IDEAS home Printed from https://ideas.repec.org/a/eee/hepoli/v121y2017i12p1208-1214.html
   My bibliography  Save this article

Migration intentions among Portuguese junior doctors: Results from a survey

Author

Listed:
  • Ramos, Pedro
  • Alves, Hélio

Abstract

Migration of health personnel during periods of economic crisis represents a challenge for policymakers in origin and destination countries. Portugal is going through a period of economic hardship and much has been speculated about an increase in junior doctors’ migration during this period. Using a questionnaire administered to a sample of Portuguese junior doctors who were still in the general residency (1st-year after medical school), we aim at determining the prevalence of migration intentions among Portuguese junior doctors and to identify the most important drivers of career choice for those who are considering emigrating in the near future. In our sample, 55% of Portuguese junior doctors are considering working abroad in the coming 10 years. Several variables were associated with an intention to work abroad: female sex (odds ratio [OR] 0.559; 95% confidence interval [CI] 0.488–0.640), the National Medical Exam score (OR 0.978; 95% CI 0.961–0.996;), having studied abroad (OR 1.756; 95% CI 1.086–2.867) and considering income and research opportunities as key factors for future specialty choice (OR 1.356; 95% CI 1.132–1.626; OR 2.626; 95% CI 1.228–4.172).

