Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1395
10
1
gregorian
2017
1
1
31
1
online
1
fulltext
en
General practitioners' views on key factors affecting their desired income: A principal component analysis approach
Public Administration & Health management and economics
Public Administration & Health management and economics
Original Research
Original Research
<p dir="ltr"><strong>Background: </strong>Based on the target income hypothesis, the economic behavior of physicians is mainly affected by their target income. This study aimed at designing an instrument to explain how general practitioners (GPs) set their desired income.<br>
<strong> Methods:</strong> A self-administered questionnaire of affecting factors on GPs' target income was extracted from literature reviews and a small qualitative study. Respondents were 666 GPs who completed the questionnaire (response rate= 52%) during 2 seasonal congresses of Iranian GPs. The principal component analysis (PCA) with varimax rotation was used to classify the variables and data reduction. Sample adequacy test, sphericity test, eigenvalues of components, and scree plot were evaluated for PCA. Cronbach's alpha was also checked to assess the internal consistency of the principal components.<br>
<strong> Results:</strong> The results of the KMO measure of sampling adequacy (0.657) and Bartlett’s test of sphericity (809.05, p<0.001) revealed that the collected data were suitable for PCA.<br>
Based on the scree plot pattern and eigenvalues greater than 1, 6 components including perceived comparative income, importance of responsiveness to patients, perceived socioeconomic status, economic expectations, socioeconomic status of paternal family, and provision of luxury services were selected, which explained 65.19% of the total variance. Finally, only those with a Cronbach's alpha value higher than 0.6 were considered reliable (the first 4 components). <br>
<strong> Conclusion:</strong> Based on the target income hypothesis, a physician’s desired level of income affects their behavior. Our developed instrument and its mentioned components can be used in future studies related to GPs' behavior, especially those studies related to the economic aspects of GPs’ behavior. It also helps formulate a better payment mechanism for primary care providers. <br>
</p>
General practitioner, Behavioral economics, Healthcare economics and organizations, Target income hypothesis, Principal component analysis
236
240
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-2680-1&slc_lang=en&sid=1
Mohsen
Bayati
bayatim66@gmail.com
200319475328460033920
200319475328460033920
No
Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Arash
Rashidian
arash.rashidian@gmail.com
200319475328460033921
200319475328460033921
Yes
Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Ali
Akbari Sari
akbarisari@tums.ac.ir
200319475328460033922
200319475328460033922
No
Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Sara
Emamgholipour
s-emamgholipour@tums.ac.ir
200319475328460033923
200319475328460033923
No
Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.