Push and Pull Factors of Why Medical Students Want to Leave Türkiye: A Countrywide Multicenter Study.
СтатьяМногоцентровое исследованиеНазвание и аннотация: Перевод в очереди
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Eser Erhan, Cil Elif, Sen Gundogan Nesibe Efruz, Col Meltem, Yildirim Ozturk Elif Nur, Thomas David Terence, Sunter Ahmet Tevfik, Arslan Hatice Nilden, Citil Riza, Onder Yalcin, Picakciefe Metin, Dede Bahadir, Demirel Can, Aydin Neriman, Caglayan Cigdem, Aker Ahmet Alp, Borlu Arda, Durmus Hasan, Can Gunay, Siddikoglu Esin, Sumer Ergun Haldun, Uygun Tunahan, Alkoy Seval, Aktas Aycan Kubra, Koruk İbrahim, Kuzan Rustem, Demir Lutfi Saltuk, Hacilar Esra, Sari Hidir, Kilinc Zehra, Onal Ozgur, Dogan Edanur, Emek Mestan, Terzioglu Rıdvan, Yapici Gulcin, Erdal Deniz, Eser Sultan, Ayhan Akman Emine, Kosan Zahide, Yilmaz Sinan, Ayoglu Ferruh Niyazi, Acikgoz Bilgehan, Musal Berna, Suner Ahmet Furkan, Erdogan Aysegul, Cilburunoglu İdris, Saygun Meral, Daymaz Didem, Arslantas Didem, Onsuz Muhammed Fatih, Beyhun Nazim Ercument, Ustundag Medine Gozde, Ekuklu Galip, Ozder Tas Fulya, Abacigil Filiz, Oncu Selcen, Hıdıroğlu Seyhan, Ozaydin Ayse Nilufer, Pirincci Edibe, Bulut Irem, Tozun Mustafa, Eskiocak Muzaffer, Gunel Pinar, Torun Sebahat Dilek, Yavuz Melike, Hasde Metin, Camur Derya, Gunes Gulsen, Kurt Burak, Guler Baysoy Nuket, Bakirci Nadi, Demir Figen, Catak Binali, Ozyurda Ferda, Turan Mustafa
Аннотация
Phenomenon: Physician immigration from other countries is increasing as developed countries continue to be desirable destinations for physicians; however, the determinants of Turkish physicians' migration decisions are still unclear. Despite its wide coverage in the media and among physicians in Türkiye, and being the subject of much debate, there is insufficient data to justify this attention. With this study, we aimed to investigate the tendency of senior medical students in Türkiye to pursue their professional careers abroad and its related factors. Approach: This cross-sectional study involved 9881 senior medical students from 39 different medical schools in Türkiye in 2022. Besides participants' migration decision, we evaluated the push and pull factors related to working, social environment and lifestyle in Türkiye and abroad, medical school education inadequacy, and personal insufficiencies, as well as the socioeconomic variables that may affect the decision to migrate abroad. The analyses were carried out with a participation rate of at least 50%. Findings: Of the medical students, 70.7% had emigration intentions. Approximately 60% of those want to stay abroad permanently, and 61.5% of them took initiatives such as learning a foreign language abroad (54.5%) and taking relevant exams (18.9%). Those who wanted to work in the field of Research & Development were 1.37 (95% CI: 1.22-1.54) times more likely to emigrate. The push factor that was related to emigration intention was the "working conditions in the country" (OR: 1.89, 95% CI: 1.56-2.28) whereas the "social environment/lifestyle abroad" was the mere pull factor for the tendency of emigration (OR: 1.73, 95% CI: 1.45-2.06). In addition, the quality problem in medical schools also had a significant impact on students' decisions (OR: 2.20, 95% CI: 1.83-2.65). Insights: Although the percentage of those who want to emigrate "definitely" was at the same level as in the other developing countries, the tendency to migrate "permanently" was higher in Türkiye. Improving working conditions in the country and increasing the quality of medical faculties seem vital in preventing the migration of physicians.