探索最近医生迁移到英国的模式:一种混合方法研究
N Brennan1, N Langdon2, T Gale2
1CAMERa, Peninsula Medical School, Faculty of Health, University of Plymouth, Drake Circus, Plymouth, PL4 8AA, UK. nicola.brennan@plymouth.ac.uk.
BMC health services research
|November 4, 2023
概括
国际医生对英国医疗保健工作人员至关重要,但面临专业培训的障碍. 解决这些障碍是可持续招聘和保留的关键.
科学领域:
- 医疗保健劳动力动力学
- 国际医疗移民 国际医疗移民
- 医学教育政策 医疗教育政策
背景情况:
- 英国 (UK) 面临着严重的医生短缺,需要国际招聘来填补即时的空白.
- 虽然增加国内医学院的学位是一个长期战略,但国际医生仍然对短期的劳动力需求至关重要.
研究的目的:
- 确定影响医生向英国移民模式的关键因素.
- 为制定可持续招聘和留住国际医疗专业人员的政策提供信息.
主要方法:
- 分析通用医疗委员会 (GMC) 关于国际训练有素医生的移民 (2009-2019) 的二次数据.
- 与17个利益相关者进行了定性访谈,使用NVivo进行了主题分析.
主要成果:
- 2019年,34.5%的英国医生受过国际培训,主要来自印度,巴基斯坦和尼日利亚.
- 大多数受过国际培训的医生 (2019年为96.2%) 最初没有专业注册,进展率低到专家或全科医生注册 (5年内为11.6%).
- 关键的迁移驱动因素是培训机会和职业发展,而障碍包括系统差异,偏见和难以接近的选择过程.
结论:
- 英国对国际医生的依赖具有全球影响,可能会破坏来源国家的卫生系统.
- 决策者必须平衡国际招聘与增加国内培训,遵守世卫组织的指导方针,特别是对来自保障清单国家的医生.
- 加强支持对于国际训练有素的医生来说至关重要,使他们能够获得所需的培训计划并在职业生涯中取得进展.
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