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首页> 外文期刊>Journal of the Royal Society of Medicine >Changes needed to medicine in the UK before senior UK-trained doctors, working outside the UK, will return: questionnaire surveys undertaken between 2004 and 2015
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Changes needed to medicine in the UK before senior UK-trained doctors, working outside the UK, will return: questionnaire surveys undertaken between 2004 and 2015

机译：在英国境外工作的资深英国受训医生返回之前，英国需要对药物进行更改：2004年至2015年进行的问卷调查

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Objective To report the changes to UK medicine which doctors who have emigrated tell us would increase their likelihood of returning to a career in UK medicine.Design Questionnaire survey.Setting UK-trained medical graduates.Participants Questionnaires were sent 11 years after graduation to 7158 doctors who qualified in 1993 and 1996 in the UK: 4763 questionnaires were returned. Questionnaires were sent 17 and 19 years after graduation to the same cohorts: 4554 questionnaires were returned.Main outcome measures Comments from doctors working abroad about changes needed to UK medicine before they would return.Results Eleven years after graduation, 290 (6%) of respondents were working in medicine abroad; 277 (6%) were doing so 17/19 years after graduation. Eleven years after graduation, 53% of doctors working abroad indicated that they did not intend to return, and 71% did so 17/19 years after graduation. These respondents reported a number of changes which would need to be made to UK medicine in order to increase the likelihood of them returning. The most frequently mentioned changes cited concerned ‘politics/management/funding’, ‘pay/pension’, ‘posts/security/opportunities’, ‘working conditions/hours’, and ‘factors outside medicine’.Conclusions Policy attention to factors including funding, pay, management and particularly the clinical–political interface, working hours, and work–life balance may pay dividends for all, both in terms of persuading some established doctors to return and, perhaps more importantly, encouraging other, younger doctors to believe that the UK and the National Health Service can offer them a satisfying and rewarding career.
机译：目的报告移民医生告诉我们的英国医学变化，这将增加他们重返英国医学事业的可能性。设计问卷调查。设置经过英国培训的医学毕业生。参与者毕业后的11年内向7158名医生发送了问卷他们分别于1993年和1996年在英国获得资格：退回了4763份问卷。毕业后17和19年向同一队列发送问卷：返回了4554份问卷。主要结局指标国外工作的医生对英国药物返回之前需要进行的改变的评论。结果毕业后11年，有290人（占6％）受访者在国外从事医学工作;毕业后17/19年，有277（6％）人这样做。毕业十一年后，有53％的在国外工作的医生表示他们不打算回国，而71％的人则表示在毕业后17/19年返回。这些受访者报告了英国医学需要进行的一些更改，以增加他们返回的可能性。提到的最常提及的变化涉及``政治/管理/资金''，``薪酬/养老金''，``职位/安全/机会''，``工作条件/工时''和``医学以外的因素''。结论政策对包括资金在内的因素的关注，薪资，管理，尤其是临床与政治的互动，工作时间以及工作与生活的平衡可能会为所有人带来红利，无论是说服一些老牌医生返回家乡，还是更重要的是鼓励其他年轻的医生相信英国和国家卫生局可以为他们提供令人满意的职业。

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