Addressing the migration of health professionals: the role of working conditions and educational placements

Witt, Julia

doi:10.1186/1471-2458-9-s1-s7

Cited by 30 publications

(22 citation statements)

References 25 publications

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“…Both caretakers and professionals had recommendations for improving the ESF in structuring and providing health services to serve their communities: improvement of health care services 4,5,23 and worker retention, job satisfaction, and motivation 9,21,28 responsible for an overall strong health system. 9,25 In a review of the literature, Willis-Shattuck et al 27 cited health worker retention as a key factor in strengthening health systems in developing countries.…”

Section: Discussionmentioning

confidence: 99%

Professional and community satisfaction with the Brazilian family health strategy

et al. 2013

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Objective To analyze the strengths and limitations of the Family Health Strategy (ESF) from the perceptions of healthcare professionals and community. Methods Between June-August 2009, in the city of Vespasiano, Minas Gerais State, Southeastern Brazil, a questionnaire was applied to evaluate the ESF with 77 healthcare professionals and 293 caretakers of children under five. Health professional ESF training, community access to care, patient communication, and delivery of health education and pediatric care were of main interest in the evaluation. Logistic regression analysis was used to obtain odds ratios (OR) and 95% confidence intervals (CI). Results The majority of health care professionals reported their program training was insufficient in quantity, content and method of delivery. Caretakers and professionals identified similar weaknesses (services not accessible to the caretakers, lack of healthcare professionals, poor training for professionals) and strengths (community health worker-patient communications, provision of educational information, and pediatric care). Recommendations for improvement included: more doctors and specialists, more and better training, and scheduling improvements. Caretaker satisfaction with the ESF was found to be related to perceived benefits such as community health agent household visits (OR 5.8, 95%CI 2.8;12.1), good professional-patient relationships (OR 4.8, 95%CI 2.5;9.3), and family-focused health (OR 4.1, 95%CI 1.6;10.2); and perceived problems such as lack of personnel (OR 0.3, 95%CI 0.2;0.6), difficulty with access (OR 0.2, 95%CI 0.1;0.4), and poor quality of care (OR 0.3, 95%CI 0.1;0.6). Overall, 62% of caretakers reported being generally satisfied with the ESF services. Conclusions Identifying the limitations and strengths of the ESF from the healthcare professional and caretaker perspective may serve to advance primary community healthcare in Brazil.

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Section: Discussionmentioning

confidence: 99%

Professional and community satisfaction with the Brazilian family health strategy

et al. 2013

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“…En effet, la plupart des études sur ce sujet portent sur la migration de médecins provenant de pays en voie de développement vers des pays développés [20]. Les principales motivations qui expliquent la migration des médecins de pays en voie de développement vers les pays riches sont décrites par le concept du push and pull [21][22][23][24]. Le terme push regroupe les facteurs inhérents au pays d'origine qui poussent le travailleur à rechercher l'émigration.…”

Section: Discussionunclassified

Comparaison des caractéristiques et des motivations des médecins expatriés français et britanniques

Abbas

Carnet

d’Athis

et al. 2015

Revue d'Épidémiologie et de Santé Publique

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“…Relative political instability, a weak economy, and the lack of GME opportunities are among the likely contributors 7–10. A general surgery diploma program was implemented in 2006 in response to the national shortage of surgeons.…”

Section: Medical Training In Guyanamentioning

confidence: 99%

Emergency Medicine in Guyana: Lessons from Developing the Country's First Degree-conferring Residency Program

Forget¹,

Rohde²,

Rambaran³

et al. 2013

WestJEM

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Introduction:Academic departments of emergency medicine are becoming increasingly involved in assisting with the development of long-term emergency medicine training programs in low and middle-income countries. This article presents our 10-year experience working with local partners to improve emergency medical care education in Guyana.Methods:The Vanderbilt Department of Emergency Medicine has collaborated with the Georgetown Public Hospital Corporation on the development of Emergency Medicine skills followed by the implementation of an emergency medicine residency training program. Residency development included a needs assessment, proposed curriculum, internal and external partnerships, University of Guyana and Ministry of Health approval, and funding.Results:In our experience, we have found that our successful program initiation was due in large part to the pre-existing interest of several local partners and followed by long-term involvement within the country. As a newer specialty without significant local expertise, resident educational needs mandated a locally present full time EM trained attending to serve as the program director. Both external and internal funding was required to achieve this goal. Local educational efforts were best supplemented by robust distance learning. The program was developed to conform to local academic standards and to train the residents to the level of consultant physicians. Despite the best preparations, future challenges remain.Conclusion:While every program has unique challenges, it is likely many of the issues we have faced are generalizable to other settings and will be useful to other programs considering or currently conducting this type of collaborative project.

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Addressing the migration of health professionals: the role of working conditions and educational placements

Cited by 30 publications

References 25 publications

Professional and community satisfaction with the Brazilian family health strategy

Professional and community satisfaction with the Brazilian family health strategy

Comparaison des caractéristiques et des motivations des médecins expatriés français et britanniques

Emergency Medicine in Guyana: Lessons from Developing the Country's First Degree-conferring Residency Program

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