Dataset Information

Factors influencing trainee doctor emigration in a high income country: a mixed methods study.

ABSTRACT:

Background

The Global Code of Practice on the International Recruitment of Health Personnel focuses particularly on migration of doctors from low- and middle-income countries. Less is understood about migration from high-income countries. Recession has impacted several European countries in recent years, and in some cases emigration has reached unprecedented levels. This study measures and explores the predictors of trainee doctor emigration from Ireland.

Methods

Using a partially mixed sequential dominant (quantitative) study design, a nationally representative sample of 893 trainee doctors was invited to complete an online survey. Of the 523 who responded (58.6% response rate), 423 were still in Ireland and responded to questions on factors influencing intention to practice medicine abroad and are the subjects of this study. Explanatory factors for intention to practice medicine in Ireland in the foreseeable future, the primary outcome, included demographic variables and experiences of working within the Irish health system. Associations were examined using univariable and multivariable logistic regression to estimate odds ratios for factors influencing the primary outcome. Qualitative interviews were conducted with 50 trainee doctors and analysed thematically, exploring issues associated with intention to practice medicine abroad.

Results

There were high levels of dissatisfaction among trainee doctors around working conditions, training and career progression opportunities in Ireland. However, most factors did not discriminate between intention to leave or stay. Factors that did predict intention to leave included dissatisfaction with one's work-life balance (odds ratio (OR) 2.51; 95% confidence interval (CI) 1.53-4.10; P?ConclusionsLarge-scale dissatisfaction with working, training and career opportunities point to systemic factors that need to be addressed by health workforce planners if Ireland is to retain and benefit from a motivated medical workforce, given trainees' perceptions that there are better opportunities abroad.

SUBMITTER: Clarke N

PROVIDER: S-EPMC5611654 | biostudies-literature | 2017 Sep

REPOSITORIES: biostudies-literature

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Factors influencing trainee doctor emigration in a high income country: a mixed methods study.

Clarke Nicholas N Crowe Sophie S Humphries Niamh N Conroy Ronan R O'Hare Simon S Kavanagh Paul P Brugha Ruairi R

Human resources for health 20170925 1

<h4>Background</h4>The Global Code of Practice on the International Recruitment of Health Personnel focuses particularly on migration of doctors from low- and middle-income countries. Less is understood about migration from high-income countries. Recession has impacted several European countries in recent years, and in some cases emigration has reached unprecedented levels. This study measures and explores the predictors of trainee doctor emigration from Ireland.<h4>Methods</h4>Using a partially ...[more]

PMID: 28942731

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Dataset Information

Factors influencing trainee doctor emigration in a high income country: a mixed methods study.

Background

Methods

Results

Publications

Factors influencing trainee doctor emigration in a high income country: a mixed methods study.

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