Suggested Citation

  • Ramos, Pedro & Alves, Hélio, 2017. "Migration intentions among Portuguese junior doctors: Results from a survey," Health Policy, Elsevier, vol. 121(12), pages 1208-1214.
    • Handle: RePEc:eee:hepoli:v:121:y:2017:i:12:p:1208-1214
    DOI: 10.1016/j.healthpol.2017.09.016
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0168851017302440
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.healthpol.2017.09.016?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Julie Riise Kolstad, 2011. "How to make rural jobs more attractive to health workers. Findings from a discrete choice experiment in Tanzania," Health Economics, John Wiley & Sons, Ltd., vol. 20(2), pages 196-211, February.
    2. Sivey, Peter & Scott, Anthony & Witt, Julia & Joyce, Catherine & Humphreys, John, 2012. "Junior doctors’ preferences for specialty choice," Journal of Health Economics, Elsevier, vol. 31(6), pages 813-823.
    3. Ribeiro, Joana Sousa & Conceição, Claudia & Pereira, Joel & Leone, Cláudia & Mendonça, Pedro & Temido, Marta & Vieira, Carlota Pacheco & Dussault, Gilles, 2014. "Health professionals moving to… and from Portugal," Health Policy, Elsevier, vol. 114(2), pages 97-108.
    4. Scott, Anthony, 2001. "Eliciting GPs' preferences for pecuniary and non-pecuniary job characteristics," Journal of Health Economics, Elsevier, vol. 20(3), pages 329-347, May.
    5. Lois Labrianidis, 2014. "Investing in Leaving: The Greek Case of International Migration of Professionals," Mobilities, Taylor & Francis Journals, vol. 9(2), pages 314-335, May.
    6. Correia, Tiago & Dussault, Gilles & Pontes, Carla, 2015. "The impact of the financial crisis on human resources for health policies in three southern-Europe countries," Health Policy, Elsevier, vol. 119(12), pages 1600-1605.
    7. Santric-Milicevic, Milena M. & Terzic-Supic, Zorica J. & Matejic, Bojana R. & Vasic, Vladimir & Ricketts, Thomas C., 2014. "First- and fifth-year medical students’ intention for emigration and practice abroad: A case study of Serbia," Health Policy, Elsevier, vol. 118(2), pages 173-183.
    8. Glinos, Irene A., 2015. "Health professional mobility in the European Union: Exploring the equity and efficiency of free movement," Health Policy, Elsevier, vol. 119(12), pages 1529-1536.
    9. Kroezen, Marieke & Dussault, Gilles & Craveiro, Isabel & Dieleman, Marjolein & Jansen, Christel & Buchan, James & Barriball, Louise & Rafferty, Anne Marie & Bremner, Jeni & Sermeus, Walter, 2015. "Recruitment and retention of health professionals across Europe: A literature review and multiple case study research," Health Policy, Elsevier, vol. 119(12), pages 1517-1528.
    10. Barros, Pedro Pita, 2012. "Health policy reform in tough times: The case of Portugal," Health Policy, Elsevier, vol. 106(1), pages 17-22.
    11. Isabel Correia & Paula Veiga, 2010. "Geographic distribution of physicians in Portugal," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 11(4), pages 383-393, August.
    12. Holte, Jon Helgheim & Kjaer, Trine & Abelsen, Birgit & Olsen, Jan Abel, 2015. "The impact of pecuniary and non-pecuniary incentives for attracting young doctors to rural general practice," Social Science & Medicine, Elsevier, vol. 128(C), pages 1-9.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Goštautaitė, Bernadeta & Bučiūnienė, Ilona & Milašauskienė, Žemyna & Bareikis, Karolis & Bertašiūtė, Eglė & Mikelionienė, Gabija, 2018. "Migration intentions of Lithuanian physicians, nurses, residents and medical students," Health Policy, Elsevier, vol. 122(10), pages 1126-1131.
    2. Ferreira, Pedro L. & Raposo, Vitor & Tavares, Aida Isabel & Correia, Tiago, 2020. "Drivers for emigration among healthcare professionals: Testing an analytical model in a primary healthcare setting," Health Policy, Elsevier, vol. 124(7), pages 751-757.
    3. Radike, Monika & Zuromskis, Tadas, 2023. "Lithuanian physicians practising abroad: Reasons to leave and conditions to return to Lithuania. A survey," Health Policy, Elsevier, vol. 128(C), pages 75-83.
    4. Valeriia G. Oksinenko, 2019. "Migration intentions of graduate students of medical universities in Russia and some CIS countries," Population and Economics, ARPHA Platform, vol. 3(4), pages 65-85, December.
    5. Adetola Akinto, 2021. "Critical review of the use of financial incentives in solving health professionals' brain drain," International Journal of Research in Business and Social Science (2147-4478), Center for the Strategic Studies in Business and Finance, vol. 10(4), pages 446-454, June.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Pedro Ramos & Hélio Alves & Paulo Guimarães & Maria A. Ferreira, 2017. "Junior doctors’ medical specialty and practice location choice: simulating policies to overcome regional inequalities," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 18(8), pages 1013-1030, November.
