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医学专业毕业生的迁移行为是否正面临来自欠发达国家的重大变化?人口结构特征与社会推动因素。

Are We Facing a Radical Change in the Migration Behavior of Medical Graduates from Less Developed Countries? Demographic Profile vs. Social Push Factors.

机构信息

Institute of National Economy, Romanian Academy, 13 Calea 13 Septembrie, 050711 Bucharest, Romania.

Faculty of Economics and Law, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 38 Gheorghe Marinescu Street, 540139 Targu Mures, Romania.

出版信息

Int J Environ Res Public Health. 2023 Mar 10;20(6):4894. doi: 10.3390/ijerph20064894.

Abstract

The phenomenon of migration among medical personnel from less developed countries is a large one, with negative effects on the origin country, but more worrying is graduates' propensity to migrate during or immediately after university studies. The analysis of the labor market in the health sector from the last two decades shows us greater attractiveness of employment in (more) economically developed states compared to the demand from the health sector in graduates' origin countries. This research's purpose is to identify the determinants of the propensity to study and work abroad of medical students as a defined factor for better employment, and to identify the push factors in the origin country. As a result of the dichotomous nature of the dependent variables, logistic regression was applied. The independent variables (gender, residence, medical specialization, grades and perceived economic status) were used to identify the odds of the intention to migrate for studies. The results highlighted a higher propensity to migrate for studies among medical students, with opportunities offered by universities differing across countries and geographical areas. Moreover, students with a lower level of household income have openness to migrate, the tuition fees being managed through part-time/temporary employment during studies.

摘要

医务人员从欠发达国家向发达国家迁移是一个普遍现象,这对原籍国产生了负面影响,但更令人担忧的是,毕业生在大学学习期间或毕业后倾向于迁移。对过去二十年卫生部门劳动力市场的分析表明,与原籍国卫生部门的需求相比,(更)经济发达国家的就业吸引力更大。本研究旨在确定医学生出国留学和工作的倾向,将其作为更好就业的一个决定因素,并确定原籍国的推动因素。由于因变量的二分性质,应用了逻辑回归。将独立变量(性别、居住地点、医学专业、成绩和感知经济状况)用于确定迁移意向的几率。结果表明,医学生出国留学的意愿更强,大学提供的机会因国家和地理区域而异。此外,家庭收入较低的学生更愿意迁移,通过在学习期间兼职/临时工作来支付学费。

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