Repository of Research and Investigative Information

Repository of Research and Investigative Information

Ilam University of Medical Sciences

Determinants of willingness to practice medicine in underdeveloped areas Evidence from a survey on Iranian medical students

Sun Oct 2 22:59:10 2022

(2019) Determinants of willingness to practice medicine in underdeveloped areas Evidence from a survey on Iranian medical students. International Journal of Health Governance. pp. 31-41. ISSN 2059-4631

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Abstract

Purpose Appropriate access to formally-trained health workers for people living in rural and underdeveloped areas is a continuing challenge worldwide. The purpose of this paper is to investigate the willingness of formally-trained health workers to practice in underdeveloped areas and its main determinants among medical students in the western provinces of Iran. Design/methodology/approach A total of 753 medical students from four provinces in western Iran (Kermanshah, Ilam, Lorestan and Kurdistan) were surveyed cross-sectionally in 2017. A self-administrated questionnaire was used to collect data on sociodemographic characteristics, willingness to practice in underdeveloped areas, intrinsic (e.g. desire to help others and self-interest in medicine) and extrinsic (e.g. the high income of physicians and social prestige) motivations of the study population. Multivariable logistic regression was used to identify the main determinants of willingness to practice in underdeveloped areas among medical students after their graduation. Findings The results indicated that 58.3 percent of students were willing to practice in underdeveloped areas. While 59 percent of the study population had a strong extrinsic motivation to study medicine, the remaining 41 percent of the study population had a strong intrinsic motivation to study medicine. The logistic regression results indicated that low parental professional and educational status, an experience of living in rural areas and having strong intrinsic motivation were associated with greater willingness to practice in underdeveloped areas. Originality/value This is the first study to investigate the willingness to practice in underdeveloped areas and its main determinants among medical students in the west of Iran.

Item Type: Article
Creators:
CreatorsEmail
Rezaei, S.UNSPECIFIED
Hajizadeh, M.UNSPECIFIED
Karyani, A. K.UNSPECIFIED
Soltani, S.UNSPECIFIED
Asadi, H.UNSPECIFIED
Bazyar, M.UNSPECIFIED
Mohammadi, Z.UNSPECIFIED
Kazemzadeh, N.UNSPECIFIED
Nouri, B.UNSPECIFIED
Keywords: Health policy Emerging health economies Human factors Emerging healthcare delivery structures Epidemiology Health economics health-workers resources retention Health Care Sciences & Services
Divisions:
Page Range: pp. 31-41
Journal or Publication Title: International Journal of Health Governance
Journal Index: ISI
Volume: 24
Number: 1
Identification Number: https://doi.org/10.1108/ijhg-06-2018-0026
ISSN: 2059-4631
Depositing User: مهندس مهدی شریفی
URI: http://eprints.medilam.ac.ir/id/eprint/3725

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