期刊论文详细信息
Human Resources for Health
Emigration preferences and plans among medical students in Poland
Krzysztof Kaczmarek1  Andrzej Szpak3  Christian A Gericke5  Piotr Romaniuk4  Adam Szromek2  Krzysztof Krajewski-Siuda2 
[1] Department of Health Policy, Faculty of Public Health, Medical University of Silesia, ul. Piekarska 18, 41-902, Bytom, Poland;Department of Health Promotion, Institute of Public Health, Faculty of Health Sciences, Collegium Medicum, Jagiellonian University, Cracow, Poland;Department of Public Health, Faculty of Health Sciences, Medical University of Bialystok, Bialystok, Poland;Department of Computer Science and Econometrics, Faculty of Organisation and Management, Silesian University of Technology, Gliwice, Poland;Peninsula CLAHRC, National Institute for Health Research, Peninsula Medical School, Universities of Exeter and Plymouth, Plymouth, United Kingdom
关键词: Poland;    Professional mobility;    Emigration;    Medical students;    Medical doctors;   
Others  :  822772
DOI  :  10.1186/1478-4491-10-8
 received in 2010-12-07, accepted in 2012-04-06,  发布年份 2012
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【 摘 要 】

Background

Migration and ethical recruitment of health care workers is receiving increased attention worldwide. Europe’s aging population is creating new opportunities for medical doctors for finding employment in other countries, particularly those of a better standard of living.

Methods

We conducted a survey among 1214 medical students in five out of eleven universities in Poland with medical schools in October 2008. A series of statistical tests was applied to analyse the characteristics of potential migrants. Projections were obtained using statistical analyses: descriptive, multifactorial logistic regression and other statistical methods .

Results

We can forecast that 26–36% of Polish medical students will emigrate over the next few years; 62% of respondents estimated the likelihood of emigration at 50%. Students in their penultimate year of study declared a stronger desire to migrate than those in the final year. At the same time, many students were optimistic about career opportunities in Poland. Also noted among students were: the decline in interest in leaving among final year students, their moderate elaboration of departure plans, and their generally optimistic views about the opportunities for professional development in Poland.

Conclusions

The majority of Polish students see the emigration as a serious alternative to the continuation of their professional training. This trend can pose a serious threat to the Polish health care system, however the observed decline of the interest in leaving among final year students, the moderate involvement in concrete departure plans and the optimistic views about the opportunities for professional development in Poland suggest that the actual scale of brain drain of young Polish doctors due to emigration will be more limited than previously feared.

