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A cycle of brain gain, waste and drain - a qualitative study of non-EU migrant doctors in Ireland

机译:大脑获取,浪费和流失的循环-对爱尔兰非欧盟移民医生的定性研究

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摘要

Background Ireland is heavily reliant on non-EU migrant health workers to staff its health system. Shortages of locally trained health workers and policies which facilitate health worker migration have contributed to this trend. This paper provides insight into the experiences of non-EU migrant doctors in the Irish health workforce. Method In-depth interviews were conducted with 37 non-EU migrant doctors in Ireland in 2011/2012. Results Respondents believed they had been recruited to fill junior hospital doctor ‘service’ posts. These posts are unpopular with locally trained doctors due to the limited career progression they provide. Respondents felt that their hopes for career progression and postgraduate training in Ireland had gone unrealised and that they were becoming de-skilled. As a result, most respondents were actively considering onward migration from Ireland. Discussion & conclusions Failure to align the expectations of non-EU migrant doctors with the requirements of the health system has resulted in considerable frustration and a cycle of brain gain, waste and drain. The underlying reasons for high mobility into and out of the Irish medical workforce must be addressed if this cycle is to be broken. The heavy reliance on non-EU migrant doctors to staff the medical workforce has distracted from the underlying workforce challenges facing the Irish medical workforce.
机译:背景信息爱尔兰严重依赖非欧盟移民卫生工作者来为其卫生系统配备人员。缺乏受过当地培训的卫生工作者以及促进卫生工作者迁移的政策导致了这一趋势。本文提供了对非欧盟移民医生在爱尔兰卫生人力中的经验的见识。方法2011/2012年在爱尔兰对37位非欧盟移民医生进行了深度访谈。结果受访者认为他们是被招聘来填补初级医院医生的“服务”职位的。由于他们提供的职业发展有限,这些职位在当地受过培训的医生中不受欢迎。受访者感到,他们对爱尔兰的职业发展和研究生培训的希望没有实现,而且他们的技能正在下降。结果,大多数受访者都在积极考虑从爱尔兰继续移民。讨论与结论未能使非欧盟移民医生的期望与卫生系统的要求保持一致,已导致相当大的挫败感,并导致大脑获取,浪费和流失的循环。如果要打破这种循环,就必须解决出入爱尔兰医疗队伍的高机动性的根本原因。严重依赖非欧盟移民医生来医务人员的工作分散了爱尔兰医务人员面临的潜在劳动力挑战。

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