Family Medicine & Primary Care Review

Full text

2/2026 vol. 28
Review paper

The nature and range of motivators for future doctors in the context of medical deserts

Joanna Oberska 1
,
Aneta Nitsch-Osuch 1
,
Paweł Żuk 2
,
Artur Prusaczyk 2
,
Sergii Burma 3
,
Katarzyna Bochniak 1
,
Magdalena Bogdan 1

  1. Department of Social Medicine and Public Health, Medical University of Warsaw, Warsaw, Poland

  2. Medical and Diagnostic Center, Siedlce, Poland

  3. Kyiv University of Intellectual Property and Law of the National University “Odesa Law Academy”, Kyiv, Ukraine

Family Medicine & Primary Care Review 2026; 28(2): 200–204

DOI: https://doi.org/10.5114/fmpcr.2026.161518
Data publikacji online: 2026/06/22
Article file
15 FM&PCR 2 26 - R - Oberska - 1836 - The nature and range.pdf
Confronting perimenopausal women’s knowledge of coronary heart disease with their health behaviours. Controversial role of hormone replacement therapy in the protection of coronary heart disease
  1. Ono T, Schoenstein M, Buchan J. Geographic Imbalances in Doctor Supply and Policy Responses. OECD Health Working Papers No. 69. Paris: OECD Publishing; 2014, doi: 10.1787/5jz5sq5ls1wl-en.
  2. WHO. Imbalances in rural primary care: a scoping literature review with an emphasis on the WHO European Region. Geneva: World Health Organization; 2018.
  3. WHO. Increasing access to health workers in remote and rural areas through improved retention: global policy recommendations. Geneva: World Health Organization; 2010.
  4. Brînzac MG, Kuhlmann E, Dussault G, et al. Defining medical deserts – an international consensus-building exercise. Eur J Public Health 2023; 335: 785–788, doi: 10.1093/eurpub/ckad107.
  5. WHO. Regional Office for Europe. European Programme of Work 2020–2025: United Action for Better Health. Geneva: World Health Organization; 2021.
  6. OECD. Health Workforce Policies in OECD Countries: Right Jobs, Right Skills, Right Places. OECD Health Policy Studies. Paris: OECD Publishing; 2016, doi: 10.1787/9789264239517-en.
  7. GUS. Sytuacja demograficzna Polski do 2023. Warszawa: Główny Urząd Statystyczny; 2024 (in Polish).
  8. Ministerstwo Zdrowia. Mapa potrzeb zdrowotnych 2022–2026 – Podstawowa opieka zdrowotna. Warszawa: Ministerstwo Zdrowia; 2022 [cited 06.04.2025]. Available from URL: https://basiw.mz.gov.pl/mapy-informacje/mapa-2022-2026/analizy/podstawowa-opieka-zdrowotna/ (in Polish).
  9. Pacjenci ze wsi mają trudniejszy dostęp do leczenia. Główna przyczyna to brak lekarzy. Puls Medycyny 2024 Mar [cited 06.04.2025]. Available from URL: https://pulsmedycyny.pl/kadry/lekarze/pacjenci-ze-wsi-maja-trudniejszy-dostep-do-leczenia-glowna-przyczyna-to-brak-lekarzy/ (in Polish).
  10. Lechowski Ł, Jasion A. Spatial Accessibility of Primary Health Care in Rural Areas in Poland. Int J Environ Res Public Health 2021; 1817: 9282, doi: 10.3390/ijerph18179282.
  11. OECD. Health at a Glance 2021: OECD Indicators. Paris: OECD Publishing; 2021, doi: 10.1787/ae3016b9-en.
  12. Eurostat. Self-perceived health by sex, age and degree of urbanization. 2025, doi: 10.2908/HLTH_SILC_2.
  13. Alemu FW, Yuan J, Kadish S, et al. Social determinants of unmet need for primary care: a systematic review. Syst Rev 2024; 13(1): 252, doi: 10.1186/s13643-024-02647-5.
  14. Flinterman LE, González-González AI, Seils L, et al. Characteristics of Medical Deserts and Approaches to Mitigate Their Health Workforce Issues: A Scoping Review of Empirical Studies in Western Countries. Int J Health Policy Manag 2023; 12: 7454, doi: 10.34172/ijhpm.2023.7454.
  15. Boczkowski A, Makowska-Matuszkiewicz E, Zawadzka J. Lekarze medycyny pracy – akceptacja roli zawodowej i motywy wyboru specjalizacji. Med Pr 2008; 596: 489–504 (in Polish).
  16. Bugiel J, ed. Socjologia i psychologia pracy. Wyd. 2. Warszawa: Państwowe Wydawnictwo Naukowe; 1987 (in Polish).
