Doctor Retention or Migration: From Ireland to the World?; Comment on “Doctor Retention: A Cross-sectional Study of How Ireland Has Been Losing the Battle”

Document Type : Commentary

Author

School of Geosciences, University of Sydney, Sydney, NSW, Australia

Abstract

The recent study of prospective doctor migration and retention suggests that more than half of junior doctors intend to migrate from Ireland. While intent is not necessarily outcome, such intentions match similar survey results in Ireland and elsewhere. The rationale for migration is described as a function of difficult workplace circumstances (notably long hours and mismanagement). Lifestyle factors may however also be important for both migration and significant levels of return migration. These are related to family formation, and to an established culture of migration, that has contributed to a considerable circularity of mobility and migration, primarily between Anglophone countries. International migration may also have unspecified regional variations and impacts. Migration has taken a similar form for half a century and longstanding policies to constrain its more damaging impacts have been conspicuously unsuccessful yet responses remain urgent.

Keywords


  1. Brugha R, Clarke N, Hendrick L, Sweeney J. Doctor retention: a cross-sectional study of how Ireland has been losing the battle. Int J Health Policy Manag. 2020. doi:10.34172/ijhpm.2020.54
  2. Humphries N, Crowe S, Brugha R. Failing to retain a new generation of doctors: qualitative insights from a high-income country. BMC Health Serv Res. 2018;18(1):144. doi:10.1186/s12913-018-2927-y
  3. Humphries N, Connell J, Negin J, Buchan J. Tracking the leavers: towards a better understanding of doctor migration from Ireland to Australia 2008-2018. Hum Resour Health. 2019;17(1):36. doi:10.1186/s12960-019-0365-5
  4. Ferreira PL, Raposo V, Tavares AI, Correia T. Drivers for emigration among healthcare professionals: testing an analytical model in a primary healthcare setting. Health Policy. 2020;124(7):751-757. doi:10.1016/j.healthpol.2020.04.009
  5. Pantenburg B, Kitze K, Luppa M, König HH, Riedel-Heller SG. Physician emigration from Germany: insights from a survey in Saxony, Germany. BMC Health Serv Res. 2018;18(1):341. doi:10.1186/s12913-018-3142-6
  6. Goštautaitė B, Bučiūnienė I, Milašauskienė Ž, Bareikis K, Bertašiūtė E, Mikelionienė G. Migration intentions of Lithuanian physicians, nurses, residents and medical students. Health Policy. 2018;122(10):1126-1131. doi:10.1016/j.healthpol.2018.07.001
  7. Solberg IB, Tómasson K, Aasland O, Tyssen R. The impact of economic factors on migration considerations among Icelandic specialist doctors: a cross-sectional study. BMC Health Serv Res. 2013;13:524. doi:10.1186/1472-6963-13-524 
  8. van der Pol M, Scott A, Irvine A. The migration of UK trained GPs to Australia: does risk attitude matter? Health Policy. 2019;123(11):1093-1099. doi:10.1016/j.healthpol.2019.09.003
  9. Humphries N, Connell J, Negin J, Buchan J. Tracking the leavers: towards a better understanding of doctor migration from Ireland to Australia 2008-2018. Hum Resour Health. 2019;17(1):36. doi:10.1186/s12960-019-0365-5
  10. Mejía A, Pizurki H, Royston E. Physician and Nurse Migration: Analysis and Policy Implications. Geneva: WHO; 1979:152.
  11. Connell J. Migration and the Globalisation of Health Care: The Health Worker Exodus? Cheltenham: Edward Elgar Publishing; 2010.
  12. Bidwell P, Humphries N, Dicker P, Thomas S, Normand C, Brugha R. The national and international implications of a decade of doctor migration in the Irish context. Health Policy. 2013;110(1):29-38. doi:10.1016/j.healthpol.2012.10.002
  13. McAleese S, Clyne B, Matthews A, Brugha R, Humphries N. Gone for good? an online survey of emigrant health professionals using Facebook as a recruitment tool. Hum Resour Health. 2016;14(Suppl 1):34. doi:10.1186/s12960-016-0130-y
  14. Negra D, McIntyre AP, O’Leary E. Broadcasting Irish emigration in an era of global mobility. Eur J Cult Stud. 2019;22(5-6):849-866. doi:10.1177/1367549418786408
  15. Connell J. The two cultures of health worker migration: a Pacific perspective. Soc Sci Med. 2014;116:73-81. doi:10.1016/j.socscimed.2014.06.043 
  16. Gish O. Emigration and the supply and demand for medical manpower: the Irish case. Minerva. 1969;7(4):668-679. doi:10.1007/bf01099540
  17. Mercille J. Neoliberalism and health care: the case of the Irish nursing home sector. Crit Public Health. 2018;28(5):546-559. doi:10.1080/09581596.2017.1371277 
  18. Humphries N, Crowe S, McDermott C, McAleese S, Brugha R. The consequences of Ireland's culture of medical migration. Hum Resour Health. 2017;15(1):87. doi:10.1186/s12960-017-0263-7
  19. Connell J, Walton-Roberts M. What about the workers? the missing geographies of health care. Prog Hum Geogr. 2016;40(2):158-176. doi:10.1177/0309132515570513
Volume 10, Issue 10
October 2021
Pages 654-657
  • Receive Date: 03 September 2020
  • Revise Date: 28 September 2020
  • Accept Date: 04 October 2020
  • First Publish Date: 21 October 2020