Job preferences for healthcare administration students in China: A discrete choice experiment
There is a deficiency of healthcare administrators in China as compared with other countries; furthermore, the distribution is unequal. To inform an effective policy intervention, it is crucial to understand healthcare administration students' career decision-making. This study aims to investig...
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| description | There is a deficiency of healthcare administrators in China as compared with other countries; furthermore, the distribution is unequal. To inform an effective policy intervention, it is crucial to understand healthcare administration students' career decision-making. This study aims to investigate the undergraduate students' stated preferences when choosing a job.
A discrete choice experiment (DCE) was conducted among a population-based multistage sample of 668 final year undergraduate healthcare administration students during April to June 2017 in eight universities of China to elicit their job preferences. Attributes include location, monthly income, bianzhi (which refers to the established posts and can be loosely regarded as state administrative staffing), training and career development opportunity, working environment and workload. Conditional and mixed logit models were used to analyze the relative importance of job attributes.
All six attributes were statistically significant with the expected sign and demonstrated the existence of preference heterogeneity. Monthly income, workload and working environment were of most concern to healthcare administration students when deciding their future. Among the presented attributes bianzhi was of the least concern. Sub-group analysis showed that students who have an urban background and/or with higher annual family incomes were willing to pay more for working in the city. In addition, students from western and middle universities valued bianzhi higher than students from eastern universities.
This is the first study focusing on the career decision-making of Chinese healthcare administration students at a critical career decision-making point. Both monetary and non-monetary interventions could be considered by policy-makers to attract students to work in health institutions, especially in rural and remote health institutions in China. There exists preference heterogeneity on healthcare administration students' job preferences, which should also be taken into account in developing more effective policy incentive packages. |
| doi_str_mv | 10.1371/journal.pone.0211345 |
| format | Article |
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A discrete choice experiment (DCE) was conducted among a population-based multistage sample of 668 final year undergraduate healthcare administration students during April to June 2017 in eight universities of China to elicit their job preferences. Attributes include location, monthly income, bianzhi (which refers to the established posts and can be loosely regarded as state administrative staffing), training and career development opportunity, working environment and workload. Conditional and mixed logit models were used to analyze the relative importance of job attributes.
All six attributes were statistically significant with the expected sign and demonstrated the existence of preference heterogeneity. Monthly income, workload and working environment were of most concern to healthcare administration students when deciding their future. Among the presented attributes bianzhi was of the least concern. Sub-group analysis showed that students who have an urban background and/or with higher annual family incomes were willing to pay more for working in the city. In addition, students from western and middle universities valued bianzhi higher than students from eastern universities.
This is the first study focusing on the career decision-making of Chinese healthcare administration students at a critical career decision-making point. Both monetary and non-monetary interventions could be considered by policy-makers to attract students to work in health institutions, especially in rural and remote health institutions in China. There exists preference heterogeneity on healthcare administration students' job preferences, which should also be taken into account in developing more effective policy incentive packages.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0211345</identifier><identifier>PMID: 30682170</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Analysis ; Biology and Life Sciences ; Career Choice ; Careers ; China ; Colleges & universities ; Decision Making ; Earth Sciences ; Economic models ; Employment ; Experiments ; Female ; Health care ; Health care policy ; Health economics ; Health services ; Health Services Administration ; Health services administrators ; Heterogeneity ; Hospital administration ; Human resources ; Humans ; Income ; Job satisfaction ; Laboratories ; Logit models ; Male ; Medical personnel ; Medical research ; Medical students ; Medicine ; Medicine and Health Sciences ; People and Places ; Place preferences ; Practice ; Primary care ; Professional development ; Public health ; Public sector ; R&D ; Research & development ; Retention ; Rural areas ; Social Sciences ; Statistical analysis ; Students ; Supply and demand ; Surveys and Questionnaires ; Workforce ; Working conditions ; Workload ; Workplace ; Young Adult</subject><ispartof>PloS one, 2019-01, Vol.14 (1), p.e0211345-e0211345</ispartof><rights>COPYRIGHT 2019 Public Library of Science</rights><rights>2019 Liu et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2019 Liu et al 2019 Liu et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-e03cad33434fbf810975015146720025230c67ad853443fd45fe4f7424fb20c73</citedby><cites>FETCH-LOGICAL-c692t-e03cad33434fbf810975015146720025230c67ad853443fd45fe4f7424fb20c73</cites><orcidid>0000-0002-8385-5965 ; 0000-0001-8144-6220</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347231/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347231/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30682170$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Reddy, Sakamuri V.</contributor><creatorcontrib>Liu, Shimeng</creatorcontrib><creatorcontrib>Li, Shunping</creatorcontrib><creatorcontrib>Li, Yujia</creatorcontrib><creatorcontrib>Wang, Haipeng</creatorcontrib><creatorcontrib>Zhao, Jingjing</creatorcontrib><creatorcontrib>Chen, Gang</creatorcontrib><title>Job preferences for healthcare administration students in China: A discrete choice experiment</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>There is a deficiency of healthcare administrators in China as compared with other countries; furthermore, the distribution is unequal. To inform an effective policy intervention, it is crucial to understand healthcare administration students' career decision-making. This study aims to investigate the undergraduate students' stated preferences when choosing a job.
