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Öğe Employment Preferences of Cardiologists in Türkiye: A Discrete Choice Experiment(Kare Publ, 2024) Cerik, Idris Bugra; Koyun, Emin; Kiyak, Yavuz Selim; Budakoglu, Isil Irem; Dindas, Ferhat; Coskun, OzlemObjective: 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 T & uuml;rkiye using a discrete choice experiment (DCE). Methods: A DCE questionnaire was distributed electronically to all cardiologists in T & uuml;rkiye. 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 T & uuml;rkiye. However, several other monetary and non -monetary factors were also influential, suggesting that policymakers should adopt a holistic approach when developing incentives for cardiologists.Öğe What do Turkish, Spanish, and Pakistani medical students value in specialty training positions? A discrete choice experiment(Bmc, 2022) Kiyak, Yavuz Selim; Budakoglu, Isil Irem; Garcia-Estan, Joaquin; Atta, Komal; Coskun, Ozlem; Koyun, EminBackground: The aim of this study was to find out specialty training preferences of senior medical students from three medical schools in Turkey, Spain, and Pakistan. Methods: A Discrete Choice Experiment was carried out using an electronic form for students in three countries in 2021-2022 term. Each choice set in the form consisted of two hypothetical specialty training positions. The attributes were location, earnings, working conditions, personal perspective, quality of education, probability of malpractice, and prestige. Conditional logit model was used to estimate participants' preferences and willingness to accept values. Results: The most valued attribute was personal perspective on specialty area for Turkish and Spanish students, while this attribute was not meaningful for Pakistani students. Turkish students needed a 204% of change in their income for a swap between the specialty that they like and not like. This tradeoff necessitated a 300% change for Spanish students. The most valued attribute for Pakistani students, which was working conditions, necessitated a 97% increase in income to switch from working in good conditions to working in poor conditions. Conclusion: In this first multinational DCE study in the medical education literature, we found the preferences of medical students in Turkey, Spain, and Pakistan are affected to various extents by several factors.