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超越国界:促使菲律宾职业治疗师出国工作的因素。

Going Beyond Borders: Factors Driving Filipino Occupational Therapists to Work Overseas.

作者信息

Guinihin Kyla Gielyne D, Aloya Princess Margaret M, Marañon Sharmilaein S, Soria Kimberly Addie C, Tuibeo-Estanislao Karen Kae, Delos Reyes Rod Charlie R

机构信息

College of Allied Medical Sciences, University of Batangas.

出版信息

Acta Med Philipp. 2025 Jun 13;59(7):33-44. doi: 10.47895/amp.vi0.9937. eCollection 2025.

DOI:10.47895/amp.vi0.9937
PMID:40666747
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12257560/
Abstract

BACKGROUND

The Philippines was renowned for its reputation as one of the leading countries in the world, holding notable contributions for supplying the global laborers including occupational therapists alongside other healthcare professionals. The importance of occupational therapists in the healthcare industry was progressively being acknowledged, as they offer rehabilitative care to Filipinos in need within the country. With the continual advancement of knowledge, occupational therapists were fast becoming in-demand professionals locally. However, there appeared to be a dearth of practicing registered occupational therapists in the Philippines, owing to their inclination towards overseas employment as seen by their migration to affluent countries driven by push factors, which are unfavorable circumstances in the place of origin that reinforce migration, and pull factors, which are things that attract the migrant to move to the destination country.

OBJECTIVES

This study explored the factors influencing the Filipino occupational therapists towards selecting a working environment, prevailing factors that contributed to the decision of Filipino occupational therapists to work overseas, and significant differences between the working conditions domestically and internationally.

METHODS

The study utilized a qualitative descriptive study to conduct a comprehensive exploration, studying the subtleties and complex nature of Filipino occupational therapists' migration. Researchers conducted semi-structured online interviews with 10 participants currently working as occupational therapists abroad across four countries including Australia, United Kingdom, United Arab Emirates, and United States of America. Thematic analysis was used to analyze the qualitative data, resulting in the identification of seven themes that described the factors on why Filipino occupational therapists went beyond the borders.

RESULTS

There are seven themes that describe factors why occupational therapists work abroad. These factors include (a) Labor Provisions, (b) Financial Motivations, (c) Organizational Camaraderie, (d) Presence of Career Progression, (e) Vast Resource Modalities, (f) Individualized Gains, and (g) Political Apathy.

CONCLUSION

The study stipulated the parameters aimed at improving occupational therapy working conditions and encouraging proactive initiatives to alleviate the shortage and reverse the brain drain among occupational therapists in the Philippines' healthcare system.

摘要

背景

菲律宾曾以作为世界主要国家之一而闻名,在为全球提供包括职业治疗师及其他医疗保健专业人员在内的劳动力方面做出了显著贡献。职业治疗师在医疗保健行业中的重要性正逐渐得到认可,因为他们在国内为有需要的菲律宾人提供康复护理。随着知识的不断进步,职业治疗师在当地迅速成为热门专业人才。然而,菲律宾似乎缺乏执业注册职业治疗师,这是因为他们受推动因素(即原籍国不利于发展从而促使移民的不利环境)和拉动因素(即吸引移民前往目的国的因素)的驱使,倾向于海外就业,比如移民到富裕国家。

目的

本研究探讨了影响菲律宾职业治疗师选择工作环境的因素、促使菲律宾职业治疗师决定在海外工作的主要因素,以及国内外工作条件的显著差异。

方法

本研究采用定性描述性研究进行全面探索,研究菲律宾职业治疗师移民的细微之处和复杂性质。研究人员对目前在澳大利亚、英国、阿拉伯联合酋长国和美国这四个国家从事职业治疗师工作的10名参与者进行了半结构化在线访谈。采用主题分析法对定性数据进行分析,确定了七个主题,这些主题描述了菲律宾职业治疗师出国工作的原因。

结果

有七个主题描述了职业治疗师在国外工作的原因。这些因素包括:(a)劳动条款;(b)经济动机;(c)团队情谊;(d)职业发展机会;(e)丰富的资源模式;(f)个人收获;(g)政治冷漠。

结论

该研究规定了旨在改善职业治疗工作条件的参数,并鼓励采取积极举措,以缓解菲律宾医疗保健系统中职业治疗师短缺的问题并扭转人才外流的局面。

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本文引用的文献

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Advancing Filipino Healthcare: The Plight of Filipino Nurses in a Postpandemic World.推进菲律宾医疗保健事业:后疫情时代菲律宾护士的困境
SAGE Open Nurs. 2023 Dec 13;9:23779608231220872. doi: 10.1177/23779608231220872. eCollection 2023 Jan-Dec.
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Unraveling the "Greener Pastures" Concept: The Phenomenology of Internationally Educated Occupational Therapists.解读“更美好的前景”概念:国际教育背景职业治疗师的现象学研究
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Drivers of health workers' migration, intention to migrate and non-migration from low/middle-income countries, 1970-2022: a systematic review.1970-2022 年,低/中收入国家卫生工作者移民、移民意向和非移民的驱动因素:系统评价。
BMJ Glob Health. 2023 May;8(5). doi: 10.1136/bmjgh-2023-012338.
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A global overview of healthcare workers' turnover intention amid COVID-19 pandemic: a systematic review with future directions.新冠疫情期间医护人员离职意向的全球概述:一项系统综述及未来方向
Hum Resour Health. 2022 Sep 24;20(1):70. doi: 10.1186/s12960-022-00764-7.
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Outmigration and unequal distribution of Filipino physicians and nurses: An urgent call for investment in health human resource and systemic reform.菲律宾医生和护士的外流及不平等分布:呼吁对卫生人力资源进行投资并进行系统性改革
Lancet Reg Health West Pac. 2022 Jul 8;25:100512. doi: 10.1016/j.lanwpc.2022.100512. eCollection 2022 Aug.
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When the "heroes" "don't feel cared for": The migration and resignation of Philippine nurses amidst the COVID-19 pandemic.当“英雄”们“感觉未被关怀”时:新冠疫情期间菲律宾护士的移民与辞职潮
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Bibliometric analysis of global migration health research in peer-reviewed literature (2000-2016).全球同行评议文献中移民健康研究的文献计量分析(2000-2016 年)。
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