Attitudes towards migration from the eastern coast of the Baltic Sea: similar history but different psychiatric trainees?

Matutyte, Lina; Belena, Ilona; Bezborodovs, N.; Madissoon, D.; Costa, Mariana Pinto da

doi:10.1080/09540261.2020.1777777

Cited by 7 publications

(16 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Section: Discussionsupporting

confidence: 84%

“…In our study, the majority (85.8%) of early career psychiatrists in Nigeria had ‘ever’ considered migration, a rate similar to findings in Ireland (90.3%) (Azvee et al, 2021 ), the Baltics (87.0%) (Matutyte et al, 2021 ), Italy (84.2%) (Orlando et al, 2022 ), Iran (83.7%) (Eissazade et al, 2021 ), Spain (77.7%) (Molina-Ruiz et al, 2022 ), Turkey (75.0%) (Kilic et al, 2019 ), Portugal (75.0%) (Pinto da Costa et al, 2021 ) and a European average of 72.0% (Pinto da Costa et al, 2017 ). Furthermore, in our study, 69.2% had considered leaving ‘now’, which was less than the rate in Ireland (76.3%) (Azvee et al, 2021 ), but higher than in Italy (60.4%) (Orlando et al, 2022 ), Iran (57.3%) (Eissazade et al, 2021 ), Turkey (55.6%) (Kilic et al, 2019 ), Spain (51.0%) (Molina-Ruiz et al, 2022 ), the Baltic countries (55.0%) (Matutyte et al, 2021 ), Portugal (49.0%) (Pinto da Costa et al, 2021 ) and the European average of 53.5% (Pinto da Costa et al, 2017 ). Importantly, more respondents in Nigeria had taken ‘practical steps’ towards migration (52.9%) than any other country previously investigated, such as 47.7% in Ireland (Azvee et al, 2021 ), 30.0% in Portugal (Pinto da Costa et al, 2021 ), 29.5% in Spain (Molina-Ruiz et al, 2022 ), 27.7% in Iran (Eissazade et al, 2021 ), 25.3% in Italy (Orlando et al, 2022 ), 12.3% in the Baltic countries (Matutyte et al, 2021 ), 7.6% in Turkey (Kilic et al, 2019 ) and a European average of 28.6% (Pinto da Costa et al, 2017 ).…”

Section: Discussionsupporting

confidence: 84%

“…Furthermore, in our study, 69.2% had considered leaving ‘now’, which was less than the rate in Ireland (76.3%) (Azvee et al, 2021 ), but higher than in Italy (60.4%) (Orlando et al, 2022 ), Iran (57.3%) (Eissazade et al, 2021 ), Turkey (55.6%) (Kilic et al, 2019 ), Spain (51.0%) (Molina-Ruiz et al, 2022 ), the Baltic countries (55.0%) (Matutyte et al, 2021 ), Portugal (49.0%) (Pinto da Costa et al, 2021 ) and the European average of 53.5% (Pinto da Costa et al, 2017 ). Importantly, more respondents in Nigeria had taken ‘practical steps’ towards migration (52.9%) than any other country previously investigated, such as 47.7% in Ireland (Azvee et al, 2021 ), 30.0% in Portugal (Pinto da Costa et al, 2021 ), 29.5% in Spain (Molina-Ruiz et al, 2022 ), 27.7% in Iran (Eissazade et al, 2021 ), 25.3% in Italy (Orlando et al, 2022 ), 12.3% in the Baltic countries (Matutyte et al, 2021 ), 7.6% in Turkey (Kilic et al, 2019 ) and a European average of 28.6% (Pinto da Costa et al, 2017 ). Similarly, more in our sample (52.7%) predicted that they would be outside the country in 5 years compared to 45% in Spain (Molina-Ruiz et al, 2022 ), 41.6% in Italy (Orlando et al, 2022 ), 34.6% in Ireland (Azvee et al, 2021 ), 26.8% in Portugal (Pinto da Costa et al, 2021 ) and 16.7% in Iran (Eissazade et al, 2021 ).…”

