VARIA
Figure from article: Family medicine in rural...
 
KEYWORDS
TOPICS
ABSTRACT
An important factor in the effective use of basic healthcare services is spatial accessibility, the lack of which contributes to health inequalities and social exclusion. The phenomenon of medical ‘deserts’ illustrates the complex processes resulting from the overlap of socio-demographic and epidemiological conditions. The subject of the study was expert opinions on the development of targeted solutions aimed at reducing the phenomenon of medical deserts and work in depopulated areas in Poland. To reverse the trends in the career preferences of young medical professionals, action is required at various levels. A key factor, according to experts, is completing a postgraduate internship. Through various types of short- and long-term placements, internships, and rotations, medical students come into contact with a wide range of mentors and professional role models. Multifaceted cooperation is important in implementing health policy tasks to help reduce the phenomenon of medical deserts.
REFERENCES (46)
1.
Główny Urząd Statystyczny. Sytuacja demograficzna Polski do 2024 r. Analizy i raporty statystyczne. Warszawa; 2025.
 
2.
Małyszko K, Pędziński B, Maślach D, et al. Medical staff in Poland in 2012–2022 – challenges related to the distribution of human resources. Ann Agric Environ Med. 2024;31(3):382–387. https://doi.org/10.26444/aaem/....
 
3.
Załącznik do obwieszczenia Ministra Zdrowia z dnia 30 czerwca 2025 r. (Dz. Urz. Min. Zdrow. poz. 42). Mapa potrzeb zdrowotnych na okres od 1 stycznia 2027 r. do 31 grudnia 2031 r. Warszawa, czerwiec 2025.
 
4.
Zdyb M. Istota prawa do ochrony zdrowia w świetle art. 68 Konstytucji RP ze względu na zastosowanie art. 68 ust. 1. Dylematy i kontrowersje. Annales Universitatis Mariae Curie-Skłodowska, sekcja G–Ius. 2024;71,1:173–192.
 
5.
Schubert A, Czech M, Skrzekowska-Baran I. Aging society: organization of long-term care for the elderly in Poland. J Health Policy Outcomes Res. 2018; 1. doi:10.7365/JHPOR. 2018.1.5.
 
6.
OECD, European Commission. Health at a Glance: Europe 2024. State of Health in the EU Cycle. doi:https://doi.org/10.1787/b3704e....
 
7.
Bonal M, Padilla C, Chevillard G, et al. A French classification to describe medical deserts: a multiprofessional approach based on the first contact with the healthcare system. Int J Health Geogr. 2024;23(5). doi:https://doi.org/10.1186/s12942....
 
8.
Appiah-Agyekum NN, Sakyi EK, Kayi EA, et al. The Medical Nemesis of Primary Health Care Implementation: Evidence From Ghana. Health Serv Insights. 2022;22(15):11786329221115040. doi:10.1177/11786329221115040.
 
9.
Wojtyniak B, Smaga A. Sytuacja zdrowotna ludności Polski i jej uwarunkowania – 2025. Narodowy Instytut Zdrowia Publicznego PZH – Państwowy Instytut Badawczy. Warszawa 2025.
 
10.
Główny Urząd Statystyczny, Departament Badań Społecznych i Rynku Pracy. Zdrowie i ochrona zdrowia w 2023 r. Warszawa, Kraków; 2024.
 
11.
Brînzac MG, Kuhlmann E, Dussault G, et al. Defining medical deserts-an international consensus-building exercise. Eur J Public Health. 2023;33(5):785–788. doi:10.1093/eurpub/ckad107.
 
12.
Väisänen V, Satokangas M, Huhtakangas M, et al. Medical deserts in Finland: measuring the accessibility and availability of primary health care services. BMC Health Serv Res. 2025;25(281). doi:https://doi.org/10.1186/s12913....
 
13.
World Health Organization and the United Nations Children’s Fund (UNICEF). Operational framework for primary health care. Geneva; 2020.
 
