Increasing the contribution of pharmacists to primary care has been long discussed, particularly in the context of health workforce shortages and the push to better integrate all providers across primary care. This study examines the employment preferences of Australian pharmacy degree holders (PDHs) elicited through a discrete choice experiment (DCE), to better understand the drivers of current labour force choices. A labelled DCE was developed incorporating the six employment sectors: , and . Each alternative was described by five attributes using Herzberg's Two Factor Theory as a conceptual framework. They include motivators - and and hygiene factors-, , and . Unforced choice data were analysed using conditional logit and mixed logit models. Based on a sample of 678 PDHs in Australia, our findings indicated is the least preferred sector, followed by . Motivators in the form of and are the most important attributes in hospital pharmacy while hygiene factors - and significantly drive the choice of community pharmacy and primary care settings. We provided evidence of a willingness to adopt expanded roles in . This unique interpretation of the key drivers of employment preference in light of motivators and hygiene factors provides policy makers with important information when designing policies to attract and retain PDHs across employment sectors.

中文翻译：

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从动机卫生理论的角度了解澳大利亚药学学位持有者的工作偏好

长期以来，人们一直在讨论增加药剂师对初级保健的贡献，特别是在卫生人力短缺和推动更好地整合初级保健的所有提供者的背景下。本研究调查了通过离散选择实验 (DCE) 得出的澳大利亚药学学位持有者 (PDH) 的就业偏好，以更好地了解当前劳动力选择的驱动因素。开发了一个带有标签的 DCE，其中包含六个就业部门： 、 和 。使用赫茨伯格的双因素理论作为概念框架，通过五个属性描述了每个替代方案。它们包括激励因素 - 和卫生因素 - 、 和 。使用条件 Logit 和混合 Logit 模型分析非强迫选择数据。根据澳大利亚 678 个 PDH 的样本，我们的研究结果表明 是最不受欢迎的行业，其次是 .激励因素是医院药房最重要的属性，而卫生因素则显着推动社区药房和初级保健机构的选择。我们提供了证据表明愿意在 .这种根据激励因素和保健因素对就业偏好关键驱动因素的独特解释，为政策制定者在设计吸引和留住各就业部门的PDH政策时提供了重要信息。