[在英国工作的法国医生：对其移民特征及动机的研究]

Duverne A, Carnet D, d'Athis P, Quantin C

Faculté de médecine, université de Bourgogne, Bourgogne, France.

Rev Epidemiol Sante Publique. 2008 Oct;56(5):360-73. doi: 10.1016/j.respe.2008.06.261. Epub 2008 Oct 19.

BACKGROUND

As member states in the European Union now recognize the national qualifications of other member states, doctors will be able to move more freely within Europe according to the opportunities on offer and the constraints imposed by the different health-care systems. The aim of this study is to understand the reasons why French doctors choose to work in Great Britain.

METHOD

A self-completed questionnaire was used to conduct a survey among French doctors registered with the British Medical Council in 2005 who had done their studies in France and for whom the address was correct.

RESULTS

The response rate, which was difficult to assess (impossible to distinguish between incorrect addresses and absence of response), was about 37%. The results show that doctors move to Britain for various reasons. In most cases (59%), the decision to emigrate is made for both professional and personal reasons. The second most common profile (29%), including essentially women, comprises those who emigrate to join a spouse. The third profile (12%) concerns those who emigrate for purely professional reasons: this group is made up of men who, for the most part, are disappointed with conditions in the French-hospital system: lack of recognition, poor pay and limited career prospects. Doctors who are dissatisfied with working conditions and low revenues in France seem to find that the National Health Service provides a better environment. Whatever the original reasons for expatriation, doctors particularly appreciate the salaried status, organization of working hours and teamwork, as well as more recognition of the work done.

CONCLUSION

Because of uncertainties in the representativity of the returned questionnaires, the results of our study cannot be generalized to the whole population of French doctors currently working in Britain, but it does bring to light the principal reasons for their move to Britain. Though few doctors emigrate, the trend testifies to the dissatisfaction felt by certain doctors in the French health-care system. The study also underlines the dependence of the NHS on the immigration of health-care professionals.

背景

由于欧盟成员国现在认可其他成员国的国家资格，医生将能够根据所提供的机会以及不同医疗体系所施加的限制，在欧洲更自由地流动。本研究的目的是了解法国医生选择在英国工作的原因。

方法

采用一份自填式问卷，对2005年在英国医学委员会注册、在法国完成学业且地址正确的法国医生进行调查。

结果

回复率难以评估（无法区分地址错误和无回复情况），约为37%。结果表明，医生前往英国有多种原因。在大多数情况下（59%），移民的决定是出于职业和个人双重原因。第二常见的情况（29%），主要包括女性，是那些为了与配偶团聚而移民的人。第三种情况（12%）涉及那些纯粹出于职业原因移民的人：这一群体主要由男性组成，他们大多对法国医院系统的状况感到失望，包括缺乏认可、薪资低和职业前景有限。对法国工作条件和低薪资不满的医生似乎发现国民医疗服务体系提供了更好的环境。无论最初的外派原因是什么，医生们特别赞赏薪资待遇、工作时间安排和团队合作，以及对工作的更多认可。