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      Location Factors Impact the Career Choice of German Dental Practitioners – An Empirical Analytical Approach to Multi-Criteria Decision-Making

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          Abstract

          Objectives

          In light of the increasing number of employed dentists and the decreasing rate of self-employed dentists, the factors that impact the decision to set up a dental office in Germany were investigated. Central to this approach is the provision of comprehensive dental care.

          Methods

          Using a pairwise comparison technique, the analytic hierarchy process (AHP), location factors identified as relevant in a systematic literature review and then prioritized by the professionals were weighted and ranked.

          Results

          According to this, five factors generally dominate the decision to open a dental office. These are, in descending order: environment for the family, quality of life in the private environment, real income, perception of location, and good infrastructure. The strongest impact on the rank order of the influencing factors is the socio-demographic characteristic of gender. For female dentists, the family environment is in the first place (p  =  .3196/C.R.  =  0.1502). For male colleagues, this influence ranks third (p  =  .1550/C.R.  =  0.1468) and real income receives the first place (p  =  .244/C.R.  =  0.1468). For female dentists, the influence of income ranks fifth (p  =  .076/C.R.  =  0.1502). Female and male dentists who grew up in rural areas were less likely to prefer employment (13.6%) than subjects of urban origin (40.2%).

          Conclusion

          The method of AHP is a way to map a priority list of all relevant factors. It can successfully show variations related to specific personal attributes. Obviously, there are factors that are of greater importance for the decision-making process to set up a dental office.

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          Multi-criteria decision making approaches for supplier evaluation and selection: A literature review

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            Becoming a general practitioner - Which factors have most impact on career choice of medical students?

            Background In Germany, there is a shortage of young physicians in several specialties, the situation of general practitioners (GP) being especially precarious. The factors influencing the career choice of German medical students are poorly understood. This study aims to identify factors influencing medical students' specialty choice laying a special focus on general practice. Methods The study was designed as a cross-sectional survey. In 2010, students at the five medical schools in the federal state of Baden-Wuerttemberg (Germany) filled out an online-questionnaire. On 27 items with 5-point Likert scales, the students rated the importance of specified individual and occupational aspects. Furthermore, students were asked to assign their intended medical specialty. Results 1,299 students participated in the survey. Thereof, 1,114 students stated a current choice for a specialty, with 708 students choosing a career in one of the following 6 specialties: internal medicine, surgery, gynaecology and obstetrics, paediatrics, anaesthetics and general practice. Overall, individual aspects ('Personal ambition', 'Future perspective', 'Work-life balance') were rated as more important than occupational aspects (i.e. 'Variety in job', 'Job-related ambition') for career choice. For students favouring a career as a GP individual aspects and the factor 'Patient orientation' among the occupational aspects were significantly more important and 'Job-related ambition' less important compared to students with other specialty choices. Conclusions This study confirms that future GPs differ from students intending to choose other specialties particularly in terms of patient-orientation and individual aspects such as personal ambition, future perspective and work-life balance. Improving job-conditions in terms of family compatibility and work-life balance could help to increase the attractiveness of general practice. Due to the shortage of GPs those factors should be made explicit at an early stage at medical school to increase the number of aspirants for general practice.
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              Interventions for increasing the proportion of health professionals practising in rural and other underserved areas.

              The inequitable distribution of health professionals, within countries, poses an important obstacle to the optimal functioning of health services.
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                Author and article information

                Journal
                Health Serv Res Manag Epidemiol
                Health Serv Res Manag Epidemiol
                HME
                sphme
                Health Services Research and Managerial Epidemiology
                SAGE Publications (Sage CA: Los Angeles, CA )
                2333-3928
                13 July 2023
                Jan-Dec 2023
                : 10
                : 23333928231186215
                Affiliations
                [1-23333928231186215]Faculty of Business Management and Economics, Mendel University, Brno, Czech Republic
                Author notes
                [*]David Stein, Faculty of Business Management and Economics, Mendel University, Zemědělská 1/1665, 613 00 Brno, Czech Republic. Email: xstein@ 123456mendelu.cz
                Author information
                https://orcid.org/0000-0003-2948-4240
                Article
                10.1177_23333928231186215
                10.1177/23333928231186215
                10350783
                5f4f9209-018e-4cc9-a7f9-aadb80843c4d
                © The Author(s) 2023

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                Categories
                Original Research
                Custom metadata
                ts19
                January-December 2023

                healthcare provision,dentistry,career choice,multi-criteria decision-making,analytical hierarchy process

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