Ismail Fatima, Coetzee Courtney
Department of Chiropractic, Faculty of Health Sciences, University of Johannesburg, Johannesburg, South Africa.
J Chiropr Humanit. 2024 Jul 4;31:8-19. doi: 10.1016/j.echu.2024.04.001. eCollection 2024 Dec.
The purpose of this study was to investigate the emigration intentions of South African senior chiropractic students upon graduation, emphasizing motivations and considerations guiding migration decisions.
A cross-sectional, quantitative, and exploratory approach was employed, utilizing an anonymous and adapted online survey administered to chiropractic students at 2 South African institutions ( = 177) between March 15 and May 19, 2021. Data were analyzed using frequencies, descriptions, and cross-tabulations to identify trends and interrelationships related to students' intentions to emigrate postqualification.
Findings indicate that 75.5% of South African chiropractic senior students intend to emigrate. Motivations for emigration include improved quality of life and seeking of opportunities. Economic instability in South Africa (SA) (82.7%) and concern for the National Health Insurance implementation (57.7%) serve as a significant push factor, whereas economic stability abroad (85.7%) emerged as a key pull factor. Preferred emigration destinations are primarily developed countries with established chiropractic communities.
High emigration intentions among students were driven by diverse push factors in SA, including economic decline, socio-political climates, and safety concerns, contrasting with pull factors abroad, such as better opportunities, living conditions, and economic stability. Concerns regarding healthcare reforms, particularly the National Health Insurance, are also highlighted. Destinations in order of preference such as the United Kingdom, Canada, and Australia offer valuable insights for policy interventions. Understanding these dynamics is crucial for developing effective retention strategies and addressing socio-economic challenges.
本研究旨在调查南非脊椎按摩疗法专业高年级学生毕业后的移民意向，重点关注影响移民决策的动机和考虑因素。
采用横断面、定量和探索性研究方法，于2021年3月15日至5月19日对南非两所院校的177名脊椎按摩疗法专业学生进行了一项匿名且经过改编的在线调查。使用频率、描述和交叉制表对数据进行分析，以确定与学生毕业后移民意向相关的趋势和相互关系。
研究结果表明，75.5%的南非脊椎按摩疗法专业高年级学生打算移民。移民动机包括生活质量的提高和机会的寻求。南非的经济不稳定（82.7%）和对国家医疗保险实施的担忧（57.7%）是一个重要的推动因素，而国外的经济稳定（85.7%）则是一个关键的吸引因素。首选移民目的地主要是拥有成熟脊椎按摩疗法群体的发达国家。
学生中较高的移民意向是由南非的多种推动因素驱动的，包括经济衰退、社会政治气候和安全担忧，这与国外的吸引因素形成对比，如更好的机会、生活条件和经济稳定。同时也凸显了对医疗改革，特别是国家医疗保险的担忧。英国、加拿大和澳大利亚等首选目的地为政策干预提供了有价值的见解。了解这些动态对于制定有效的留用策略和应对社会经济挑战至关重要。
