ArticleHealth policy OPEN2024
Puerto Rican physician's recommendations to mitigate medical migration from Puerto Rico to the mainland United States.
Article in Health policy OPEN, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- What drives family physicians to rural practice? A discrete choice experiment in Vietnam.Health policy OPEN · 2026Article
- Implementation Determinants of Scaling up and Disseminating HIV-Prevention and Treatment Services to Latino MSM in Three Ending the HIV Epidemic Priority Jurisdictions: A Rapid Qualitative Analysis.AIDS and behavior · 2026Article
- "We worked … as if nothing was happening": Exploring multilevel burnout experiences and resources among health professionals in the context of compounding disasters in Puerto Rico.Psychological services · 2026Article
- Article
- Secret Shopper Analysis Highlights that Accessing Psychiatric Healthcare in Puerto Rico is a Challenging Endeavor.Community mental health journal · 2026Article
- Enhancing Healthcare Services for Vulnerable Aging Populations: A Comparative Analysis of Puerto Rico and International Case Studies.Healthcare (Basel, Switzerland) · 2026Review
- Association of migration with hospitalization and mortality among Medicare beneficiaries with end-stage renal disease in Puerto Rico after Hurricane Maria.Journal of migration and health · 2026Article
- Guideline-concordant cancer screening among Deaf, DeafBlind, and Hard of Hearing (DDBHH) Puerto Ricans who use American Sign Language.Frontiers in oncology · 2026Article
- Beyond financial incentives: a quantitative study on spatial stigma and Puerto Rican physician migration to the United States.Global public health · 2025Article
- Lung Cancer Screening Eligibility, Uptake, and Adherence in Puerto Rico, 2022.JTO clinical and research reports · 2025Article
- Quantifying the burden of cancer in Puerto Rico's oldest residents.Cancer epidemiology · 2025Article
- Making Virtual Cardiology Curriculum Viral to Tackle Cardiovascular Diseases.JACC. Advances · 2024Article
- How Physician-Insurance Contracting Contributes to the Medical Exodus and Access to Ophthalmic Care in Puerto Rico.Epidemiologia (Basel, Switzerland) · 2024Article
- Glioblastoma in Puerto Rico: A 21-year population-based study.Neuro-oncology advancesArticle
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Puerto Rico (PR) is a United States (US) territory with a history of colonial violence, poverty, and government corruption. Due to these sociopolitical factors and natural disasters (e.g., hurricanes and earthquakes), there has been a sharp increase in PR residents migrating to the mainland US. Local media and professional health organizations focus on the impact of medical migration on the PR health system (e.g., health personnel shortages and long waiting periods for critical care). According to the PR College of Physicians and Surgeons, 365-500 physicians have left annually since 2014, which represents a crisis of access to health services. However, few studies have focused on ways to mitigate medical migration from PR to the US mainland. This article describes the recommendations provided by migrating and non-migrating Puerto Rican Physicians (PRPs) to mitigate medical migration from PR to the US mainland. We focus on qualitative data from a mixed-methods NIH-funded study (1R01MD014188) to explore factors that motivate or mitigate migration among migrating (n = 26) and non-migrating (n = 24) PRPs. Interviews were analyzed following thematic analysis guidelines. Results show the following themes: 1) strategies to retain early-career medical residents living in PR; 2) recommendations for local government on future health policy; and 3) work environment initiatives for health institutions to mitigate physician migration. Findings suggest multilevel efforts are required to mitigate medical migration in PR.
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