Review Gold Open Access 2026

Exploring financial challenges of students and early-career professionals working in the healthcare sector: A scoping review

Health Policy
Journal · Vol. 163 · Art. 105475
Abstract

Background: The global healthcare workforce is facing a substantial shortage and an uneven distribution of qualified professionals, which restricts access to essential healthcare services. This shortage may be mitigated through more effective support of healthcare workers in training. Therefore, an overview of existing economic barriers for this demographic is necessary. Objective: To review the existing literature on financial challenges of students and early-career professionals in the healthcare sector. Methods: Following the PRISMA-ScR guidelines, articles published between January 2008 and February 2024 were identified using PubMed and Scopus. A total of 17,268 articles were screened by reviewing their titles and abstracts followed by a detailed review of full texts with cross-validation. Themes were identified, clustered, and analyzed. Results: This scoping review included 167 articles focusing on the themes debt (36.5%, n=61) and loans (10.2 %, n=17) and their influence on career pathways, the role of employment for career satisfaction, summarizing findings concerning salary (29.9%, n=50), finances (25.1%, n=42), funding (10.8%, n=18), and savings (10.2%, n=17), and obstacles toward a sustainable lifestyle, which included results considering career choice (34.1%, n=57), migration (7.2%, n=12), gender disparity (6.0%, n=10), and working conditions (2.4%, n=4). Conclusions: Efforts to close the healthcare workforce gap require greater investment in training, compensation, and support for junior healthcare workers. Students and early-career professionals warrant particular attention to build a sustainable, resilient, and reliable healthcare workforce. © 2025 The Author(s)

Keywords

Author Keywords

students Early-career professionals Health systems Health workforce Healthcare investment Resource allocation

Index Keywords

Employment female human male Humans Systematic Review Decision making Students student economics clinical practice guideline practice guideline Preferred Reporting Items for Systematic Reviews and Meta-Analyses scoping review review health care personnel Health Personnel career compensation cross validation financial stress gender inequality health care cost health service health workforce investment lifestyle resource allocation salary therapy work environment job satisfaction salary and fringe benefit Health Care Sector Salaries and Fringe Benefits
Author Affiliations
Global - Health Workforce Network-Youth Hub, Geneva, GE, Switzerland
Global - Health Workforce Network-Youth Hub, Geneva, GE, Switzerland, Department of Political Science and International Relations, Seoul National University, Seoul, South Korea
Global - Health Workforce Network-Youth Hub, Geneva, GE, Switzerland, Department of Periodontology, Charité – Universitätsmedizin Berlin, Berlin, Berlin, Germany
Global - Health Workforce Network-Youth Hub, Geneva, GE, Switzerland, Debreceni Egyetem Népegészségügyi Kar, Debrecen, Hajdu-Bihar, Hungary
Global - Health Workforce Network-Youth Hub, Geneva, GE, Switzerland, International Pharmaceutical Federation (FIP), The Hague, Netherlands, Faculty of Pharmaceutical Sciences, University of Port Harcourt, Port Harcourt, Rivers, Nigeria
Global - Health Workforce Network-Youth Hub, Geneva, GE, Switzerland, Applied Sciences and Public Health, Robert Gordon University, Aberdeen, Scotland, United Kingdom
Global - Health Workforce Network-Youth Hub, Geneva, GE, Switzerland, International Pharmaceutical Federation (FIP), The Hague, Netherlands, Research Triangle Park, United Therapeutics Corporation, Silver Spring, MD, United States
Funding & Acknowledgements
McGill University, MGU
We thank Yassen Tcholakov (Assistant Professor in the Department of Epidemiology, Biostatistics, and Occupational Health, McGill University), Dr Caline Mattar (Associate Professor of Medicine at Washington University School of Medicine in St. Louis, United States) and Ave P\u00F5ld (Department of Oral, Dental and Maxillofacial Diseases, Heidelberg University Hospital, Germany) for providing their insights and helpful suggestions for improvements.
Universitätsklinikum Heidelberg
We thank Yassen Tcholakov (Assistant Professor in the Department of Epidemiology, Biostatistics, and Occupational Health, McGill University), Dr Caline Mattar (Associate Professor of Medicine at Washington University School of Medicine in St. Louis, United States) and Ave P\u00F5ld (Department of Oral, Dental and Maxillofacial Diseases, Heidelberg University Hospital, Germany) for providing their insights and helpful suggestions for improvements.
References 10 References
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10 Bismark, Marie Magdaleen, Experiences of health workers in the COVID-19 pandemic: In their own words, Experiences of Health Workers in the COVID-19 Pandemic: In Their Own Words, pp. 1-246, (2022)
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