What Keeps Medical Specialists in Remote Areas of Indonesia?

What is it about?

This study explores what factors influence medical specialists' decisions to stay and work in remote areas of Indonesia. Using a Discrete Choice Experiment (DCE) with 341 specialists across 10 provinces, the research identifies the most important incentives that improve retention. The findings show that security guarantees from the local government, fully funded professional development, and access to advanced medical facilities are the top priorities for specialists. Financial incentives also play a role, but they are not enough on their own. A combination of better workplace conditions, career growth opportunities, and safety measures is needed to encourage specialists to stay in underserved areas. These insights help policymakers design stronger retention programs that address the needs of medical specialists while ensuring better healthcare access for rural populations.

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Photo by Online Marketing on Unsplash

Photo by Online Marketing on Unsplash

Why is it important?

Indonesia struggles with a shortage of medical specialists in remote areas, leading to limited healthcare access for rural communities. If specialists continue leaving, it will be difficult to achieve universal health coverage. This study provides evidence-based recommendations to improve retention policies, ensuring rural areas receive adequate medical care.

Perspectives

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Retaining medical specialists in remote areas is a complex but essential challenge. This study shows that financial incentives alone are not enough—doctors also need security, career development, and proper medical facilities to stay. Improving working conditions and providing clear career pathways can help build a stronger healthcare workforce in underserved regions. By addressing these issues, we can ensure better healthcare services for communities that need them most.

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