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BMJ 2003;326 (28 June), doi:10.1136/bmj.326.7404.0-c
Scottish hospital consultants feel most strongly about high intensity on-call workload when trading off between income and other job characteristics. In a postal survey of 1650 NHS consultants, Ubach and colleagues (p 1432) used a discrete choice experiment to test the strength of preferences for consultants' work. The aspect given highest preferences was limiting high intensity on-call work; consultants then most strongly preferred a job that included opportunities to do non-NHS work, good relationships with staff, adequate staff levels, and fewer hours at work. The relative value of these work features depended on consultants' age, sex, family circumstances, specialty, income, and location. The authors contend that knowing which aspects of consultants' jobs matter to them and how much they matter can be used as the basis for determining levels of remuneration, thus helping to improve recruitment, retention, and job satisfaction.
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PAUL TOMKINS/SCOTTISH VIEWPOINT
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