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为什么土耳其正在失去其医生?一项关于土耳其医生主要抱怨的横断面研究。

Why is Turkey losing its doctors? A cross-sectional study on the primary complaints of Turkish doctors.

作者信息

Yılmaz Salim, Koyuncu Aydın Seher

机构信息

Istanbul Arel University, Faculty of Health Sciences, Assistant Professor at Health Management Department, Istanbul, Turkiye.

Sancaktepe Sehit Prof.Dr. Ilhan Varank Training and Research Hospital, Research Assistant at Gynecology and Obstetrics, Istanbul, Turkiye.

出版信息

Heliyon. 2023 Sep 10;9(9):e19882. doi: 10.1016/j.heliyon.2023.e19882. eCollection 2023 Sep.

Abstract

In 2022, Turkey encountered the formidable task of addressing an unprecedented loss of medical doctors and seeking remedies for potential issues within the healthcare system. This study set out to explore the inclination of 402 actively practicing Turkish doctors to depart from Turkey, assess the socio-demographic and socio-economic factors influencing this trend, and establish the hierarchy of raised concerns among doctors. Employing a cross-sectional and analytical approach, the study drew comparisons between doctors' demographic characteristics and the significance of their grievances, while also examining the correlation between the importance of complaints and the desire to remain in Turkey. The doctors' primary complaints encompassed financial challenges, instances of violence in the healthcare sector, and insufficient examination durations. The migration of doctors poses a substantial risk to healthcare accessibility, public health, and the sustainability of Turkey's healthcare delivery capacity. To mitigate this risk and curb doctor migration, corrective measures must be implemented to improve working conditions. Additionally, there is a need for further scientific research focusing on doctors' concerns, particularly in developing countries like Turkey, to expand the current body of literature on this subject.

摘要

2022年,土耳其面临着一项艰巨任务,即应对前所未有的医生流失问题,并为医疗系统内的潜在问题寻求补救措施。本研究旨在探究402名在职土耳其医生离开土耳其的倾向,评估影响这一趋势的社会人口和社会经济因素,并确定医生们所提担忧的优先级。该研究采用横断面分析方法,比较了医生的人口特征与其不满情绪的重要性,同时还考察了投诉的重要性与留在土耳其的意愿之间的相关性。医生们的主要抱怨包括经济困难、医疗领域的暴力事件以及检查时间不足。医生的流失对医疗可及性、公共卫生以及土耳其医疗服务能力的可持续性构成了重大风险。为降低这一风险并遏制医生流失,必须采取纠正措施以改善工作条件。此外,需要开展更多针对医生担忧的科学研究,尤其是在土耳其这样的发展中国家,以扩充该领域目前的文献资料。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4aea/10559269/e9abf156f6fb/gr1.jpg

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