超越财务激励:关于空间耻辱和波多黎各医生向美国移民的定量研究
Nelson Varas-Díaz1, Sheilla R Madera1, Mark Padilla1
1Global and Sociocultural Studies, School of International and Public Affairs, Florida International University, Miami, FL, USA.
Global public health
|February 20, 2025
概括
来自波多黎各的医生移民是由经济因素和空间耻辱驱动的. 解决这些复杂的问题对于改善岛上医疗保健的准入至关重要.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 移民研究 移民研究
背景情况:
- 波多黎各正面临严重的医生短缺,这阻碍了该国能够达到世界卫生组织的医生与人口比例.
- 医生的大规模移民到美国是医疗保健危机的主要驱动因素.
- 虽然经济激励措施是公认的,但对移民决定因素的全面理解缺乏.
研究的目的:
- 量化调查推力因素,拉力因素和空间污名化对医生从波多黎各到美国的移民的影响.
- 分析人们对波多黎各医疗保健系统形象的看法以及与实践相关的耻辱如何影响移民决策.
主要方法:
- 来自550名医生随机选择样本的数据的定量分析.
- 样本包括255名移民到美国的医生和295名留在波多黎各的医生.
- 评估与在波多黎各执业医学相关的感知推/拉因素和空间耻辱.
主要成果:
- 美国更高的经济机会显著影响医生移民决策.
- 在波多黎各的医疗保健系统中,与实践医学相关的空间耻辱是移民的关键因素.
- 对岛屿形象和声誉的看法也在移民选择中起作用.
结论:
- 解决波多黎各的医生移民危机不仅需要经济激励,还需要解决社会文化观念和空间污名.
- 政策干预应侧重于改善医疗保健系统的形象,减少与实践相关的耻辱,以留住医生.
- 了解这些多方面的因素对于制定有效的战略来解决该岛的医疗保健危机至关重要.
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