson|Mawuli Gyakobo|Peter Agyei?Baffour|Kwesi Asabir|S Rani Kotha|Janet Kwansah|Emmanuel Kweku Nakua|Rachel Snow|Mawuli Dzodzomenyo
Rural practice preferences among medical students in Ghana: a discrete choice experiment
University of Michigan–Ann Arbor|Center for Global Health|University of Michigan–Ann Arbor|University of Ghana|Kwame Nkrumah University of Science and Technology|Ministry of Health|Center for Global Health|University of Michigan–Ann Arbor|Ministry of Health|Kwame Nkrumah University of Science and Technology|Michigan Department of Health and Human Services|University of Michigan–Ann Arbor|University of Ghana
determine specific job attributes influenced fourth year medical students stated preference hypothetical rural job postings ghanabased discussions medical student focus groups physicians practice ministry health created discrete choice experiment dce assessed students stated preference certain rural postings influenced various job attributes higher salary free superior housing educational allowance children improved equipment supportive management shorter contracts study leave car conducted dce among fourth year medical students ghana using brief structured questionnaire used mixed logit models estimate utility job attributecomplete data dce analysis available 302 310 97 students attribute parameter estimates differed significantly zero expected signs main effects mixed logit model improved equipment supportive management strongly associated job preference beta 142 95 confidence interval ci 117 166 beta 117 95 ci 096 139 respectively although shorter contracts salary bonuses also associated discontinuing provision basic housing large negative influence beta 159 95 ci 188 131 models including gender interaction terms womens preferences influenced supportive management mens preferences superior housingbetter working conditions strongly associated stated choice hypothetical rural postings among fourth year ghanaian medical students studies needed find whether job attributes determine actual uptake rural jobs graduating physicians