【 授权许可】

   
2012 Krajewski-Siuda et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Dodani S, LaPorte RE: Brain drain from developing countries: how can brain drain be converted into wisdom gain? Journal of the Royal Society of Medicine 2005, 98:487-491.
  • [2]Mejia A: Migration of Physicians and Nurses: a World Wide Picture. International Journal of Epidemiology 1978, 7(3):207-215.
  • [3]The World Health Report Geneva: World Health Organization; 2006.. 2006.
  • [4]Dovlo D: Taking more than a fair share? The migration of health professionals from poor to rich countries. PLoS Medicine 2005, 5:e109.
  • [5]Liese B, Dussault G: The state of the health workforce in Sub-Saharan Africa. The World Bank, Washington; 2004.
  • [6]Derkacz M: Lasowanie mózgów [in Polish: The brain drain]. Służba Zdrowia 2005, 34–37:15-16.
  • [7]Monitorowanie migracji polskich lekarzy, pielęgniarek i położnych po przystąpieniu Polski do Unii Europejskiej [in Polish: Monitoring the migration of Polish doctors, nurses and midwives after Polish accession to the European Union].. [http://www.mz.gov.pl/wwwmz/index?mr=&ms=376&ml=pl&mi=565&mx=0&ma=7876 webcite].
  • [8]Buchan J, Sochalski J: The migration of nurses: trends and policies. Bulletin of the World Health Organisation 2004, 8:587-594.
  • [9]Kuszewski K, Gericke C: Health Systems in Transition – Poland. WHO Regional Office for Europe on behalf of the European Observatory on Health Systems and Policies, Copenhagen; 2005.
  • [10]Aczel AD: Statystyka w zarządzaniu [in Polish: Statistics for management]. PWN, Warszawa; 2005.
  • [11]Greń J: Statystyka matematyczna [in Polish: Mathematical statistics]. PWN, Warszawa; 1984.
  • [12]Jajuga K: Ekonometria. Metody i analiza problemów ekonomicznych [in Polish: Econometrics. Methods and analysis of economic problems]. Wyd. AE we Wrocławiu, Wrocław; 1999.
  • [13]Petrie A, Sabin C: Statystyka medyczna w zarysie [in Polish: Medical Statistics at a Glance]. PZWL, Warszawa; 2006.
  • [14]Breinmana L, Friedman J, Olshen R, Stone C: Classification and Regression Trees. CRC Press, London; 1984.
  • [15]Gatnar E: Symboliczne metody klasyfikacji danych [in Polish: Symbolic methods for data classification]. PWN, Warszawa; 1998.
  • [16]Jajuga K, Nazarko J (Eds): Klasyfikacja i analiza danych. Wybrane zagadnienia [in Polish: Data classification and analysis. Selected issues]. Politechnika Białostocka, Białystok; 2005.
  • [17]Szromek AR, Krajewska-Siuda E: Koncepcja klasyfikacji diagnostycznej dzieci z niskorosłością i jej ekonomiczne implikacje. Ilościowe modele klasyfikacyjne w diagnostyce medycznej [in Polish: The concept of diagnostic classification of children with short body height and its economic implications. Quantitative models of classification in medical diagnostics]. Wyd. Politechniki Śląskiej w Gliwicach, Gliwice; 2008.
  • [18]Misztal M: Wykorzystanie drzew klasyfikacyjnych do wspomagania procesów podejmowania decyzji [in Polish: Using the classification trees to support the decision-making processes]. Materiały z seminariów StatSoft Polska, Kraków; 2000:33-43.
  • [19]Kowalska-Styczeń A: Symulowanie złożonych procesów ekonomicznych za pomocą automatów komórkowych [in Polish: Simulating the complex economic processes using cellular automata]. Wyd. Politechniki Śląskiej, Gliwice; 2007.
  • [20]Markowska-Kaczmar U, Kwaśnicka H (Eds): Sieci neuronowe w zastosowaniach [in Polish: Applied neural networks]. Wyd. Politechniki Wrocławskiej, Wrocław; 2005.
  • [21]Krajewski-Siuda K, Romaniuk P, Madaj B, Hubicki L, Kociel P: Plany emigracji zarobkowej studentów medycyny – kto i dlaczego zamierza wyjechać? [in Polish: Emigration plans of medical students - who and why going to leave?]. In Materiały z Konferencji Szkoleniowej „Profesjonalizm w Ochronie Zdrowia”, 2 grudnia 2005 Swarzędz [in Polish: Proceedings of the Conference “Professionalism in Health Care”, 2 December 2005 Swarzędz]. Edited by Głowacka D. Akademia Medyczna im. K. Marcinkowskiego, Poznań; 2005:269-280.
  • [22]Stowarzyszenie Hipokrates [in Polish: Hipokrates Association]. . [http://www.hipokrates.org.pl webcite].
  • [23]Võrk A, Kallaste E, Priinits M: Migration Intentions of Health Care Professionals: the Case of Estonia. Public Policy Center, Cluj Napoca; 2004.
  • [24]Buchan J, Perfilieva G: Health worker migration in the European Region: country case studies and policy implications. WHO Regional Office for Europe, Copenhagen; 2006.
  • [25]Borzeda A, Bonlarron A-G, Gregorie-Borzeda C, Precahowa N: European Enlargement: do health professionals from candidate countries plan to emigrate? The case of Hungary, Poland and the Czech Republic. République Française, Ministére des Affaires Sociales, Ministére de la Sante, Paris; 2002.
  • [26]Kolcic I, Polasek O, Mihalj H, Gombac E, Kraljevic V, Kraljevic I, Krakar G: Research involvement, specialty choice and emigration preferences of final year medical students in Croatia. Croatian Medical Journal 2005, 1:88-95.
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