Hungary has been serious facing human resources crisis in health care, as a result of a massive emigration of health workers. The resulting shortage is unevenly distributed among medical specialisations. The findings of research studies are consistent in that the most important motivating factor of the choice of the medical career and of medical specialisations is professional interest. Beyond this, it is important to examine other reasons of why students do or do not choose certain specialisations. The lifestyle determined by the chosen speciality is one such factor described in the literature. Using convenient sampling, first year resident medical doctors from each of the four Hungarian universities with a medical faculty were asked to participate in the study in 2008. In total 391 first year resident medical doctors completed the self-administered questionnaire indicating a 57.3% response rate. On the basis of the work of Schwartz et al. (Acad Med 65(3):207–210, 1990), the specialisation fields were divided into the two main categories of non-controllable (NCL) or controllable lifestyles (CL). We carried out a factor analysis on motivating factors and set up an explanatory model regarding the choice of CL and NCL specialisations. Two maximum likelihood factors were extracted from the motivational questions: “lifestyle and income” and “professional interest and consciousness”. The explanatory model on specialisation choice shows that the “professional interest and consciousness” factor increases the likelihood of choosing NCL specialisations. In contrast the “lifestyle and income” factor has no significant impact on the choice of CL/NCL specialisations in the model. Our results confirm the important role of professional interest in the choice of medical specializations in Hungary. On the other hand, it seems surprising that we found no significant difference in the “lifestyle and income” related motivation among those medical residents, who opted for CL as opposed to those, who opted for NCL specialisations. This does not necessarily mean that lifestyle is not an important motivating factor, but that it is equally important for both groups of medical residents.
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机译：由于卫生工作者的大量移徙，匈牙利在卫生保健方面面临着严重的人力资源危机。由此造成的短缺在医学专业之间分布不均。研究研究的结果是一致的，因为选择医学职业和医学专业的最重要动机是专业兴趣。除此之外，重要的是要研究为什么学生选择或不选择某些专业的其他原因。由所选专业决定的生活方式就是文献中描述的一种因素。通过方便的抽样，要求匈牙利的四所大学中有医学院的每位一年级驻地医生在2008年参与该研究。总共391位一年级驻地医生完成了自我管理的调查问卷，表明回答率为57.3％ 。在Schwartz等人的工作基础上。 （Acad Med 65（3）：207-210，1990），专业领域分为不可控制的（NCL）或可控制的生活方式（CL）的两个主要类别。我们对激励因素进行了因素分析，并建立了关于CL和NCL专业选择的解释模型。从动机问题中提取了两个最大似然因子：“生活方式和收入”和“职业兴趣和意识”。专业选择的解释模型表明，“专业兴趣和意识”因素增加了选择NCL专业的可能性。相反，“生活方式和收入”因素对模型中CL / NCL专业的选择没有重大影响。我们的结果证实了专业兴趣在匈牙利医学专业选择中的重要作用。另一方面，令人惊讶的是，我们发现在选择“ CL”的医疗居民与选择“ NCL专业”的医疗居民之间，与“生活方式和收入”相关的动机没有显着差异。这并不一定意味着生活方式不是重要的激励因素，但是对于两组医疗居民而言，生活方式同样重要。
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