Abstract

A number of identified factors can influence clinicians' location of practice decisions; however, little is known about the location decisions of pharmacists. In general, males are more likely to work in rural and remote regions, and students with a rural background are more likely to work in rural communities after graduation. In the Ukraine, pharmaceutical health care is important because a patient's first visit is often to the pharmacy, rather than to a GP. This study sought to understand what motivates Ukraine pharmacy students to practice in rural areas. The first part of the study used a quantitative design with questionnaires based on Füglistaller's model for measuring the motivation of entrepreneurs, because working in a rural Ukraine pharmacy means, in most cases, operating a privately owned pharmacy. The second part was qualitative to verify these results. The students' motivation to work in rural areas after graduation depended on their sex and place of birth, but this was not decisive. More influential were the factors that motivate operating a privately owned pharmacy. Within the group that considered working in a privately owned pharmacy in a rural community, motivation was more intrinsic (eg enjoys helping people), while negative factors were more external (eg financial risk). Students from the National University of Pharmacy in Kharkiv comprise the majority of pharmacists in the Ukraine. They are interested in working in a rural area as long as opportunities align with their individual expectations. The two main factors found that would supply more young graduates to rural areas were: (1) improving rural living conditions; and (2) fostering the mental attitude required for operating a private pharmacy. In addition, decreasing related bureaucracy, and increasing financial and fiscal grants may enhance medical and pharmaceutical health care in rural communities of the Ukraine.Key words: graduate pharmacists, living conditions, motivation, privately owned pharmacy, Ukraine.

Highlights

  • A number of identified factors can influence clinicians’ location of practice decisions; little is known about the location decisions of pharmacists

  • The questionnaire was based on the studies of Füglistaller at the University of Sankt Gallen[21], and D’Elia and Johnson[22].It contained 38 questions: 10 multiple choice about students’ motivational factors, 10 to capture information about students’ personal psychological characteristics, and 18 investigating the individual importance of expectations regarding rural living conditions

  • A positive relationship to work in a rural community was indicated by male students (Kendall’s tau b: 0.301; 2-tailed significance: 0.041), students with a rural background, and students with plans to open their own pharmacy

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Summary

Introduction

A number of identified factors can influence clinicians’ location of practice decisions; little is known about the location decisions of pharmacists. This study sought to understand what motivates Ukraine pharmacy students to practice in rural areas. Results: The students’ motivation to work in rural areas after graduation depended on their sex and place of birth, but this was not decisive. More influential were the factors that motivate operating a privately owned pharmacy. Within the group that considered working in a privately owned pharmacy in a rural community, motivation was more intrinsic (eg enjoys helping people), while negative factors were more external (eg financial risk). Conclusion: Students from the National University of Pharmacy in Kharkiv comprise the majority of pharmacists in the Ukraine. They are interested in working in a rural area as long as opportunities align with their individual expectations. Because restoring the healthcare system has not been a major reform priority it has remained inefficient and chronically underfunded

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