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首页> 美国卫生研究院文献>International Journal of Health Policy and Management >The Life Story Experience of Migrant Dentists in Australia: Potential Implications for Health Workforce Governance and International Cooperation
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The Life Story Experience of Migrant Dentists in Australia: Potential Implications for Health Workforce Governance and International Cooperation

机译：澳大利亚移民牙医的生活经历：对卫生人力资源管理和国际合作的潜在影响

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>Background: The migration of dentists is a major policy challenge facing both developing and developed countries. Dentists from over 120 countries migrate to Australia, and a large proportion are from developing countries. The aim of the study was to assess the life story experience (LSE) of migrant dentists in Australia, in order to address key policy challenges facing dentist migration. >Methods: A national survey of all migrant dentists resident in Australia was conducted in 2013. Migrant experiences were assessed through a suite of LSE scales, developed through a qualitative-quantitative study. Respondents rated experiences using a five-point Likert scale. >Results: A total of 1022 migrant dentists responded to the survey (response rate = 54.5%). LSE1 (health system and general lifestyle concerns in home country), LSE2 (appreciation towards Australian way of life) and LSE3 (settlement concerns in Australia) scales varied by migrant dentist groups, sex, and years since arrival to Australia (chi-square, P < .05). In a logistic regression model, migrants mainly from developing countries (ie, the examination pathway group) faced greater health system and general lifestyle concerns in their home countries (9.32; 3.51-24.72) and greater settlement challenges in Australia (5.39; 3.51-8.28), compared to migrants from well-developed countries, who obtained direct recognition of qualifications. Migrants also are more appreciative towards the Australian way of life if they had lived at least ten years in Australia (1.97; 1.27-3.05), compared to migrants who have lived for less than ten years. >Conclusion: Migrant dentists, mainly from developing countries, face challenges both in their home countries and in Australia. Our study offers evidence for multi-level health workforce governance and calls for greater consensus towards an international agenda to address dentist migration. Better integration of dentist migration with the mainstream health workforce governance is a viable and opportunistic way forward.
机译：>背景：牙医的移民是发展中国家和发达国家都面临的重大政策挑战。来自120多个国家的牙医移民到澳大利亚，其中很大一部分来自发展中国家。该研究的目的是评估澳大利亚移民牙医的生活经历（LSE），以解决牙医移民面临的主要政策挑战。 >方法： 2013年对澳大利亚所有移民牙医进行了一次全国调查。通过定性定量研究开发的一套LSE量表对移民经验进行了评估。受访者使用五点李克特量表对体验进行了评分。 >结果：共有1022名移民牙医对调查进行了答复（答复率为54.5％）。 LSE1（母国的卫生系统和一般生活方式问题），LSE2（对澳大利亚生活方式的欣赏）和LSE3（澳大利亚的定居问题）的规模因移民牙医群体，性别和到达澳大利亚的时间（卡方， P <.05）。在逻辑回归模型中，主要来自发展中国家的移民（即检查途径组）在其本国面临着更大的卫生系统和一般生活方式的担忧（9.32； 3.51-24.72），在澳大利亚面临着更大的定居挑战（5.39； 3.51-8.28） ），而不是那些从发达国家直接获得资格认可的移民。如果移民在澳大利亚至少生活了十年（1.97； 1.27-3.05），则与居住不到十年的移民相比，他们也更喜欢澳大利亚的生活方式。 >结论：主要来自发展中国家的移民牙医在其本国和澳大利亚都面临挑战。我们的研究为各级卫生人力管理提供了证据，并呼吁就解决牙医移民的国际议程达成更大共识。将牙医移徙与主流卫生人力资源管理更好地整合是一种可行且机会主义的前进方式。

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