A discrete choice experiment (DCE) was conducted among a population-based multistage sample of 668 final year undergraduate healthcare administration students during April to June 2017 in eight universities of China to elicit their job preferences. Attributes include location, monthly income, bianzhi (which refers to the established posts and can be loosely regarded as state administrative staffing), training and career development opportunity, working environment and workload. Conditional and mixed logit models were used to analyze the relative importance of job attributes.
All six attributes were statistically significant with the expected sign and demonstrated the existence of preference heterogeneity. Monthly income, workload and working environment were of most concern to healthcare administration students when deciding their future. Among the presented attributes bianzhi was of the least concern. Sub-group analysis showed that students who have an urban background and/or with higher annual family incomes were willing to pay more for working in the city. In addition, students from western and middle universities valued bianzhi higher than students from eastern universities.
This is the first study focusing on the career decision-making of Chinese healthcare administration students at a critical career decision-making point. Both monetary and non-monetary interventions could be considered by policy-makers to attract students to work in health institutions, especially in rural and remote health institutions in China. There exists preference heterogeneity on healthcare administration students' job preferences, which should also be taken into account in developing more effective policy incentive packages.</description><subject>Analysis</subject><subject>Biology and Life Sciences</subject><subject>Career Choice</subject><subject>Careers</subject><subject>China</subject><subject>Colleges & universities</subject><subject>Decision Making</subject><subject>Earth Sciences</subject><subject>Economic models</subject><subject>Employment</subject><subject>Experiments</subject><subject>Female</subject><subject>Health care</subject><subject>Health care policy</subject><subject>Health economics</subject><subject>Health services</subject><subject>Health Services Administration</subject><subject>Health services administrators</subject><subject>Heterogeneity</subject><subject>Hospital administration</subject><subject>Human resources</subject><subject>Humans</subject><subject>Income</subject><subject>Job satisfaction</subject><subject>Laboratories</subject><subject>Logit models</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Medical research</subject><subject>Medical students</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>People and Places</subject><subject>Place preferences</subject><subject>Practice</subject><subject>Primary care</subject><subject>Professional development</subject><subject>Public health</subject><subject>Public sector</subject><subject>R&D</subject><subject>Research & development</subject><subject>Retention</subject><subject>Rural areas</subject><subject>Social Sciences</subject><subject>Statistical analysis</subject><subject>Students</subject><subject>Supply and demand</subject><subject>Surveys and Questionnaires</subject><subject>Workforce</subject><subject>Working conditions</subject><subject>Workload</subject><subject>Workplace</subject><subject>Young 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preferences for healthcare administration students in China: A discrete choice experiment</title><author>Liu, Shimeng ; Li, Shunping ; Li, Yujia ; Wang, Haipeng ; Zhao, Jingjing ; Chen, Gang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-e03cad33434fbf810975015146720025230c67ad853443fd45fe4f7424fb20c73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Analysis</topic><topic>Biology and Life Sciences</topic><topic>Career Choice</topic><topic>Careers</topic><topic>China</topic><topic>Colleges & universities</topic><topic>Decision Making</topic><topic>Earth Sciences</topic><topic>Economic models</topic><topic>Employment</topic><topic>Experiments</topic><topic>Female</topic><topic>Health care</topic><topic>Health care policy</topic><topic>Health economics</topic><topic>Health services</topic><topic>Health Services Administration</topic><topic>Health services 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Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liu, Shimeng</au><au>Li, Shunping</au><au>Li, Yujia</au><au>Wang, Haipeng</au><au>Zhao, Jingjing</au><au>Chen, Gang</au><au>Reddy, Sakamuri V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Job preferences for healthcare administration students in China: A discrete choice experiment</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2019-01-25</date><risdate>2019</risdate><volume>14</volume><issue>1</issue><spage>e0211345</spage><epage>e0211345</epage><pages>e0211345-e0211345</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>There is a deficiency of healthcare administrators in China as compared with other countries; furthermore, the distribution is unequal. To inform an effective policy intervention, it is crucial to understand healthcare administration students' career decision-making. This study aims to investigate the undergraduate students' stated preferences when choosing a job.