14.
Sikorski S, Mędrzycki R. Nowe zawody w normalnym opiece w Polsce. Wolters Kluwer Polska; 2021.
 
15.
Ustawa z dnia 27 sierpnia 2004 r. o świadczeniach opieki zdrowotnej finansowanych ze środków publicznych. Dz U z 2024 r. poz. 146.
 
16.
Ustawa z dnia 27 października 2017 r. o podstawowej opiece zdrowotnej. Załącznik do obwieszczenia Marszałka Sejmu Rzeczypospolitej Polskiej z dnia 10 kwietnia 2025 r. (Dz U poz. 515).
 
17.
Główny Urząd Statystyczny. Urząd Statystyczny w Krakowie. Ambulatoryjna opieka zdrowotna w 2024 r. https://stat.gov.pl/obszary-te... (access: 2025.08.29).
 
18.
Główny Urząd Statystyczny. Departament Badań Społecznych i Pracy Rynku. Zasoby kadrowe w wybranych przypadkach zdrowotnych na podstawie źródeł aplikowanych w 2024 r. https://stat.gov.pl/obszary-te... pobiera- w-2024-r-,28,4.html (access: 29.08.2025).
 
19.
Michalska K, Domagała A. Addressing the health workforce crisis in Poland from the key stakeholders’ perspectives – a qualitative study. BMC Health Serv Res. 2025;25:1121. doi:https://doi.org/10.1186/s12913....
 
20.
OECD/European Observatory on Health Systems and Policies. Poland: country health profile 2023, state of health in the EU. OECD Publishing, Paris, https://doi.org/10.1787/f597c8... (access: 2025.08.29).
 
21.
Azzopardi-Muscat N, Zapata T, Kluge H. Moving from health workforce crisis to health workforce success: the time to act is now. Lancet Reg Health Eur. 2023;35:100765. https://doi.org/10.1016/j.lane....
 
22.
de Vries N, Boone A, Godderis L, et al. he Race to Retain Healthcare Workers: A Systematic Review on Factors that Impact Retention of Nurses and Physicians in Hospitals. Inquiry. 2023;60. doi:10.1177/00469580231159318.
 
23.
GBD 2019 Human Resources for Health Collaborators. Measuring the availability of human resources for health and its relationshipto universal health coverage for 204 countries and territories from 1990 to 2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2022;4;399(10341):2129–2154. doi:10.1016/S0140-6736(22)00532-3.
 
24.
Karthik N, Greenfield M, Otteson T. The perceived impact of curricular and non-curricular factors on specialty interests and choice during medical school at a single center in the United States. BMC Med Educ. 2023;23:730. https://doi.org/10.1186/s12909....
 
25.
Yoon JD, Ham SA, Reddy ST, Curlin FA. Role models’ influence on Specialty Choice for Residency Training: A National Longitudinal Study. J Grad Med Educ. 2018;10(2):149–54. doi:10.4300/JGME-D-17-00063.1.
 
26.
Berger A, Giacalone J, Barlow P, et al. Roles of Mentorship and Research in Surgical Career Choice: longitudinal study of medical students. Plast Reconstr Surg – Glob Open. 2016;4(6):e783. doi:10.1097/GOX.0000000000000773.
 
27.
Pawełczyk A, Pawełczyk T, Bielecki J. Wpływ wybranych czynników na wybrane specjalności specjalistyczne przez studentów uczelni medycznych. Pol Merk Lek. 2007;22(132):575–579.
 
28.
Sesiuk A, Rzepiela L, Galas M, Jankowska AK. Motywy wyboru kierunku studiów i specjalizacji. Wokanda Medyczna. 2017;9:191–9.
 
29.
Goetz K, Grienitz K, Steinhäuser J. Factors influencing the choice of specialization – a crosssectional study with civilian medical students and prospective medical officers in Germany. BMC Med Educ. 2024;24:1161. doi:https://doi.org/10.1186/s12909....
 
