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塞尔维亚医科大一和大五学生的移民及在国外行医意向:一项案例研究

First- and fifth-year medical students' intention for emigration and practice abroad: a case study of Serbia.

作者信息

Santric-Milicevic Milena M, Terzic-Supic Zorica J, Matejic Bojana R, Vasic Vladimir, Ricketts Thomas C

机构信息

Institute of Social Medicine, Faculty of Medicine University of Belgrade, Dr Subotica 15, 11000 Belgrade, Serbia; Centre - School of Public Health, Faculty of Medicine University of Belgrade, Pasterova 2, 11000 Belgrade, Serbia.

Institute of Social Medicine, Faculty of Medicine University of Belgrade, Dr Subotica 15, 11000 Belgrade, Serbia; Centre - School of Public Health, Faculty of Medicine University of Belgrade, Pasterova 2, 11000 Belgrade, Serbia.

出版信息

Health Policy. 2014 Nov;118(2):173-83. doi: 10.1016/j.healthpol.2014.09.018. Epub 2014 Oct 7.

DOI:10.1016/j.healthpol.2014.09.018
PMID:25458972
Abstract

Health worker migration is causing profound health, safety, social, economic and political challenges to countries without special policies for health professionals' mobility. This study describes the prevalence of migration intentions among medical undergraduates, identifies underlying factors related to migration intention and describes subsequent actions in Serbia. Data were captured by survey of 938 medical students from Belgrade University (94% response rate), representing two thirds of matching students in Serbia stated their intentions, reasons and obstacles regarding work abroad. Statistical analyses included descriptive statistics and a sequential multivariate logistic regression. Based on descriptive and inferential statistics we were able to predict the profile of first and fifth year medical students who intend or have plans to work abroad. This study contributes to our understanding of the causes and correlates of intent to migrate and could serve to raise awareness and point to the valuable policy options to manage migration.

摘要

卫生工作者的迁移给那些没有针对卫生专业人员流动制定特殊政策的国家带来了深刻的卫生、安全、社会、经济和政治挑战。本研究描述了医学本科生中迁移意向的普遍性,确定了与迁移意向相关的潜在因素,并描述了塞尔维亚随后采取的行动。数据通过对贝尔格莱德大学938名医学生的调查收集(回复率为94%),这些学生占塞尔维亚相应学生的三分之二,他们陈述了在国外工作的意向、原因和障碍。统计分析包括描述性统计和序贯多变量逻辑回归。基于描述性和推断性统计,我们能够预测有意向或有计划在国外工作的一年级和五年级医学生的特征。本研究有助于我们理解迁移意向的原因及相关因素,并可提高认识,指出管理迁移的宝贵政策选择。

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