Abstract
BackgroundThere 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.MethodsA 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.ResultsAll 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.ConclusionsThis 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.
Highlights
Effective health reforms will necessarily deal with the three major resource inputs of any national health system: financial, physical and human resources [1]
Workload and working environment were of most concern to healthcare administration students when deciding their future
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
Summary
Effective health reforms will necessarily deal with the three major resource inputs of any national health system: financial, physical and human resources [1]. The World Health Organization has recommended several policy interventions, such as recruiting students with a rural background and embedding a rural course so that students would become more familiar with remote conditions and more likely to return to rural areas after graduation [6], the unevenly distributed health workforce remains a significant issue in both developed and developing countries. There is a deficiency of healthcare administrators in China as compared with other countries; 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
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