Evidence map›Paper›PMID 36717117›Full record

ArticleBJGP open2023

Driving forces of GPs' migration in Europe: an exploratory qualitative study.

Marta Velgan, Thierry Vanderheyde, Ruth Kalda, Nele Michels

Abstract read
In one paragraph

Article in BJGP open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
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  3. Article
  4. Review
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.

Marta VelganUniversity of Tartu, Tartu, Estonia marta.velgan@ut.ee.ORCID https://orcid.org/0000-0002-3443-6190
Thierry VanderheydeFamily Medicine and Population Health, University of Antwerp, Antwerp, Belgium.
Ruth KaldaInstitute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia.
Nele MichelsFamily Medicine and Population Health, University of Antwerp, Antwerp, Belgium.ORCID https://orcid.org/0000-0003-1971-0793

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe shortage of GPs is a worldwide phenomenon, which encourages the migration of GPs and consequently exacerbates the GP shortage. This shortage imposes a threat for the entire healthcare system.

aimTo explore the driving forces of GPs' migration in Europe and their reasons to stay in the new country, to migrate further, or to return to their home country. DESIGN &

settingAn exploratory, qualitative study of European GPs who have migrated within Europe.

methodIndividual interviews were conducted until data saturation and audio-recordings were transcribed. Thematic analysis was performed using NVivo.

resultsFifteen interviews with GPs from eight different European countries were conducted. The reasons why European GPs migrate and decide to stay or to leave were grouped under the following three themes: professional development; personal reasons; and the situation in the home country or the organisation of health care. New professional challenges, better working environment, and higher quality training programmes were mentioned as the main reasons for migration. Personal reasons, such as family's satisfaction with the living environment, closeness to other family members, and financial considerations, seemed to influence the decision to stay or leave the most.

conclusionMigration caused by dissatisfaction with the working and living environment is something countries could potentially work on in order to retain their GPs. As some countries in Europe rely more and more on international recruitment to combat the GP shortage, which in turn worsens the situation in other countries, a more unified Europe-wide approach to GP shortage and migration is needed.

Indexed as

doctors’ migrationfamily medicinegeneral practiceprimary health carequalitative researchrecruitment and retention

Identifiers

PMID36717117
PMCPMC10354382

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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.