  17. Czachowski S, Buczkowski K. Społeczne uwarunkowania wyboru specjalizacji lekarza rodzinnego. Kultura i Edukacja 2006; 1: 127–142 (in Polish).
  18. Wójcik J. Lekarz. Zawód czy powołanie: postawy lekarzy wobec pracy zawodowej. Katowice: Oficyna Wydawnicza Wacław Walasek; 2018 (in Polish).
  19. Szafrański T, Kobierzycki T. Problemy adaptacyjne studentów medycyny – przegląd badań. Higiena psychiczna dla studentów medycyny. Warszawa: Akademia Medyczna; 1993 (in Polish).
  20. Gillissen A, Kochanek T, Zupanic M, et al. Millennials Medical Students Generation at the Crosswalks: Motivations and Attitudes Towards Study and Future Career – A Mixed-Method Study. Adv Med Educ Pract 2022; 13: 1305–1319, doi: 10.2147/AMEP.S368128.
  21. Sesiuk A, Rzepiela L, Galas M, et al. Motywy wyboru kierunku studiów i specjalizacji przez studentów medycyny. Naczelna Izba Lekarska MW 9/2017: 191–199. Available from URL: https://nil.org.pl/uploaded_files/1579514663_17-sesiuk.pdf (in Polish).
  22. Super DE. Psychologia zainteresowań. Warszawa: Państwowe Wydawnictwo Naukowe; 1972 (in Polish).
  23. Czarnecki KM. Rozwój zawodowy człowieka. Warszawa: Instytut Wydawniczy Związków Zawodowych; 1985 (in Polish).
  24. Hogan R, Hogan J, Roberts BW. Personality measurement and employment decisions: Questions and answers. Am Psychol 1996; 515: 469–477, doi: 10.1037/0003-066X.51.5.469.
  25. Pawełczyk A, Pawełczyk T, Bielecki J. The effect of some factors on medical student specialty choice of non-primary care-a synthesis of the literature. Pol Merkuriusz Lek 2007; 22132: 575–579 (in Polish).
  26. Mohos A, Szőllősi GJ, Kolozsvári LR, et al. Rural family medicine as a career option among Hungarian medical students. Eur J Gen Pract 2023; 291: 2174258, doi: 10.1080/13814788.2023.2174258.
  27. Puertas EB, Rivera TY. Factors that influence career choice in primary care among medical students starting social service in Honduras. Rev Panam Salud Publica 2016; 405: 309–317.
  28. Verulava T. Factors influencing medical students’ choice of family medicine. Fam Med Prim Care Rev 2022; 24(1): 66–70, doi: 10.5114/fmpcr.2022.113017.
  29. Gorenflo DW, Ruffin MT, Sheets KJ. A multivariate model for specialty preference by medical students. J Fam Pract 1994; 396: 570–576.
  30. Ambrozy DM, Irby DM, Bowen JL, et al. Role modelsʼ perceptions of themselves and their influence on studentsʼ specialty choices. Acad Med 1997; 7212: 1119–1121, doi: 10.1097/00001888-199712000-00028.
  31. Gałęska U. The role of family in educational and professional choices of young people. Wychowanie w Rodzinie 2013; 82: 267–682, doi: 10.61905/wwr/171138.
  32. Kargulowa A. O teorii i praktyce poradnictwa: odmiany poradoznawczego dyskursu: podręcznik akademicki. Warszawa: Wydawnictwo Naukowe PWN; 2004 (in Polish).
  33. Stagg P, Prideaux D, Greenhill J, et al. Are medical students influenced by preceptors in making career choices, and if so how? A systematic review. Rural Remote Health 2012; 12: 1832.
  34. Nasir BF, Chater AB, Kondalsamy-Chennakesavan S, et al. You cannot be what you cannot see: a retrospective natural longitudinal cohort study exploring the impact of face-to-face rural immersion on student medical training satisfaction and intention to practice rurally. BMJ Open 2025; 151: e087383, doi: 10.1136/bmjopen-2024-087383.
  35. Yeoh A, Sathiakumar AK, Leung CNY, et al. Impact of clinical placement sites on general practice as a career preference for Australian medical students. Australian J Rural Health 2022; 301: 95–102, doi: 10.1111/ajr.12819.
  36. Jabłoński M, Szot-Parda M, Grzegorek T, et al. Autotelic vs instrumental motivation of doctors and their medical specialty choice in relation to sense of coherence. Psychiatr Pol 2016; 502: 445–455, doi: 10.12740/PP/45089.
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