Evidence map›Paper›PMID 25885693›Full record

ArticleBMC health services research2015

"Why should I have come here?"--A qualitative investigation of migration reasons and experiences of health workers from sub-Saharan Africa in Austria.

Elena Jirovsky, Kathryn Hoffmann, Manfred Maier, Ruth Kutalek

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
5.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
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  6. Professional experiences in the transition of Cuban-trained South African medical graduates.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Elena JirovskyUnit Ethnomedicine and International Health, Department of General Practice and Family Medicine, Centre for Public Health, Medical University of Vienna, Vienna, Austria. elena.jirovsky@univie.ac.at.
Kathryn HoffmannDepartment of General Practice and Family Medicine, Centre for Public Health, Medical University of Vienna, Vienna, Austria. kathryn.hoffmann@meduniwien.ac.at.
Manfred MaierDepartment of General Practice and Family Medicine, Centre for Public Health, Medical University of Vienna, Vienna, Austria. manfred.maier@meduniwien.ac.at.
Ruth KutalekUnit Ethnomedicine and International Health, Department of General Practice and Family Medicine, Centre for Public Health, Medical University of Vienna, Vienna, Austria. ruth.kutalek@meduniwien.ac.at.
Medical University of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are many health professionals from abroad working in the European Union and in Austria. The situation of sub-Saharan health workers in particular has now been studied for the first time. The objective was to explore their reasons for migration to Austria, as well as their personal experiences concerning the living and working situation in Austria.

methodsWe conducted semi-structured, qualitative interviews with African health workers. They were approached via professional networks and a snowball system. The interviews were transcribed and analysed using atlas.ti.

resultsFor most of our participants, the decision to migrate was not professional but situation dependent. Austria was not their first choice as a destination country. Several study participants left their countries to improve their overall working situation. The main motivation for migrating to Austria was partnership with an Austrian citizen. Other immigrants were refugees. Most of the immigrants found the accreditation process to work as a health professional to be difficult and hindering. This resulted in some participants not being able to work in their profession, while others were successful in their profession or in related fields. There have been experiences of discrimination, but also positive support.

conclusionsAustria is not an explicit target country for health workers from sub-Saharan Africa. Most of the study participants experienced bad work and study conditions in their home countries, but they are in Austria mostly because of personal connections. The competencies of those who are here are not fully utilised. The major reason is Austria's current resident and work permit regulations concerning African citizens. In addition, the accreditation process and the German language appear to be barriers.

Indexed as

AdultAfrica South of the SaharaAttitude of Health PersonnelAustriaEmigrants and ImmigrantsFemaleForeign Medical GraduatesHealth PersonnelHumansMaleMiddle AgedQualitative ResearchRefugeesWorkplace

Identifiers

PMID25885693
PMCPMC4349620
OpenAlexW1975392735

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.