Section: Discussionmentioning

confidence: 98%

See 2 more Smart Citations

Workforce migration and brain drain – A nationwide cross-sectional survey of early career psychiatrists in Nigeria

Essien,

Mahmood,

Adiukwu

et al. 2024

Camb. prisms Glob. ment. health

Self Cite

View full text Add to dashboard Cite

Background: Nigeria's shortage of psychiatrists is exacerbated due to health worker migration. Aim: This study explores migration experiences and tendencies among early-career psychiatrists in Nigeria. Methods: We conducted a cross-sectional survey covering Nigeria's six geopolitical zones, using a 61-item online questionnaire assessing short-term mobility, long-term migration experiences and migration attitudes. Data was analysed using IBM SPSS version 29. Results: Of 228 early-career psychiatrists surveyed, 9.7% had short-term mobility and 8.0% had long-term migration experiences. However, 85.8% had 'ever' considered migration, 69.2% were planning to leave 'now', and 52.9% had taken 'practical migration steps'. Over half (52.7%) said they would be working abroad in 5 years, with 25.2% indicating they would migrate within a year. The top reasons to leave were financial and academic, while personal and cultural factors were the key reasons to stay. Income dissatisfaction (OR = 2.27, 95%, CI = 1.05-4.88) predicted planning to leave 'now', while being in a relationship (OR = 3.46, 95%CI = 1.06-11.30) predicted taking 'practical migration steps'. Attractive job features were good welfare (85.4%) and high salaries (80.3%). Improvements in finances (90.8%) and work conditions (86.8%) were requested.Conclusions: Systemic changes to address psychiatrists' migration from Nigeria are needed. Impact statementMental health care is deprioritised in Nigeria compared to other medical specialities, and over 90% of people with psychiatric disorders are either undiagnosed or untreated, despite the availability of effective and affordable treatments. Importantly, the number of psychiatrists in the country is grossly inadequate, with around 250 caring for a population of over 200 million. In the aftermath of the COVID-19 pandemic, there was an upsurge in health worker migration from Nigeria, further depleting the number of psychiatrists in the country. However, to date, little is known about migration tendencies and their motivating factors among psychiatrists in Nigeria. We aimed to fill this gap by conducting a nationally representative survey covering over 70% of early career psychiatrists from Nigeria's six geopolitical regions. We found that over half had taken practical steps towards migration and predicted they would be working outside the country in 5 years. Losing such a high number of psychiatrists might prove disastrous for the country's fragile mental health care service. Our results underscore the urgent need for the Nigerian government to implement system-wide improvements to curb health worker migration and increase the retention of psychiatrists in Nigeria.

show abstract

Section: Discussionsupporting

confidence: 84%

Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 98%

See 1 more Smart Citation

Workforce migration and brain drain – A nationwide cross-sectional survey of early career psychiatrists in Nigeria

Essien,

Mahmood,

Adiukwu

et al. 2024

Camb. prisms Glob. ment. health

Self Cite

View full text Add to dashboard Cite

show abstract

“…Data from previous studies (Bhattacharya & Ramachandran, 2015;Matutyte et al, 2021;Nawka et al, 2010;Pinto da Costa et al, 2017) has shown that there are some common issues related to the professional migration between Romanian trainees and their colleagues from other low-income countries, such as better working and living conditions compared to those from the country of origin. What we could consider as very specific for Romanian young psychiatrists are the issues related to family matters and respect gained from colleagues.…”

Section: Discussionmentioning

confidence: 99%

Romanian psychiatric residents' opinions on factors that influence their decision to emigrate: A 5‐year follow‐up study

