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Young doctors’ preferences for payment systems: the influence of gender and personality traits

OBJECTIVE: Activity-based payment contracts are common among doctors, but to what extent are they preferred? The aim of this paper is to elicit young doctors’ preferences for alternative payment systems before they have adapted to an existing system. We examine the existence of gender differences an...

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Autores principales: Abelsen, Birgit, Olsen, Jan Abel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4544792/
https://www.ncbi.nlm.nih.gov/pubmed/26286555
http://dx.doi.org/10.1186/s12960-015-0060-0
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author Abelsen, Birgit
Olsen, Jan Abel
author_facet Abelsen, Birgit
Olsen, Jan Abel
author_sort Abelsen, Birgit
collection PubMed
description OBJECTIVE: Activity-based payment contracts are common among doctors, but to what extent are they preferred? The aim of this paper is to elicit young doctors’ preferences for alternative payment systems before they have adapted to an existing system. We examine the existence of gender differences and the extent to which personality traits determine preferences. METHODS: A cross-sectional survey of all final-year medical students and all interns in Norway examined the extent to which preferences for different payment systems depend on gender and personality traits. Data analysis relied on one-way ANOVA and multinomial logistic regression. RESULTS: The current activity-based payment systems were the least preferred, both in hospitals (16.6%) and in general practice (19.7%). The contrasting alternative “fixed salary” achieved similar relative support. Approximately half preferred the hybrid alternative. When certainty associated with a payment system increased, its appeal rose for women and individuals who are less prestige-oriented, risk-tolerant or effort-tolerant. Activity-based systems were preferred among status- and income-oriented respondents. CONCLUSION: The vast majority of young doctors prefer payment systems that are less activity-based than the current contracts offered in the Norwegian health service. Recruitment and retention in less prestigious medical specialities might improve if young doctors could choose payment systems corresponding with their diverse preferences.
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spelling pubmed-45447922015-08-22 Young doctors’ preferences for payment systems: the influence of gender and personality traits Abelsen, Birgit Olsen, Jan Abel Hum Resour Health Research OBJECTIVE: Activity-based payment contracts are common among doctors, but to what extent are they preferred? The aim of this paper is to elicit young doctors’ preferences for alternative payment systems before they have adapted to an existing system. We examine the existence of gender differences and the extent to which personality traits determine preferences. METHODS: A cross-sectional survey of all final-year medical students and all interns in Norway examined the extent to which preferences for different payment systems depend on gender and personality traits. Data analysis relied on one-way ANOVA and multinomial logistic regression. RESULTS: The current activity-based payment systems were the least preferred, both in hospitals (16.6%) and in general practice (19.7%). The contrasting alternative “fixed salary” achieved similar relative support. Approximately half preferred the hybrid alternative. When certainty associated with a payment system increased, its appeal rose for women and individuals who are less prestige-oriented, risk-tolerant or effort-tolerant. Activity-based systems were preferred among status- and income-oriented respondents. CONCLUSION: The vast majority of young doctors prefer payment systems that are less activity-based than the current contracts offered in the Norwegian health service. Recruitment and retention in less prestigious medical specialities might improve if young doctors could choose payment systems corresponding with their diverse preferences. BioMed Central 2015-08-19 /pmc/articles/PMC4544792/ /pubmed/26286555 http://dx.doi.org/10.1186/s12960-015-0060-0 Text en © Abelsen and Olsen. 2015 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Abelsen, Birgit
Olsen, Jan Abel
Young doctors’ preferences for payment systems: the influence of gender and personality traits
title Young doctors’ preferences for payment systems: the influence of gender and personality traits
title_full Young doctors’ preferences for payment systems: the influence of gender and personality traits
title_fullStr Young doctors’ preferences for payment systems: the influence of gender and personality traits
title_full_unstemmed Young doctors’ preferences for payment systems: the influence of gender and personality traits
title_short Young doctors’ preferences for payment systems: the influence of gender and personality traits
title_sort young doctors’ preferences for payment systems: the influence of gender and personality traits
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4544792/
https://www.ncbi.nlm.nih.gov/pubmed/26286555
http://dx.doi.org/10.1186/s12960-015-0060-0
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