A discrete choice experiment (DCE) was conducted among a population-based multistage sample of 668 final year undergraduate healthcare administration students during April to June 2017 in eight universities of China to elicit their job preferences. Attributes include location, monthly income, bianzhi (which refers to the established posts and can be loosely regarded as state administrative staffing), training and career development opportunity, working environment and workload. Conditional and mixed logit models were used to analyze the relative importance of job attributes.
All six attributes were statistically significant with the expected sign and demonstrated the existence of preference heterogeneity. Monthly income, workload and working environment were of most concern to healthcare administration students when deciding their future. Among the presented attributes bianzhi was of the least concern. Sub-group analysis showed that students who have an urban background and/or with higher annual family incomes were willing to pay more for working in the city. In addition, students from western and middle universities valued bianzhi higher than students from eastern universities.
This is the first study focusing on the career decision-making of Chinese healthcare administration students at a critical career decision-making point. Both monetary and non-monetary interventions could be considered by policy-makers to attract students to work in health institutions, especially in rural and remote health institutions in China. There exists preference heterogeneity on healthcare administration students' job preferences, which should also be taken into account in developing more effective policy incentive packages.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>30682170</pmid><doi>10.1371/journal.pone.0211345</doi><tpages>e0211345</tpages><orcidid>https://orcid.org/0000-0002-8385-5965</orcidid><orcidid>https://orcid.org/0000-0001-8144-6220</orcidid><oa>free_for_read</oa></addata></record> |
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| issn | 1932-6203 1932-6203 |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Analysis Biology and Life Sciences Career Choice Careers China Colleges & universities Decision Making Earth Sciences Economic models Employment Experiments Female Health care Health care policy Health economics Health services Health Services Administration Health services administrators Heterogeneity Hospital administration Human resources Humans Income Job satisfaction Laboratories Logit models Male Medical personnel Medical research Medical students Medicine Medicine and Health Sciences People and Places Place preferences Practice Primary care Professional development Public health Public sector R&D Research & development Retention Rural areas Social Sciences Statistical analysis Students Supply and demand Surveys and Questionnaires Workforce Working conditions Workload Workplace Young Adult |
| title | Job preferences for healthcare administration students in China: A discrete choice experiment |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-01T16%3A55%3A30IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Job%20preferences%20for%20healthcare%20administration%20students%20in%20China:%20A%20discrete%20choice%20experiment&rft.jtitle=PloS%20one&rft.au=Liu,%20Shimeng&rft.date=2019-01-25&rft.volume=14&rft.issue=1&rft.spage=e0211345&rft.epage=e0211345&rft.pages=e0211345-e0211345&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0211345&rft_dat=%3Cgale_plos_%3EA571057298%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2171190691&rft_id=info:pmid/30682170&rft_galeid=A571057298&rft_doaj_id=oai_doaj_org_article_b94b55a980ae4166b1bcc9f869adecb5&rfr_iscdi=true |