30.
Fris DAH, van Vianen AEM, Koen J, et al. Medical students’ career decisionmaking stress during clinical clerkships. Perspect Med Educ. 2022;11(6):350–358. doi:10.1007/s40037-022-00734-8.
 
31.
Gupta A, Gray CS, Landes M, et al. Family medicine: An evolving field around the world. Can Fam Physician. 2021;67:647–51. doi:10.46747/cfp.6709647.
 
32.
Gage AD, Leslie HH, Bitton A, et al. Does quality influence utilization of primary health care? Evidence from Haiti. Global Health. 2018;14(1):59. doi:10.1186/s12992-018-0379-0.
 
33.
Krot K, Rudawska I. How public trust in health care can shape patient overconsumption in health systems? The missing links. Int J Environ Res Public Health. 2021;18(8):3860. https://doi.org/10.3390/ijerph....
 
34.
Al-Rashid MA, Alah MTA, Al-Hamad AS, et al. Shaping the future of primary healthcare: Factors influencing medical students’ preference for family medicine specialty in Qatar. J Family Community Med. 2025;32(1):65–73. doi:10.4103/jfcm.jfcm_250_24.
 
35.
Verulava T. Factors influencing medical students’ choice of family medicine. Fam Med Amp Prim Care Rev. 2022;24:66–70. doi:https://doi.org/10.5114/fmpcr.....
 
36.
Kost A, Bentley A, Phillips J, et al. Graduating medical student perspectives on factors influencing specialty choice an AAFP National Survey. Fam Med. 2019;51:129–36. doi:10.22454/FamMed.2019.136973.
 
37.
Alavi M, Ho T, Stisher C, et al. Factors that influence student choice in family medicine a national focus group. Fam Med. 2019;51:143–8. doi:10.22454/FamMed.2019.927833.
 
38.
Sowada C, Sagan A, Kowalska-Bobko I, et al. Poland: Health system review. Health Systems in Transition, 2019;21(1):1–235.
 
39.
Sowada C, Sagan A, Kowalska-Bobko I. Poland: Health System Summary. WHO Regional Office for Europe on behalf of the European Observatory on Health Systems and Policies. Copenhagen, 2022. https://eurohealthobservatory.... (access: 2025.08.29).
 
40.
Godwin DM, Hoang H, Crocombe LA, Bell E. Dental practitioner rural work movements: a systematic review. Rural Remote Health. 2014;14(3):2825.
 
41.
Asghari S, Kirkland MC, Blackmore J. A systematic review of reviews: recruitment and retention of rural family physicians. Can J Rural Med. 2020;25(1):20–30. doi:10.4103/cjrm.cjrm_4_19.
 
42.
Jabłoński MJ, Szot-Parda M, Grzegorek T, et al. Motywacje autoteliczna vs instrumentalna lekarze a wybór specjalizacji stosowanej na tle wiedzy koherencji. Psychiatria Pol. 2016;50 ust. 2:445–455. doi:10.12740/PP/45089.
 
43.
Pagaiya N, Phanthunane P, Bamrung A, et al. Forecasting imbalances of human resources for health in the Thailand health service system: application of a health demand method. Hum Resour Health. 2019;17,(4). doi:https://doi.org/10.1186/s12960....
 
44.
Jendrysik K, Knapik A. Motives for undertaking medical studies and empathy. In: Knapik A, Beňo P, Rottermund J, editors. Human health in ontogenesis– biomedical and psychosocial aspects. Studies of Polish, Slovak and Czech researchers. Psychosocial aspects. Katowice: Śląski Uniwersytet Medyczny w Katowicach; 2020. p. 67–73.
 
45.
Sarnowska P, Terech J, Bikowska K, et al. Assessing the impact of medical studies on students’ motivation, satisfaction, stress and values in Poland: a cross-sectional study. BMC Med Educ. 2025;25:714. doi:https://doi.org/10.1186/s12909....
 
46.
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.
 
eISSN:1898-2263
ISSN:1232-1966
Journals System - logo
Scroll to top