Syed Nadir Ali, Khimani Farhad, Andrades Marie, Ali Syeda Kausar, Paul Rose
Department of Medicine, Aga Khan University, Stadium Road, Karachi, Pakistan.
Med Educ. 2008 Jan;42(1):61-8. doi: 10.1111/j.1365-2923.2007.02904.x. Epub 2007 Nov 27.
The subject of economic migration among health care professionals has received intense attention. However, the aetiology of this migration has not been rigorously evaluated in Pakistan. Such knowledge can potentially influence health care and academic policies. Our current study proposes to quantify the relative contributions of various personal, professional and economic variables among final-year medical students in Karachi.
A self-administered structured questionnaire using a 10-point scale was developed and piloted among Karachi medical students. Additional open-ended questions were included to allow us to capture information not otherwise covered in the questionnaire. SPSS software was used for data entry and analysis.
Over 95% of Aga Khan University (AKU) and over 65% of Baqai University (BU) final-year medical students intend to proceed abroad for their postgraduate training. The 2 most important factors behind this intent as pointed out by the students are poor salary structure (AKU mean score 8.94 +/- 1.73, BU mean score 7.14 +/- 2.6) and poor quality of training in the home country (AKU mean score 9.20 +/- 1.20, BU mean score 8.68 +/- 2.03). Other interesting factors captured through the open-ended questions were the poor work environment and lack of rigor in teaching of residents in domestic university hospitals. Over 50% of final-year medical students cited these issues as major reasons behind their decision to migrate.
医疗保健专业人员中的经济移民问题受到了广泛关注。然而，在巴基斯坦，这种移民的病因尚未得到严格评估。此类知识可能会影响医疗保健和学术政策。我们目前的研究旨在量化卡拉奇最后一年医学生中各种个人、专业和经济变量的相对贡献。
设计了一份使用10分制的自填式结构化问卷，并在卡拉奇医学生中进行了预测试。还包括了额外的开放式问题，以便我们获取问卷中未涵盖的信息。使用SPSS软件进行数据录入和分析。
超过95%的阿迦汗大学（AKU）和超过65%的巴凯大学（BU）最后一年医学生打算出国接受研究生培训。学生指出，这一意向背后的两个最重要因素是薪资结构差（AKU平均得分8.94 +/- 1.73，BU平均得分7.14 +/- 2.6）和本国培训质量差（AKU平均得分9.20 +/- 1.20，BU平均得分8.68 +/- 2.03）。通过开放式问题捕捉到的其他有趣因素包括工作环境差和国内大学医院住院医师教学缺乏严谨性。超过50%的最后一年医学生将这些问题视为他们决定移民的主要原因。
