How the organisation of medical work shapes the everyday work experiences underpinning doctor migration trends: The case of Irish-trained emigrant doctors in Australia
| Autor: | Anne Matthews, Richard W. Costello, Aoife M. McDermott, Niamh Humphries, Lucia Prihodova, John-Paul Byrne, Edel Conway |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
media_common.quotation_subject
education Staffing Emigrants and Immigrants 03 medical and health sciences 0302 clinical medicine Irish Humans Quality (business) 030212 general & internal medicine Sociology Foreign Medical Graduates media_common Medical education 030503 health policy & services Health Policy Corporate governance Australia Emigration and Immigration language.human_language Work experience Emigration Work (electrical) Workforce language 0305 other medical science Ireland |
| Zdroj: | Health Policy. 125:467-473 |
| ISSN: | 0168-8510 |
| DOI: | 10.1016/j.healthpol.2021.01.002 |
| Popis: | Medical migration is a global phenomenon. In Ireland, hospital doctor emigration has increased significantly in recent years, with Australia a destination of choice. With work and employment conditions cited as a driver of these trends, this article explores how health system differences in the organisation of medical work shape the everyday experiences of hospital doctors which underpin migration decisions. Drawing on 51 semi-structured interviews conducted in July-August 2018 with Irish-trained hospital doctors who had emigrated to work in Australia, the findings highlight doctors’ contrasting experiences of medical work in the Irish and Australian health systems. Key system differences in the organisation of medical work manifested at hospital level and related to medical hierarchy; staffing, support and supervision; and governance and task coordination. Findings indicate that retention of hospital doctors is as much about the quality of the work experience, as it is about the quantity and composition of the workforce. At a time of international competition for medical staff, effective policy for the retention of hospital doctors requires an understanding of the organisation of work within health systems. Crucially, this can create working contexts in which doctors flourish or from which they seek an escape. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect