School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Health Professions Education Research Center, Department of Medical Education, Education Development Center, Tehran University of Medical Sciences, Tehran, Iran.
BMC Med Educ. 2023 Apr 12;23(1):232. doi: 10.1186/s12909-023-04147-x.
Medical staff migration is one of the challenges for both developed and developing countries affecting society's health and welfare, which limits access to equity. Therefore, this study was designed and conducted to investigate the tendency to migrate and the factors affecting it among medical students of the Tehran University of medical sciences, Tehran, Iran, in 2019.
This cross-sectional study was performed among 472 medical students using a valid questionnaire which was designed after reviewing the literature and using the opinions of experts. The tendency to migrate and its associated factors were analyzed and reported using the Pearson correlation test, independent t-test, one-way ANOVA test, Tukey post-hock test, and Kruskal-Wallis non-parametric test.
According to this study, the tendency to migrate was 6.13 ± 2.82 out of 10. While there was no significant relationship between age, marital status, medical educational phase and the tendency to migrate (p > 0.05); There was a significant relationship between willingness to migrate with variables of gender (p = 0.027), pre-university study region (p < 0.001), father's academic degree (p = 0.007), mother's academic degree (p < 0.001), having the relative abroad (p < 0.001), foreign trip experience (p < 0.001), foreign language skills (p < 0.001), number of published articles (p = 0.005) and Iran's National Elite Foundation membership (p = 0.039).
Females, elites, and those with higher socioeconomic state, previous exposure to foreign countries, the ability to speak foreign languages, and research activity are more likely to migrate. Considering the high tendency to migrate among Iranian medical students, urgent and severe strategies must be undertaken to solve this social and health problem.
医务人员流动是发达国家和发展中国家共同面临的挑战之一,这影响了社会的健康和福利,限制了公平获得医疗资源的机会。因此,本研究旨在调查 2019 年伊朗德黑兰医科大学医学生的移民倾向及其影响因素。
本横断面研究采用有效问卷对 472 名医学生进行调查,问卷是在查阅文献和征求专家意见的基础上设计的。采用 Pearson 相关检验、独立 t 检验、单因素方差分析、Tukey 事后检验和 Kruskal-Wallis 非参数检验分析和报告移民倾向及其相关因素。
根据本研究,移民倾向得分为 6.13±2.82 分(满分 10 分)。年龄、婚姻状况、医学教育阶段与移民倾向之间无显著关系(p>0.05);而性别(p=0.027)、大学预科学习地区(p<0.001)、父亲学历(p=0.007)、母亲学历(p<0.001)、有国外亲戚(p<0.001)、国外旅行经历(p<0.001)、外语技能(p<0.001)、已发表文章数量(p=0.005)和伊朗国家精英基金会会员资格(p=0.039)与移民倾向显著相关。
女性、精英、社会经济地位较高、有国外经历、外语能力强、有科研活动的医学生更有可能移民。考虑到伊朗医学生移民倾向较高,必须采取紧急和严厉的策略来解决这一社会和健康问题。