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One Size Does Not Fit All: Investigating Doctors' Stated Preference Heterogeneity For Job Incentives To Inform Policy In Thailand

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  • Mylene Lagarde
  • Nonglak Pagaiya
  • Viroj Tangcharoensathian
  • Duane Blaauw

Abstract

This study investigates heterogeneity in Thai doctors' job preferences at the beginning of their career, with a view to inform the design of effective policies to retain them in rural areas. A discrete choice experiment was designed and administered to 198 young doctors. We analysed the data using several specifications of a random parameter model to account for various sources of preference heterogeneity. By modelling preference heterogeneity, we showed how sensitivity to different incentives varied in different sections of the population. In particular, doctors from rural backgrounds were more sensitive than others to a 45% salary increase and having a post near their home province, but they were less sensitive to a reduction in the number of on‐call nights. On the basis of the model results, the effects of two types of interventions were simulated: introducing various incentives and modifying the population structure. The results of the simulations provide multiple elements for consideration for policy‐makers interested in designing effective interventions. They also underline the interest of modelling preference heterogeneity carefully. Copyright © 2013 John Wiley & Sons, Ltd.

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  • 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.
    • Handle: RePEc:wly:hlthec:v:22:y:2013:i:12:p:1452-1469
    DOI: 10.1002/hec.2897
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    Cited by:

    1. Jithitikulchai, Theepakorn, 2022. "Improving Allocative Efficiency from Network Consolidation: A Solution for the Health Workforce Shortage," MPRA Paper 119914, University Library of Munich, Germany.
    2. Pedro Ramos & Hélio Alves & Paulo Guimarães & Maria A. Ferreira, 2017. "Junior doctors’ medical specialty and practice location choice: simulating policies to overcome regional inequalities," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 18(8), pages 1013-1030, November.
    3. Joachim Marti & John Buckell & Johanna Catherine Maclean & Jody L. Sindelar, 2016. "To ‘Vape’ or Smoke? A Discrete Choice Experiment Among U.S. Adult Smokers," NBER Working Papers 22079, National Bureau of Economic Research, Inc.
    4. Pestana, Joana & Frutuoso, João & Costa, Eduardo & Fonseca, Filipa, 2024. "Heterogeneity in physician's job preferences in a dual practice context – Evidence from a DCE," Social Science & Medicine, Elsevier, vol. 343(C).
    5. Juan Carlos Martín & Concepción Román & Cira Mendoza, 2018. "Determinants for sun-and-beach self-catering accommodation selection," Tourism Economics, , vol. 24(3), pages 319-336, May.
    6. 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.
    7. Joachim Marti & John Buckell & Johanna Catherine Maclean & Jody Sindelar, 2019. "To “Vape” Or Smoke? Experimental Evidence On Adult Smokers," Economic Inquiry, Western Economic Association International, vol. 57(1), pages 705-725, 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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