Evidence map›Paper›PMID 30986972›Full record

ReviewInternational journal of environmental research and public health2019

Global Brain Drain: How Can the Maslow Theory of Motivation Improve Our Understanding of Physician Migration?

Lena Dohlman, Matthew DiMeglio, Jihane Hajj, Krzysztof Laudanski

Abstract readReview
In one paragraph

Review in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing 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

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

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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.

Lena DohlmanDepartment of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Boston, MA 02114, USA. Ldohlman@hotmail.com.
Matthew DiMeglioDO/MBA Student, Philadelphia College of Osteopathic Medicine, Philadelphia, PA 19131, USA. matthewdi@pcom.edu.ORCID 0000-0001-9105-5995
Jihane HajjDepartment of Cardiology, Penn Presbyterian Medical Center, Philadelphia, PA 19104, USA. Jihane.Hajj@uphs.upenn.edu.
Krzysztof LaudanskiDepartment of Anesthesiology and Critical Care, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA. klaudanski@gmail.com.ORCID 0000-0002-7373-0851

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The migration of physicians from low-resource to high-resource settings is a prevalent global phenomenon that is insufficiently understood. Most low-income countries are severely understaffed with physicians, and the emigration of the already limited number of physicians to other countries can significantly reduce access to healthcare in the source country. Despite a growing interest in global capacity building in these countries by academic and non-governmental organizations in high-income countries, efforts to stem physician migration have been mostly unsuccessful. The authors reviewed the current literature for the motivational factors leading to physician migration in the context of Maslow's hierarchy of human needs. Our study found that financial safety needs were major drivers of physician emigration. However, factors related to self-actualization such as the desire for professional development through training opportunities and research, were also major contributors. These findings highlight the multifactorial nature of physician motivations to emigrate from low-resource countries. Maslow's Theory of Motivation may provide a useful framework for future studies evaluating the concerns of physicians in low-income countries and as a guide to incentivize retention.

Indexed as

Emigration and ImmigrationModels, PsychologicalPhysiciansHealth Care RationingHealth ResourcesHumansIncomeMotivationbrain drainlow- and middle-income countriesMaslow theoremphysician migrationphysician workforce

Identifiers

PMID30986972
PMCPMC6479547

What OpenQuestion holds

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Registered trials

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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.