    2. Denise Doiron & Hong Il Yoo, 2017. "Temporal Stability of Stated Preferences: The Case of Junior Nursing Jobs," Health Economics, John Wiley & Sons, Ltd., vol. 26(6), pages 802-809, June.
    3. Denise Doiron & Hong Il Yoo, 2020. "Stated preferences over job characteristics: A panel study," Canadian Journal of Economics/Revue canadienne d'économique, John Wiley & Sons, vol. 53(1), pages 43-82, February.
    4. Correia, Tiago & Gomes, Inês & Nunes, Patrícia & Dussault, Gilles, 2020. "Health workforce monitoring in Portugal: Does it support strategic planning and policy-making?," Health Policy, Elsevier, vol. 124(3), pages 303-310.
    5. Pavolini, Emmanuele & Kuhlmann, Ellen, 2016. "Health workforce development in the European Union: A matrix for comparing trajectories of change in the professions," Health Policy, Elsevier, vol. 120(6), pages 654-664.
    6. Jon Helgheim Holte & Peter Sivey & Birgit Abelsen & Jan Abel Olsen, 2016. "Modelling Nonlinearities and Reference Dependence in General Practitioners' Income Preferences," Health Economics, John Wiley & Sons, Ltd., vol. 25(8), pages 1020-1038, August.
    7. Goštautaitė, Bernadeta & Bučiūnienė, Ilona & Milašauskienė, Žemyna & Bareikis, Karolis & Bertašiūtė, Eglė & Mikelionienė, Gabija, 2018. "Migration intentions of Lithuanian physicians, nurses, residents and medical students," Health Policy, Elsevier, vol. 122(10), pages 1126-1131.
    8. Holte, Jon Helgheim & Kjaer, Trine & Abelsen, Birgit & Olsen, Jan Abel, 2015. "The impact of pecuniary and non-pecuniary incentives for attracting young doctors to rural general practice," Social Science & Medicine, Elsevier, vol. 128(C), pages 1-9.
    9. Vujicic, Marko & Shengelia, Bakhuti & Alfano, Marco & Thu, Ha Bui, 2011. "Physician shortages in rural Vietnam: Using a labor market approach to inform policy," Social Science & Medicine, Elsevier, vol. 73(7), pages 970-977.
    10. Anthony Scott & Peter Sivey, 2017. "Motivation and Competition in Health Care," Melbourne Institute Working Paper Series wp2017n05, Melbourne Institute of Applied Economic and Social Research, The University of Melbourne.
    11. Scott, Anthony & Witt, Julia & Humphreys, John & Joyce, Catherine & Kalb, Guyonne & Jeon, Sung-Hee & McGrail, Matthew, 2013. "Getting doctors into the bush: General Practitioners' preferences for rural location," Social Science & Medicine, Elsevier, vol. 96(C), pages 33-44.
    12. Sivey, Peter & Scott, Anthony & Witt, Julia & Joyce, Catherine & Humphreys, John, 2012. "Junior doctors’ preferences for specialty choice," Journal of Health Economics, Elsevier, vol. 31(6), pages 813-823.
    13. Chevillard, Guillaume & Mousquès, Julien, 2021. "Medically underserved areas: are primary care teams efficient at attracting and retaining general practitioners?," Social Science & Medicine, Elsevier, vol. 287(C).
    14. Pedersen, Line Bjørnskov & Mørkbak, Morten Raun & Scarpa, Riccardo, 2020. "Handling resolvable uncertainty from incomplete scenarios in future doctors' job choice – Probabilities vs discrete choices," Journal of choice modelling, Elsevier, vol. 34(C).
    15. Emily Lancsar & Peter Burge, 2014. "Choice modelling research in health economics," Chapters, in: Stephane Hess & Andrew Daly (ed.), Handbook of Choice Modelling, chapter 28, pages 675-687, Edward Elgar Publishing.
    16. Masanet, Erika, 2017. "Processes and experiences of Portugal’s international recruitment scheme of Colombian physicians: Did it work?," Health Policy, Elsevier, vol. 121(8), pages 929-935.
    17. Sicsic, Jonathan & Krucien, Nicolas & Franc, Carine, 2016. "What are GPs' preferences for financial and non-financial incentives in cancer screening? Evidence for breast, cervical, and colorectal cancers," Social Science & Medicine, Elsevier, vol. 167(C), pages 116-127.
    18. Ferreira, Diogo Cunha & Nunes, Alexandre Morais & Marques, Rui Cunha, 2018. "Doctors, nurses, and the optimal scale size in the Portuguese public hospitals," Health Policy, Elsevier, vol. 122(10), pages 1093-1100.
    19. Ferreira, Pedro L. & Raposo, Vitor & Tavares, Aida Isabel & Correia, Tiago, 2020. "Drivers for emigration among healthcare professionals: Testing an analytical model in a primary healthcare setting," Health Policy, Elsevier, vol. 124(7), pages 751-757.
    20. Perelman, Julian & Felix, Sónia & Santana, Rui, 2015. "The Great Recession in Portugal: Impact on hospital care use," Health Policy, Elsevier, vol. 119(3), pages 307-315.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:hepoli:v:121:y:2017:i:12:p:1208-1214. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu or the person in charge (email available below). General contact details of provider: http://www.elsevier.com/locate/healthpol .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.