Department of Urology, G. Hatzikosta General Hospital, Ioannina, Greece
Department of Pathology, Faculty of Medicine, School of Health Sciences, University of Ioannina, Greece
Rural Remote Health. 2020 Mar;20(1):4877. doi: 10.22605/RRH4877. Epub 2020 Mar 23.
Brain drain, an increasing phenomenon, can be defined as the international transfer of resources, in the form of a highly educated workforce, from developing to more developed countries. The tendency for migration leads to the activation of informational behaviour. The aim of this study was to search for the main causes of emigration of Greek medical doctors while their country suffers from an economic crisis.
A cross-sectional study using a quantitative sampling method in the form of questionnaires was performed. These questionnaires were answered by 143 doctors working in the National Health System in the city of Ioannina in north-western Greece. Correlations between the examined parameters and predictive factors of immigration trend were recorded.
A total of 85% of the respondents were dissatisfied with their wage, only 30% were sure that they would keep their current job and nearly 52% of them answered negatively to questions regarding their professional development. Only 33% of the physicians were negatively disposed towards moving abroad. Most of them were permanent personnel. Unsatisfactory wages, job uncertainty, non-permanent working status and low professional development opportunities were correlated with the phenomenon of immigration (all p<0.001). In the multivariate binary logistic regression analysis, lower wage (odds ratio (OR)=0.66, 95% confidence interval (CI)=0.453-0.961, p=0.03) and job uncertainty (OR=1.355, 95%CI=1.040-1.767, p=0.025) were independent predictors of the immigration trend.
The tendency of Greek medical doctors to emigrate is strongly related to financial dissatisfaction, professional insecurity and minimal development opportunities. Especially in rural areas these high immigration trends can result in a shortage of GPs. The need for emigration is less common among qualified doctors with permanent contracts.
人才流失是一种日益普遍的现象，可以被定义为发展中国家向发达国家输出以高学历人才为代表的资源。这种移民倾向导致了信息行为的产生。本研究旨在探讨希腊医生在其国家经济危机期间移民的主要原因。
采用横断面研究，采用问卷调查的定量抽样方法。这些问卷由在希腊西北部约阿尼纳市国家卫生系统工作的 143 名医生回答。记录了检查参数与移民趋势预测因素之间的相关性。
85%的受访者对工资不满意，只有 30%的人确信自己会保住现在的工作，近 52%的人对职业发展的问题给出了否定回答。只有 33%的医生对移居国外持消极态度。他们中的大多数人是长期员工。工资低、工作不稳定、非永久性工作状态和职业发展机会少与移民现象相关（均 p<0.001）。多元二项逻辑回归分析显示，工资较低（比值比（OR）=0.66，95%置信区间（CI）=0.453-0.961，p=0.03）和工作不稳定（OR=1.355，95%CI=1.040-1.767，p=0.025）是移民趋势的独立预测因素。
希腊医生移民的倾向与经济不满、职业不安全感和发展机会有限密切相关。特别是在农村地区，这种高移民趋势可能导致全科医生短缺。在有永久合同的合格医生中，移民的需求不那么普遍。
