Doctor Retention: A Cross-sectional Study of How Ireland Has Been Losing the Battle
| Autor: | James Sweeney, Ruairi Brugha, Louise Hendrick, Nicholas Clarke |
|---|---|
| Přispěvatelé: | HRB |
| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Health (social science) Battle Leadership and Management Cross-sectional study media_common.quotation_subject education Sample (statistics) Management Monitoring Policy and Law 03 medical and health sciences 0302 clinical medicine Health Information Management Irish Anesthesiology Physicians Surveys and Questionnaires medicine Humans 030212 general & internal medicine Migration media_common 030503 health policy & services Health Policy WHO Global Code Professional Practice Location Odds ratio Emigration and Immigration language.human_language Emigration Cross-Sectional Studies Family medicine Workforce language 0305 other medical science Psychology Doctor Retention Ireland |
| Zdroj: | International journal of health policy and management. 10(6) |
| ISSN: | 2322-5939 |
| Popis: | Background: The failure of some high-income countries to retain their medical graduates is one driver of doctor immigration from low- and middle-income countries. Ireland, which attracts many international medical graduates, implemented a doctor retention strategy from early 2015. This study measures junior doctors’ migration intentions, the reasons they leave and likelihood of them returning. The aim is to identify the characteristics and patterns of doctors who plan to emigrate to inform targeted measures to retain these doctors. Methods: A national sample of 1148 junior hospital doctors completed an online survey in early 2018, eliciting their experiences of training and working conditions. Respondents were asked to choose between the following career options: remain in Ireland, go and return, go and stay away, or quit medicine. Bivariate analyses and a two-stage multivariable analysis were used to model the factors associated with these outcomes. Results: 45% of respondents planned to remain in Ireland, 35% leave but return later, 17% leave and not return; and 3% to quit medicine. An intention to go abroad versus remain in Ireland was independently associated (PPConclusion: Ireland’s doctor retention strategy has not addressed the root causes of poor training and working experiences in Irish hospitals. It needs a more diversified retention strategy that addresses under-staffing, facilitates circular migration by younger trainees who choose to train abroad, identifies and addresses specialty-specific factors, and builds mentoring linkages between trainees and senior specialists. |
| Databáze: | OpenAIRE |
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