Evidence map›Paper›PMID 29282076›Full record

ArticleHuman resources for health2017

The consequences of Ireland's culture of medical migration.

Niamh Humphries, Sophie Crowe, Cian McDermott, Sara McAleese, Ruairi Brugha

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Human resources for health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–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

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Doctor Retention: A Cross-sectional Study of How Ireland Has Been Losing the Battle.International journal of health policy and management · 2021
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

5 authors.

Niamh HumphriesResearch Department, Royal College of Physicians of Ireland, Dublin, Ireland. niamhhumphries@rcpi.ie.ORCID 0000-0003-2959-1652
Sophie CroweDepartment of Epidemiology and Public Health Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland.
Cian McDermottUniversity Hospital Geelong, Barwon Health, Geelong, Victoria, Australia.
Sara McAleeseDepartment of Epidemiology and Public Health Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland.
Ruairi BrughaDepartment of Epidemiology and Public Health Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland.

Funding

Health Research Board (IE) HRA-2013-HSR-318
6 · The paper itself

Abstract

backgroundIn recent years, Ireland has experienced a large-scale, outward migration of doctors. This presents a challenge for national policy makers and workforce planners seeking to build a self-sufficient medical workforce that trains and retains enough doctors to meet demand. Although, traditionally, medical migration has been considered beneficial to the Irish health system, austerity has brought a greater level of uncertainty to the health system and, with it, a need to reappraise the professional culture of migration and its impact on the Irish health system.

methodsThis paper illustrates how a culture of migration informs career and migration plans. It draws on quantitative data-registration and migration data from source and destination countries-and qualitative data-in-depth interviews with 50 doctors who had undertaken postgraduate medical training in Ireland.

resultsOf 50 respondents, 42 highlighted the importance of migration. The culture of medical migration rests on two assumptions-that international training/experience is beneficial to all doctors and that those who emigrate will return to Ireland with additional skills and experience. This assumption of return is challenged by a new generation of doctors whose professional lives have been shaped by globalisation and by austerity. Global comparisons reveal the comparatively poor working conditions, training and career opportunities in Ireland and the relative attractiveness of a permanent career abroad.

conclusionIn light of these changes, there is a need to critically appraise the culture of medical migration to determine if and in what circumstances migration is appropriate to the needs of the Irish health system. The paper considers the need to reappraise the culture of medical migration and the widespread emigration that it promotes.

Indexed as

Attitude of Health PersonnelDelivery of Health CareEmigrants and ImmigrantsEmigration and ImmigrationProfessional Practice LocationCareer MobilityCultureEconomic RecessionHumansInternationalityIrelandJob SatisfactionPersonnel SelectionPhysiciansWorkforceCultureHealth system researchIrelandMedical migrationMedical workforceQualitative research

Identifiers

PMID29282076
PMCPMC5745907

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.