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黎巴嫩医师劳动力的移民与全球化视角:一项定性研究。

An emigration versus a globalization perspective of the Lebanese physician workforce: a qualitative study.

机构信息

Department of Medicine, State University of New York at Buffalo, Buffalo, NY, USA.

出版信息

BMC Health Serv Res. 2012 May 30;12:135. doi: 10.1186/1472-6963-12-135.

DOI:10.1186/1472-6963-12-135
PMID:22646478
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3414743/
Abstract

BACKGROUND

Lebanon is witnessing an increased emigration of physicians. The objective of this study was to understand the perceptions of Lebanese policymakers of this emigration, and elicit their proposals for future policies and strategies to deal with this emigration.

METHODS

We conducted semi-structured individual interviews with the deans of Lebanon's seven medical schools, the presidents of the two physicians professional associations, and governmental officials. We analyzed the results qualitatively.

RESULTS

Participants differed in the assessment of the extent and gravity of emigration. Lebanon has a surplus of physicians, driven largely by the over-production of graduates by a growing number of medical schools. Participants cited advantages and disadvantages of the emigration on the personal, financial, medical education system, healthcare system, and national levels. Proposed strategies included limiting the number of students entering medical schools, creating job opportunities for graduating students, and implementing quality standards. Most participants acknowledged the globalization of the Lebanese physician workforce, including exchanges with the Gulf region, exchanges with developed countries, and the involvement of North American medical education institutions in the region.

CONCLUSION

Many Lebanese policy makers, particularly deans of medical schools, perceive the emigration of the physician workforce as an opportunity in the context of the globalization of the profession.

摘要

背景

黎巴嫩正见证着越来越多的医生移民。本研究旨在了解黎巴嫩政策制定者对这种移民的看法,并征求他们对未来处理这种移民的政策和策略的建议。

方法

我们对黎巴嫩七所医学院的院长、两个医师专业协会的主席以及政府官员进行了半结构化的个人访谈。我们对结果进行了定性分析。

结果

参与者对移民的程度和严重性的评估存在差异。黎巴嫩的医生过剩,主要是由于越来越多的医学院毕业生人数增加导致的。参与者列举了移民对个人、财务、医学教育系统、医疗保健系统和国家层面的利弊。提出的策略包括限制进入医学院的学生人数、为毕业学生创造就业机会以及实施质量标准。大多数参与者承认黎巴嫩医生劳动力的全球化,包括与海湾地区的交流、与发达国家的交流以及北美医学教育机构在该地区的参与。

结论

许多黎巴嫩政策制定者,特别是医学院院长,将医生劳动力的移民视为全球化背景下的机遇。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4b1/3414743/6e906a4d1db7/1472-6963-12-135-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4b1/3414743/6e906a4d1db7/1472-6963-12-135-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4b1/3414743/6e906a4d1db7/1472-6963-12-135-1.jpg

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本文引用的文献

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Characteristics of physicians practising in Lebanon: a survey.黎巴嫩医生执业特征调查。
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2
Regionalizing healthcare: a vision for transforming Lebanon into a regional academic hub.区域化医疗保健:将黎巴嫩打造成区域学术中心的愿景。
BMC Health Serv Res. 2010 Jun 16;10:167. doi: 10.1186/1472-6963-10-167.
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Undergraduate medical education in the Gulf Cooperation Council: a multi-countries study (Part 1).海湾合作委员会国家的本科医学教育:一项多国研究(第 1 部分)。
Med Teach. 2010;32(3):219-24. doi: 10.3109/01421590903389108.
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Did the post war repatriation of Lebanese physicians drive recent Lebanese medical graduates to emigrate? An observational study.战后黎巴嫩医生的归国是否促使近期黎巴嫩医学毕业生移民?一项观察性研究。
BMC Health Serv Res. 2008 Sep 24;8:195. doi: 10.1186/1472-6963-8-195.
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Post-graduation migration intentions of students of Lebanese medical schools: a survey study.黎巴嫩医学院校学生毕业后的移民意向:一项调查研究。
BMC Public Health. 2008 Jun 2;8:191. doi: 10.1186/1471-2458-8-191.
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Planning and costing human resources for health.卫生人力资源规划与成本核算
Lancet. 2008 Feb 23;371(9613):693-695. doi: 10.1016/S0140-6736(08)60311-6.
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High-end physician migration from India.印度高端医生的外流。
Bull World Health Organ. 2008 Jan;86(1):40-5. doi: 10.2471/blt.07.041681.
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Is the medical brain drain beneficial? Evidence from overseas doctors in the UK.医疗人才外流有益吗?来自在英国的海外医生的证据。
Soc Sci Med. 2007 Sep;65(5):915-23. doi: 10.1016/j.socscimed.2007.04.021. Epub 2007 Jun 13.
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Graduates of Lebanese medical schools in the United States: an observational study of international migration of physicians.美国黎巴嫩医学院校的毕业生:一项关于医生国际迁移的观察性研究。
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10
Human resources for health planning and management in the Eastern Mediterranean region: facts, gaps and forward thinking for research and policy.东地中海区域卫生规划与管理的人力资源:事实、差距以及对研究与政策的前瞻性思考
Hum Resour Health. 2007 Mar 23;5:9. doi: 10.1186/1478-4491-5-9.