Analysis of Employment Preferences of Standardized Residency Trainees in Shanghai

Corresponding author: SUN Mei, sunmei@fudan.edu.cn

DOI: 10.12201/bmr.202604.00067

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  Abstract: Objective: To examine employment preferences of standardized residency training physicians in Shanghai and heterogeneity in primary care preferences. Methods: Online survey of 1,813 physicians using proportional stratified sampling. Mixed logit models applied for preference estimation, relative importance analysis, heterogeneity analysis, and scenario simulation. Results: Standardized training residents preferred tertiary hospitals most. Monthly income was the top determinant, followed by hospital level and work environment. Those with bachelors degrees lacking four certificates, working ≥50 hours weekly, and in general practice showed relatively positive preferences for primary care. Scenario simulations showed that improving work environment significantly boosted primary care willingness; compared with tertiary hospitals, primary facilities needed favorable benefits or career prospects plus better environment to attract these residents. Conclusions: Most residents preferred tertiary hospitals. Both economic and non-economic factors shaped their preferences, with heterogeneity across different characteristics. Optimizing policy tools is needed to enhance primary care willingness, alongside strengthening service capacity and building sustainable talent retention mechanisms.

  Key words: Standardized residency trainee; Employment Preferences; Discrete Choice Experiment

  Submit time: 9 April 2026

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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