Tuyển tập các báo cáo nghiên cứu về sinh học được đăng trên tạp chí sinh học quốc tế đề tài : Understanding the ‘four directions of travel’: qualitative research into the factors affecting recruitment and retention of doctors in rural Vietnam | Witter et al. Human Resources for Health 2011 9 20 http content 9 1 20 HUMAN RESOURCES ulli FOR HEALTH RESEARCH Open Access Understanding the four directions of travel qualitative research into the factors affecting recruitment and retention of doctors in rural Vietnam 1 2 3 3 Sophie Witter Bui Thi Thu Ha Bakhuti Shengalia and Marko Vujicic Abstract Background Motivation and retention of health workers particularly in rural areas is a question of considerable interest to policy-makers internationally. Many countries including Vietnam are debating the right mix of interventions to motivate doctors in particular to work in remote areas. The objective of this study was to understand the dynamics of the health labour market in Vietnam and what might encourage doctors to accept posts and remain in-post in rural areas. Methods This study forms part of a labour market survey which was conducted in Vietnam in November 2009 to February 2010. The study had three stages. This article describes the findings of the first stage - the qualitative research and literature review which fed into the design of a structured survey second stage and contingent valuation third stage . For the qualitative research three tools were used - key informant interviews at national and provincial level 6 respondents in-depth interviews of doctors at district and commune levels 11 respondents and focus group discussions with medical students 15 participants . Results The study reports on the perception of the problem by national level stakeholders the motivation for joining the profession by doctors their views on the different factors affecting their willingness to work in rural areas including different income streams working conditions workload equipment support and supervision relationships with colleagues career development training and living conditions . It presents findings on their overall satisfaction their ranking of different attributes and willingness to
