Determinants of practice location choices among physicians and medical students in Mali: Insights into addressing medical deserts through evidence-based strategies.

The shortage of medical professionals in rural and remote areas is a global issue that significantly challenges equitable healthcare delivery. Worldwide, various studies have examined the motivations of medical professionals in choosing their practice location. However, for Mali, this topic remains...

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Main Authors: Issa Kalossi, Dielika Coulibaly, Kassoum Alou N'Diaye, Modibo Salia Drame, Djibril Sissoko, Thiery Almont, Kassoum Kayentao
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLOS Global Public Health
Online Access:https://doi.org/10.1371/journal.pgph.0004399
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author Issa Kalossi
Dielika Coulibaly
Kassoum Alou N'Diaye
Modibo Salia Drame
Djibril Sissoko
Thiery Almont
Kassoum Kayentao
author_facet Issa Kalossi
Dielika Coulibaly
Kassoum Alou N'Diaye
Modibo Salia Drame
Djibril Sissoko
Thiery Almont
Kassoum Kayentao
author_sort Issa Kalossi
collection DOAJ
description The shortage of medical professionals in rural and remote areas is a global issue that significantly challenges equitable healthcare delivery. Worldwide, various studies have examined the motivations of medical professionals in choosing their practice location. However, for Mali, this topic remains underexplored, motivating us to conduct this study to identify factors influencing physicians' workplace decisions in Mali. We conducted a cross-sectional study targeting physicians and final-year medical students. Using simple random sampling, we selected 358 respondents, 69% of whom were physicians. Data were collected via structured questionnaires assessing sociodemographic characteristics, professional aspirations, and factors influencing workplace preferences. Multivariate logistic regression was used to identify factors independently associated with rural practice preference. Approximately 38% of the respondents preferred rural areas for their practice, primarily citing career development and opportunities for continuing education (38%). The likelihood of choosing rural practice was higher (OR = 5.09; 95% CI = 2.52-10.8) among participants with family residing in rural areas. This study highlights both personal and systemic factors shaping physicians' workplace choices in Mali. Interventions aimed at strengthening rural practice appeal should prioritize professional development opportunities and support systems for those with rural backgrounds. Tailored strategies addressing these motivations could enhance equitable healthcare workforce distribution in Mali.
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issn 2767-3375
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spelling doaj-art-224ebc1be9734d4bbaf16ab6524145672025-08-20T03:32:51ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752025-01-0156e000439910.1371/journal.pgph.0004399Determinants of practice location choices among physicians and medical students in Mali: Insights into addressing medical deserts through evidence-based strategies.Issa KalossiDielika CoulibalyKassoum Alou N'DiayeModibo Salia DrameDjibril SissokoThiery AlmontKassoum KayentaoThe shortage of medical professionals in rural and remote areas is a global issue that significantly challenges equitable healthcare delivery. Worldwide, various studies have examined the motivations of medical professionals in choosing their practice location. However, for Mali, this topic remains underexplored, motivating us to conduct this study to identify factors influencing physicians' workplace decisions in Mali. We conducted a cross-sectional study targeting physicians and final-year medical students. Using simple random sampling, we selected 358 respondents, 69% of whom were physicians. Data were collected via structured questionnaires assessing sociodemographic characteristics, professional aspirations, and factors influencing workplace preferences. Multivariate logistic regression was used to identify factors independently associated with rural practice preference. Approximately 38% of the respondents preferred rural areas for their practice, primarily citing career development and opportunities for continuing education (38%). The likelihood of choosing rural practice was higher (OR = 5.09; 95% CI = 2.52-10.8) among participants with family residing in rural areas. This study highlights both personal and systemic factors shaping physicians' workplace choices in Mali. Interventions aimed at strengthening rural practice appeal should prioritize professional development opportunities and support systems for those with rural backgrounds. Tailored strategies addressing these motivations could enhance equitable healthcare workforce distribution in Mali.https://doi.org/10.1371/journal.pgph.0004399
spellingShingle Issa Kalossi
Dielika Coulibaly
Kassoum Alou N'Diaye
Modibo Salia Drame
Djibril Sissoko
Thiery Almont
Kassoum Kayentao
Determinants of practice location choices among physicians and medical students in Mali: Insights into addressing medical deserts through evidence-based strategies.
PLOS Global Public Health
title Determinants of practice location choices among physicians and medical students in Mali: Insights into addressing medical deserts through evidence-based strategies.
title_full Determinants of practice location choices among physicians and medical students in Mali: Insights into addressing medical deserts through evidence-based strategies.
title_fullStr Determinants of practice location choices among physicians and medical students in Mali: Insights into addressing medical deserts through evidence-based strategies.
title_full_unstemmed Determinants of practice location choices among physicians and medical students in Mali: Insights into addressing medical deserts through evidence-based strategies.
title_short Determinants of practice location choices among physicians and medical students in Mali: Insights into addressing medical deserts through evidence-based strategies.
title_sort determinants of practice location choices among physicians and medical students in mali insights into addressing medical deserts through evidence based strategies
url https://doi.org/10.1371/journal.pgph.0004399
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