EconPapers    
Economics at your fingertips  
 

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

Anna Kurniati, Ferry Efendi, Angger Rina Widowati, Agustina Simanjuntak, Siska Mudina, Budi Ikhwansyah, Arif Yustian Maulana Noor and Lisa McKenna

PLOS ONE, 2024, vol. 19, issue 8, 1-14

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.

Date: 2024
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0308225 (text/html)
https://journals.plos.org/plosone/article/file?id= ... 08225&type=printable (application/pdf)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0308225

DOI: 10.1371/journal.pone.0308225

Access Statistics for this article

More articles in PLOS ONE from Public Library of Science
Bibliographic data for series maintained by plosone ().

 
Page updated 2025-05-31
Handle: RePEc:plo:pone00:0308225