Department of Medicine, Addis Ababa University College of Health Sciences, Addis Ababa, Ethiopia
Department of Emergency Medicine, Addis Ababa University College of Health Sciences, Addis Ababa, Ethiopia.
BMJ Open. 2022 Jun 30;12(6):e060830. doi: 10.1136/bmjopen-2022-060830.
Migration of physicians is one of the most pressing global health problems of our time with the greatest implications in sub-Saharan African countries. Although other studies have explored and produced important quantitative data about the impact of medical migration in the health sector of Ethiopia, the motive behind Ethiopian physician migration have been explored less thoroughly. This article explores the perceptions of a group of physicians about the complicated and continuously evolving driving forces of physician migration in Ethiopia.
Qualitative study using in-depth, virtual semistructured interviews.
Using purposive sampling, 12 physicians participated.
Skype interviews with 12 participants working in Tikur Anbessa Specialised Hospital in Addis Ababa, Ethiopia.
Four themes emerged reflecting the perceptions of Ethiopian medical doctors on the driving forces of physician migration: (1) Economic push and pull factors; (2) Professional push and pull factors; (3) Social and Political push and pull factors and (4) Medical migration governance.
The emigration of Ethiopian physicians is made after weighing the push and pull factors. Push factors are more crucial than pull factors, and financial reasons play the leading role. Junior physician unemployment, politicisation of hospital administration, and poor medical migration governance are growing problems. Junior physician unemployment is a recent phenomenon in Ethiopia and with a potential to be a leading push factor if appropriate intervention is not taken. The findings of this study are worrying and urge for comprehensive solutions to be devised by policy-makers to deal with physician migration in Ethiopia.
医生移民是当今全球最紧迫的卫生问题之一，对撒哈拉以南非洲国家的影响最大。尽管其他研究已经探讨并提供了有关医疗移民对埃塞俄比亚卫生部门影响的重要定量数据，但对埃塞俄比亚医生移民背后的动机的研究还不够深入。本文探讨了一组医生对埃塞俄比亚医生移民复杂且不断演变的驱动因素的看法。
使用深入的虚拟半结构化访谈进行定性研究。
通过目的性抽样，有 12 名医生参与。
在埃塞俄比亚亚的斯亚贝巴的提库安贝萨专科医院使用 Skype 采访 12 名参与者。
反映出埃塞俄比亚医生对医生移民驱动力的看法的四个主题：（1）经济推动和拉动因素；（2）专业推动和拉动因素；（3）社会和政治推动和拉动因素；（4）医疗移民治理。
埃塞俄比亚医生的移民是在权衡推动因素和拉动因素之后做出的。推动因素比拉动因素更为重要，而经济原因起着主导作用。年轻医生失业、医院管理的政治化以及医疗移民治理不善是日益严重的问题。年轻医生失业是埃塞俄比亚的一个新现象，如果不采取适当的干预措施，可能成为主要的推动因素。本研究的结果令人担忧，并敦促政策制定者制定全面的解决方案来解决埃塞俄比亚的医生移民问题。
