ISSN 1016-5169 | E-ISSN 1308-4488
Archives of the Turkish Society of Cardiology
Employment Preferences of Cardiologists in Türkiye: A Discrete Choice Experiment [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2024; 52(3): 199-207 | DOI: 10.5543/tkda.2023.09255

Employment Preferences of Cardiologists in Türkiye: A Discrete Choice Experiment

İdris Buğra Çerik1, Emin Koyun2, Yavuz Selim Kıyak3, Işıl İrem Budakoğlu3, Ferhat Dindaş4, Özlem Coşkun3
1Department of Cardiology, Faculty of Medicine, Ordu University, Ordu, Türkiye
2Department of Cardiology, Faculty of Medicine, Cumhuriyet University, Sivas, Türkiye
3Department of Medical Education, Faculty of Medicine, Gazi University, Ankara, Türkiye
4Department of Cardiology, Usak Training and Research Hospital, Usak, Türkiye


OBJECTIVE
The homogeneous distribution of physicians is important for ensuring patients’ access to health services. To encourage physicians to work in underserved areas, policymakers create incentives. Understanding physicians’ employment preferences is essential when developing these incentive packages. This study aims to quantitatively reveal the preferences of cardiologists in Türkiye using a discrete choice experiment (DCE).


METHODS
A DCE questionnaire was distributed electronically to all cardiologists in Türkiye. It included 14 different pairs of hypothetical job offers based on seven parameters likely to influence their employment preferences. The data were analyzed using a conditional logit model. The coefficients (CEs) of conditional logistic regression and the willingness-to-accept (WTA) values were calculated.


RESULTS
The analysis included 278 cardiologists. It revealed that the most influential parameter was location (CE: 2.86). To move to an undesirable location, the average participant would require an earnings increase of at least 123.3% relative to the average potential earnings of a cardiologist. Other parameters included availability of suitable facilities (CE: 1.07, WTA: 46.3%), harmony with co-workers (CE: 0.92, WTA: 39.61%), working conditions (CE: 0.68, WTA: 29.26%), and the number of night shifts (CE: 0.61, WTA: 26.34%).


CONCLUSION
“Location” emerged as the most important factor in the employment preferences of cardiologists in Türkiye. However, several other monetary and non-monetary factors were also influential, suggesting that policymakers should adopt a holistic approach when developing incentives for cardiologists.

Keywords: Cardiologist, employment, discrete choice experiment, health policy

How to cite this article
İdris Buğra Çerik, Emin Koyun, Yavuz Selim Kıyak, Işıl İrem Budakoğlu, Ferhat Dindaş, Özlem Coşkun. Employment Preferences of Cardiologists in Türkiye: A Discrete Choice Experiment. Turk Kardiyol Dern Ars. 2024; 52(3): 199-207

Corresponding Author: İdris Buğra Çerik
Manuscript Language: English


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Journal Citation Indicator: 0.18
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