以色列医生在国外进修后返回或不返回以色列的动机。

IF 3.5 4区 医学 Q1 HEALTH POLICY & SERVICES
Lior Seluk, Daniel Weltsch, Gadi Segal, Mayan Gilboa
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引用次数: 0

摘要

背景:受各种因素的影响,医疗保健专业人员,尤其是医生的移民是一种尚未解决的 "流行病"。在高收入国家,海外培训阶段(研究金)对职业发展至关重要,但在这些专业人员完成培训后,如何留住他们却面临挑战。本研究旨在确定影响以色列医生在国外完成研究金培训后决定回国的决定因素:这项横断面研究于 2024 年初进行,调查了在 2013 年至 2024 年期间在国外接受过研究生培训的以色列医生。匿名调查包括人口统计学、培训经历和职业挑战等问题。分析方法包括描述性统计和回归分析,以探讨与回国决定相关的因素:在接受调查的 323 人中,有 297 人符合纳入标准。其中,141 人(47.5%)已返回以色列,156 人(52.5%)目前居住在国外,其中 48 人(31%)已完成研究金。受访者指出了几项挑战,首先是研究金申请过程复杂(47% 的受访者表示这是一项主要挑战),其次是巨大的经济负担(平均 35,546 美元的直接自付费用)和工作不确定性,只有 55% 的受访者在回国后找到了工作。在 156 名仍在国外的以色列研究员中,107 人(69%)表示对回国的信心为中度到低度。与回国信心较高相关的因素包括:回国后有稳定的工作职位(OR 8.6,95% CI 3.1-28.9),以及有机会获得能利用研究金期间所学技能的职位(OR 3.5,95% CI 1.3-10.2):在国外获得研究金后返回以色列的决定受到职业、个人和地缘政治等多种因素的影响。为了解决人才流失这一关键问题,必须提高回国医生的职业确定性。这些研究结果突出表明,迫切需要制定医疗保健政策,为回国的专业人员提供强有力的支持,并解决他们面临的具体挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Motivations of Israeli physicians to return, or not, to Israel after their fellowship abroad.

Background: Emigration of healthcare professionals, particularly physicians, is an unresolved "pandemic", influenced by various factors. In high-income countries, the training phase (fellowship) abroad is critical for career development, yet it poses challenges for the retention of these professionals upon their completion of training. This study aimed to identify the determinants influencing Israeli physicians' decisions to return to their home country after completing fellowship training abroad.

Methods: This cross-sectional study conducted in early 2024, surveyed Israeli physicians with post-graduate training who pursued a fellowship abroad between 2013 and 2024. An anonymous survey included questions on demographics, training experience, and professional challenges. Analytical methods included descriptive statistics and regression analysis to explore factors associated with the decision to return.

Results: Of the 323 individuals surveyed, 297 met the inclusion criteria. Among them, 141 (47.5%) have returned to Israel, while 156 (52.5%) currently reside abroad, 48 (31%) of them have completed their fellowship. Respondents identified several challenges, beginning with a complex application process prior to fellowship (47% stated this as a major challenge), substantial financial burdens averaging 35,546 USD in direct out-of-pocket expenses during, and job uncertainty, with only 55% having secured positions upon return. Of the 156 Israeli fellows still abroad, 107 (69%) reported medium to low confidence in returning. Factors associated with a higher likelihood of confidence in returning to Israel included a secured job position upon return (OR 8.6, 95% CI 3.1-28.9) and having an opportunity for a position that would utilize the skills gained during the fellowship (OR 3.5, 95% CI 1.3-10.2).

Conclusion: The decision to return to Israel after a fellowship abroad is influenced by a mix of professional, personal, and geopolitical factors. To counteract the critical issue of brain drain, it is essential to enhance occupational certainty for returning physicians. These findings highlight the urgent need for healthcare policies that provide robust support for returning professionals and address their specific challenges.

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来源期刊
CiteScore
6.20
自引率
4.40%
发文量
38
审稿时长
28 weeks
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