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General practitioners views on key factors affecting their desired income: A principal component analysis approach

机译:全科医生对影响其期望收入的关键因素的看法:主成分分析方法

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摘要

>Background: 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. >Methods: 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. >Results: 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. 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). >Conclusion: Based on the target income hypothesis, a physician’s desired level of income affects their behavior. Our developedinstrument and its mentioned components can be used in future studies related to GPs' behavior, especially those studies related to theeconomic aspects of GPs’ behavior. It also helps formulate a better payment mechanism for primary care providers.
机译:>背景:基于目标收入假设,医生的经济行为主要受目标收入的影响。这项研究旨在设计一种工具来解释全科医生(GP)如何设定其期望的收入。 >方法:从文献综述和小规模定性研究中提取了一份影响全科医生目标收入影响因素的自我管理问卷。受访者为666名全科医生,他们在伊朗全科医生的两个季节性代表大会上均完成了调查问卷(答复率为52%)。使用最大方差旋转的主成分分析(PCA)对变量和数据约简进行分类。评估PCA的样品充分性测试,球形度测试,组件特征值和碎石图。还检查了克伦巴赫(Cronbach)的alpha值,以评估主要成分的内部一致性。 >结果:KMO抽样充分性度量(0.657)和Bartlett球形度检验(809.05,p <0.001)的结果表明,所收集的数据适用于PCA。基于卵石图模式和大于1的特征值,选择了6个组成部分,包括可感知的相对收入,对患者反应的重要性,可感知的社会经济状况,经济期望,父亲家庭的社会经济状况以及提供豪华服务的原因,占65.19%总方差。最后,只有那些Cronbach alpha值高于0.6的人才被认为是可靠的(前四个分量)。>结论:根据目标收入假设,医生的期望收入水平会影响他们的行为。我们开发的该仪器及其提及的组件可用于与GP行为有关的未来研究,尤其是与GP行为有关的研究。全科医生行为的经济方面。它还有助于为初级保健提供者制定更好的支付机制。

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