中国护士从海外返回 (2009-2023):对影响因素的混合方法研究
Xinyi Liao1,2, Shuting Li3, Mengqi Li4
1Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-Sen University, No. 74, Zhongshan Second Road, Guangzhou, Guangdong, 510080, P. R. China.
Globalization and health
|November 4, 2025
概括
近30%的中国护士在国外工作后回国,主要是由于家庭需求. 收入较高,具有国际经验的熟练护士更有可能留在海外,影响医疗保健资源分配.
科学领域:
- 全球健康 全球健康
- 护理工作人员动力学
- 国际移民 国际移民
背景情况:
- 全球护士短缺状况正在恶化,特别是在低收入和中等收入国家.
- 护士从发展中国家迁移到发达国家加剧了资源不平衡.
- 了解护士的回归迁移为医疗保健系统发展提供了洞察力.
研究的目的:
- 分析从国外返回的中国护士的动机,挑战和机会.
- 确定影响护士回报率的因素.
- 探讨在中国返回的护士的重新融入经验.
主要方法:
- 混合方法研究设计使用定量和定性数据.
- 考克斯的比例危险回归和回报率因子的子组分析.
- 半结构面试的感应主题分析与重返护士.
主要成果:
- 接受调查的护士中有29.69%返回中国;经过13年,累计返回率达到47.01%.
- 与较低回报率相关的因素包括30-39岁,高级语言能力和在国外收入较高的年龄.
- 关键的回归驱动因素是家庭考虑,而海外挑战包括语言障碍;回归的护士在私立医院找到了更多的机会.
结论:
- 近30%的中国护士返回,主要是由于家庭原因,熟练的护士更有可能留在国外.
- 回归的护士在公立医院面临挑战,但在私营部门找到更好的前景.
- 利用返回护士的专业知识可以加强中国的医疗保健系统.
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