Evidence map›Paper›PMID 27381409›Full record

ArticleHuman resources for health2016

Passing through - reasons why migrant doctors in Ireland plan to stay, return home or migrate onwards to new destination countries.

Ruairí Brugha, Sara McAleese, Pat Dicker, Ella Tyrrell, Steve Thomas, Charles Normand, Niamh Humphries

Abstract read
In one paragraph

Article in Human resources for health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

16 citing papers in PubMed.

  1. Article
  2. Article
  3. The experiences of migrant pharmacists: A phenomenographical study.Exploratory research in clinical and social pharmacy · 2023
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Doctor Retention: A Cross-sectional Study of How Ireland Has Been Losing the Battle.International journal of health policy and management · 2021
    Article
  9. "I feel I have no voice": hospital doctors' workplace silence in Ireland.Journal of health organization and management · 2021
    Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. The Lost Doctors.Pakistan journal of medical sciences
    Article
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

7 authors.

Ruairí BrughaDepartment of Epidemiology and Public Health Medicine, Royal College of Surgeons, Dublin, Ireland. rbrugha@rcsi.ie.
Sara McAleeseDepartment of Epidemiology and Public Health Medicine, Royal College of Surgeons, Dublin, Ireland.
Pat DickerDepartment of Epidemiology and Public Health Medicine, Royal College of Surgeons, Dublin, Ireland.
Ella TyrrellCentre for Health Policy and Management, Trinity College Dublin, Dublin, Ireland.
Steve ThomasCentre for Health Policy and Management, Trinity College Dublin, Dublin, Ireland.
Charles NormandCentre for Health Policy and Management, Trinity College Dublin, Dublin, Ireland.
Niamh HumphriesDepartment of Epidemiology and Public Health Medicine, Royal College of Surgeons, Dublin, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInternational recruitment is a common strategy used by high-income countries to meet their medical workforce needs. Ireland, despite training sufficient doctors to meet its internal demand, continues to be heavily dependent on foreign-trained doctors, many of whom may migrate onwards to new destination countries. A cross-sectional study was conducted to measure and analyse the factors associated with the migratory intentions of foreign doctors in Ireland.

methodsA total of 366 non-European nationals registered as medical doctors in Ireland completed an online survey assessing their reasons for migrating to Ireland, their experiences whilst working and living in Ireland, and their future plans. Factors associated with future plans - whether to remain in Ireland, return home or migrate to a new destination country - were tested by bivariate and multivariate analyses, including discriminant analysis.

resultsOf the 345 foreign doctors who responded to the question regarding their future plans, 16 % of whom were Irish-trained, 30 % planned to remain in Ireland, 23 % planned to return home and 47 % to migrate onwards. Country of origin, personal and professional reasons for migrating, experiences of training and supervision, opportunities for career progression, type of employment contract, citizenship status, and satisfaction with life in Ireland were all factors statistically significantly associated with the three migratory outcomes.

conclusionReported plans may not result in enacted emigration. However, the findings support a growing body of evidence highlighting dissatisfaction with current career opportunities, contributing to the emigration of Irish doctors and onward migration of foreign doctors. Implementation of the WHO Global Code, which requires member states to train and retain their own health workforce, could also help reduce onward migration of foreign doctors to new destination countries. Ireland has initiated the provision of tailored postgraduate training to doctors from Pakistan, enabling these doctors to return home with improved skills of benefit to the source country.

Indexed as

Attitude of Health PersonnelEmigration and ImmigrationForeign Medical GraduatesMotivationPersonnel SelectionProfessional Practice LocationTransients and MigrantsAdultCareer MobilityCross-Sectional StudiesEducation, MedicalFemaleHumansInternational CooperationMaleMiddle AgedCareer progressionForeign-trained doctorsHealth workforceOnward migrationWHO Global Code

Identifiers

PMID27381409
PMCPMC4943478

What OpenQuestion holds

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LicenceCC BY
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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.