Determinants of physicians’ career choices in Ukraine

Olena Mazurenko, Haiyan Qu, Olesya Hulchiy, S. Robert Hernandez, Richard Shewchuk

Research output: Contribution to journalArticle


Political and economic changes have created challenges for physician attrition rates in Ukraine. This study examined how a cross-section of Ukrainian physicians prioritised the factors hypothesised to influence decisions about continuing to work in medicine. A survey was conducted with 443 physicians in Ukraine. Latent class choice analysis (LCA) was used to model the heterogeneity in pair-wise comparisons of factors related to physician continued employment in medicine. The response rate was 70% (N = 310). Respondents, on average, were 45.4 years old, practiced 21.6 years. Four groups were identified on the basis of how they prioritised factors about work. Group 1 (47.7%) was ‘culture-focused’, group 2 (27.7%) was ‘advancement-focused’, group 3 (16.2%) was ‘routinisation-focused’, and group 4 (8.5%) was ‘externally-focused’. The use of a person-centred analytical approach represents an alternative for examining career decision issues that should be considered for subgroups within the workforce.

Original languageEnglish (US)
Pages (from-to)291-305
Number of pages15
JournalInternational Journal of Behavioural and Healthcare Research
Issue number3-4
StatePublished - Jan 1 2012
Externally publishedYes


  • career decisions
  • job satisfaction
  • latent class analysis
  • management
  • physician satisfaction
  • Ukraine

ASJC Scopus subject areas

  • Health Policy
  • Health(social science)

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