Mihai

Trandafir

Duică

et al. 2021

Asia-Pacific Psychiatry

View full text Add to dashboard Cite

Introduction: To evaluate the situation of migration of psychiatrists from Romania and a prioritization exercise of main factors related with psychiatric residents' decision to emigrate could be a starting point of elaboration of a strategy of reforms.Important changes have been done in economic status of residents in 2018. The impact of these measures in changing opinions was checked.Methods: This is a cross sectional evaluation study on a randomized selected sample of Romanian psychiatric residents' opinions on factors that influence decision of migration in EU countries in two time points, 2015 and 2020.Results: Thirty-eight percent of residents intend to work abroad comparing with 78% before the economic changes (25.8% vs. 71.7% for a limited period of time and 15.7% vs. 28.3% intend to emigrate) and 2% vs. 5% intend to leave the specialty. The important factors for decision to emigrate changed from "Better working conditions" (15.7% vs. 37.3% residents) to "Better training"; the factor "respect and appreciation by colleagues" remained important for 19.1% versus 17.9%. "Lack of working place for partner" was considered by 26.7% of responders as an important disadvantage of working abroad. "Being far from family members", which was considered 5 years ago by 64.2% of responders as an important disadvantage of working abroad, nowadays concerns only 6.7%, probably because it seems easier to go abroad together with the family members. Conclusions:The factors (better training in psychiatry and psychotherapy, better supervision, more involvement in research) that influence the residents' decision to emigrate represent the starting points for future reforms in educational and medical system in psychiatry.

show abstract

“…The so‐called "brain drain" of medical professionals from lower‐income to higher‐income countries continues the trend of recent years, which has led to vast inequalities in terms of educational budget spending at the level of the origin/donor country, and a subsequent chronic lack of adequate healthcare provision in some of the more underfunded and deprived countries (Oladeji & Gureje, 2016; Pinto da Costa et al, 2017; Pinto da Costa, Giurgiuca, et al, 2019). Examples of the massive toll associated with the "brain drain" of psychiatric professionals on the mental health care services of lower‐income donor countries are not singular, as they range from south‐western (Pinto da Costa, Moreira, et al, 2019) to central and eastern European countries (Matutyte et al, 2020), alongside non‐EU countries, such as Turkey, where a staggering percentage of 75% of psychiatric trainees were considering living and working abroad (Kilic et al, 2018), and several south Asian countries (Patel, 2007; WHO, 2019).…”

Section: Postgraduate Training In Psychiatrymentioning

confidence: 99%

Training and retaining mental health professionals: The Romanian experience in the European Union

Giurgiuca

Giurgi-Oncu

Matei

2021

Asia-Pacific Psychiatry

View full text Add to dashboard Cite

Background: Romania has been a member of the European Union since 2007.According to the World Health Organization, the national burden of mental disorders is high, with 2743.69 disability-adjusted life years per 100.000 population. Moreover, in a country of 19 million people, Romania's mental health system is currently functioning at capacity, with 5.66 adult psychiatrists/100.000 population and only 0.56 child and adolescent psychiatry (CAP) doctors per 100.000 population. Method: we conducted a simple narrative review of the current literature on the topic of training of psychiatry trainees in Romania. Results: Undergraduate training consists of only 4 weeks of clinical and theoretical work for adult and CAP. Psychiatry postgraduate training lasts 5 years and is still duration-oriented. Psychiatric trainees mostly spend their clinical work in inpatient units due to the scarcity of other services or the lack of integration of training programs in the existing psychiatric services. Theoretical training is not nationally formalized, and, during training, yearly assessments tend to be neglected. An ongoing challenge in Romania has been retaining young career psychiatrists. Conclusion:Although in a trend toward improvement of health services, "brain drain" has been and continues to be a massive phenomenon among Romanian psychiatrists, mainly driven to Western-European countries due to financial reasons, various shortcomings in overall infrastructure, and because of the lack of continuous professional and personal development opportunities. As the world is currently facing an unprecedented mental health crisis, steps must be taken to improve psychiatric training, retain psychiatrists in Romania, and provide better national mental health services.

show abstract

Attitudes towards migration from the eastern coast of the Baltic Sea: similar history but different psychiatric trainees?

Cited by 7 publications

References 17 publications

Workforce migration and brain drain – A nationwide cross-sectional survey of early career psychiatrists in Nigeria

Workforce migration and brain drain – A nationwide cross-sectional survey of early career psychiatrists in Nigeria

Romanian psychiatric residents' opinions on factors that influence their decision to emigrate: A 5‐year follow‐up study

Training and retaining mental health professionals: The Romanian experience in the European Union

Contact Info

Product

Resources

About