Ballard Karen D, Robinson Susan I, Laurence Priscilla B
Department of General Practice and Primary Care, King's College London, London, UK.
Br J Gen Pract. 2004 Oct;54(507):747-52.
Growing concerns about the ability to maintain and increase the general practitioner (GP) workforce has led to active recruitment of GPs from overseas. However, little is known about why these GPs choose to leave their countries and come to work in London.
To investigate the motivations and expectations of French GPs migrating to work in general practices in London.
A qualitative study using semi-structured interviews.
General practice induction programme in southeast London.
Individual interviews with 31 French GPs, who attended an induction programme for international recruits, were taped, transcribed, and analysed using a categorical approach.
Three factors led to the process of migration: instigating factors, creating the stimulus for migration; activating factors, based on the perception that English general practice offered greater opportunities; and facilitating factors, which make migration possible. Particular emphasis was placed on personal and professional instigating factors, with a desire for new cultural experiences and a widespread discontent surrounding the infrastructure of French general practice, playing crucial roles in the stimulus to migrate. Ease of travel and a paid induction programme facilitated the move to their chosen destination.
French GPs' decisions were part of a process of migration influenced by a series of integrated factors. Consideration of these factors will not only enhance recruitment to English general practice, but will also facilitate foreign GPs' transition to work in the National Health Service (NHS) and, ultimately, maximise their retention.
人们日益担忧能否维持并增加全科医生的数量，这导致了从海外积极招募全科医生。然而，对于这些全科医生为何选择离开自己的国家并来伦敦工作，我们知之甚少。
调查移居伦敦从事全科医疗工作的法国全科医生的动机和期望。
采用半结构式访谈的定性研究。
伦敦东南部的全科医疗入职培训项目。
对31名参加国际招聘入职培训项目的法国全科医生进行了个人访谈，访谈进行了录音、转录，并采用分类方法进行分析。
有三个因素导致了移民过程：激发因素，为移民创造刺激；激活因素，基于认为英国全科医疗提供了更多机会的看法；以及促成因素，使移民成为可能。特别强调了个人和职业激发因素，对新文化体验的渴望以及对法国全科医疗基础设施普遍不满，在刺激移民方面发挥了关键作用。便捷的交通和带薪入职培训项目促进了他们前往选定目的地的行动。
法国全科医生的决定是受一系列综合因素影响的移民过程的一部分。考虑这些因素不仅会增加英国全科医疗的招聘人数，还将促进外国全科医生向国民健康服务体系（NHS）工作的过渡，并最终最大限度地提高他们的留用率。
