Why doctors consider leaving UK medicine: qualitative analysis of comments from questionnaire surveys three years after graduation
| Autor: | Trevor W Lambert, Fay Smith, Michael J Goldacre |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Attitude of Health Personnel Staffing Intention Workload Job Satisfaction State Medicine 03 medical and health sciences Politics 0302 clinical medicine Qualitative analysis Physicians Surveys and Questionnaires Humans Medicine 030212 general & internal medicine Response rate (survey) Motivation Career Choice Salaries and Fringe Benefits business.industry Research 030503 health policy & services Professional Practice Location Work-Life Balance Questionnaire General Medicine Emigration and Immigration United Kingdom Emigration Family medicine Female Patient Care 0305 other medical science business Graduation |
| Zdroj: | Journal of the Royal Society of Medicine. 111:18-30 |
| ISSN: | 1758-1095 0141-0768 |
| DOI: | 10.1177/0141076817738502 |
| Popis: | Objective To report the reasons why doctors are considering leaving medicine or the UK. Design Questionnaire survey. Setting UK. Participants Questionnaires were sent three years after graduation to all UK medical graduates of 2008 and 2012. Main outcome measures Comments from doctors about their main reasons for considering leaving medicine or the UK (or both). Results The response rate was 46.2% (5291/11,461). Among the 60% of respondents who were not definitely intent on remaining in UK medicine, 50% were considering working in medicine outside the UK and 10% were considering leaving medicine. Among those considering working in medicine outside the UK, the most commonly cited reasons were to gain wider experience, that things would be ‘better’ elsewhere and a negative view of the National Health Service and its culture, state and politics. Other reasons included better training or job opportunities, better pay and conditions, family reasons and higher expectations. Three years after graduation, doctors surveyed in 2015 were significantly more likely than doctors surveyed in 2011 to cite factors related to the National Health Service, to pay and conditions, to their expectations and to effects on work–life balance and patient care. Among those considering leaving medicine, the dominant reason for leaving medicine was a negative view of the National Health Service (mentioned by half of those in this group who commented). Three years after graduation, doctors surveyed in 2015 were more likely than doctors surveyed in 2011 to cite this reason, as well as excessive hours and workload, and financial reasons. Conclusions An increasingly negative view is held by many doctors of many aspects of the experience of being a junior doctor in the National Health Service, and the difficulty of delivering high-quality patient care within what many see as an under-funded system. Policy changes designed to encourage more doctors to remain should be motivated by a desire to address these concerns by introducing real improvements to resources, staffing and working conditions. |
| Databáze: | OpenAIRE |
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