de Silva Nipun Lakshitha, Samarasekara Keshinie, Rodrigo Chaturaka, Samarakoon Lasitha, Fernando Sumadhya Deepika, Rajapakse Senaka
Department of Clinical Medicine, Faculty of Medicine, University of Colombo, 25 Kynsey Road, Colombo 8, Sri Lanka.
BMC Res Notes. 2014 Dec 16;7:918. doi: 10.1186/1756-0500-7-918.
Migration of medical professionals is a long recognized problem in Sri Lanka, but it has not been studied in depth. Undergraduate and postgraduate medical education in Sri Lanka is state sponsored, and loss of trained personnel is a loss of investment. This study assessed the intention to migrate among medical students and newly passed out graduates from the largest medical school in Sri Lanka.
A cross sectional descriptive study was conducted in the Faculty of Medicine, University of Colombo in September 2013 with the participation of first and fourth year medical students and pre-intern medical graduates. Data was collected using a self administered, pre-tested questionnaire that collected data on socio-demographic details, intention to migrate and factors influencing a decision for or against migration.
There were 374 respondents, 162 from first year (females; 104, 64.2%), 159 from fourth year (females; 85, 53.5%) and 53 pre interns (females; 22, 41.5%). Of the entire sample, 89 (23.8%) had already decided to migrate while another 121 (32.3%) were not sure of their decision. The most cited reasons for migration were a perceived better quality of life, better earnings and more training opportunities in the host country. There were no socio-demographic characteristics that had a significant association with the intention to migrate, indicating that it is a highly individualized decision.
The rate of intention to migrate in this sample is low when compared to international studies from Africa and South Asia, but is still significant. The core reasons which prompt doctors to migrate should be addressed by a multipronged approach to prevent brain drain.
医学专业人员的迁移是斯里兰卡一个长期以来公认的问题，但尚未进行深入研究。斯里兰卡的本科和研究生医学教育由国家资助， trained人员的流失是一种投资损失。本研究评估了斯里兰卡最大医学院的医学生和刚毕业的毕业生的迁移意向。
2013年9月，在科伦坡大学医学院进行了一项横断面描述性研究，一年级和四年级医学生以及实习前医学毕业生参与其中。使用一份自我管理的、经过预测试的问卷收集数据，该问卷收集了社会人口学细节、迁移意向以及影响迁移决定的因素的数据。
共有374名受访者，其中一年级162人（女性104人，占64.2%），四年级159人（女性85人，占53.5%），实习前53人（女性22人，占41.5%）。在整个样本中，89人（23.8%）已经决定迁移，另有121人（32.3%）尚未确定自己的决定。最常被提及的迁移原因是认为东道国的生活质量更高、收入更好以及培训机会更多。没有社会人口学特征与迁移意向有显著关联，这表明这是一个高度个体化的决定。
与来自非洲和南亚的国际研究相比，本样本中的迁移意向率较低，但仍然显著。应采取多管齐下的方法解决促使医生迁移的核心原因，以防止人才外流。
