Emigration preferences and plans among medical students in Poland

Krajewski-Siuda, Krzysztof; Szromek, Adam R.; Romaniuk, Piotr; Gericke, Christian A.; Szpak, Andrzej; Kaczmarek, Krzysztof

doi:10.1186/1478-4491-10-8

Cited by 41 publications

(41 citation statements)

References 5 publications

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“…For instance, major reasons for leaving Lithuania were higher salary, better professional opportunities, and better quality of life [27], similarly to the findings among Czech physicians [28] and students from Poland [11]. …”

Section: Discussionmentioning

confidence: 67%

“…The total percentage of students that are considering emigration (84.7%) is higher than in other Eastern European countries. For comparison, Polish students estimated the likelihood of emigration to be around 50% [11]. 60% of medical residents from Lithuania stated that they intended to emigrate, 15% of them permanently [27], and only 45% of the Czech physicians are contemplating emigration [28].…”

Section: Discussionmentioning

confidence: 99%

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Physician migration at its roots: a study on the emigration preferences and plans among medical students in Romania

et al. 2017

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BackgroundMigration of healthcare workers is receiving increased attention worldwide. In Europe, the creation of a border-free labor market and its expansion with the EU enlargements of 2004, 2007, and 2013 endowed health professionals with the right to provide services and to relocate to another EU Member State. For the Romanian doctors, the EU-wide recognition of the medical degree obtained in Romania has created new opportunities, while inadequate working conditions and relatively low salaries pushed many of them to search for employment abroad. As there is considerable uncertainty about the magnitude of the Romanian physicians’ exodus, we performed a survey to assess the emigration intention of future Romanian doctors.MethodsThe study was conducted over three consecutive years: 2013, 2014, and 2015 at the University of Medicine and Pharmacy “Iuliu Hatieganu” Cluj-Napoca, Romania. The self-administrated questionnaire included 19 questions regarding students’ emigration intentions.ResultsAll the 957 license-degree students participated in the study. In this study, 84.7% of subjects planned on seeking employment abroad after graduation. A large number of the students who have participated in the study have already started preparing for emigration, 21.7% of those who wished to migrate had already performed at least one Erasmus mobility in their country of choice, 44.5% have been enrolled in a language course, and 42.7% have searched for jobs on the Internet.ConclusionsThe majority of Romanian medical students considering migration see it as a serious alternative to the continuation of their professional training started in Romania. The findings of this study are upsetting and can impact both policy crafting and future research. Structural reforms in the healthcare provisions are needed in order to facilitate the retention of medical personnel. Romanian policy makers need to devise a comprehensive national health workforce plan to deal with physician migration.Electronic supplementary materialThe online version of this article (doi:10.1186/s12960-017-0181-8) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Physician migration at its roots: a study on the emigration preferences and plans among medical students in Romania

et al. 2017

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“…The surveys conducted revealed that the primary reasons for employment in Germany were easy access to specialist medical education, better labour conditions, and higher compensation. In a survey conducted in 2008 among 1214 students at five Polish universities, the same attracting factors were determined (Krajewski-Siuda et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

“…Of the Polish physicians working in Germany, the largest share, or around 70 per cent, worked in hospitals (BAEK, 2015). For Polish physicians, Germany represents an appealing and popular destination country (Krajewski-Siuda et al, 2012). Not only economic factors are reasons for the emigration to Germany, but also the geographic proximity to their homeland.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Medical Education between Germany and Poland Considering Internal Medicine, General Medicine, and Anaesthesia

Kolodziej¹,

Gresser²,

Richartz³

2016

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With the continuing shortage of physicians in Germany, healthcare is increasingly being sustained by foreign physicians. The present paper addresses the comparability of medical education curricula in Germany and Poland and the qualification of physicians having Polish exams and specialist medical training for clinics and practices in Germany. The Medical Licensing Act and the Model Specialty Training Regulation of the German Medical Association were compared to the respective Polish regulations for medical education. In orienting surveys, physicians with Polish exams were questioned and they provided information regarding their current situation in German healthcare.

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“…The main reason for the migration is low salaries, especially for young medical doctors and mid-level health personnel (Siyam and Dal Poz, 2014). These processes also affect medical students in Poland who see emigration as an important alternative to career development (Krajewski-Siuda et al, 2012). Thus, it intensifies the brain-drain phenomenon, which is particularly severe for the economy from the perspective of the availability of highly-skilled workers (Hejdukova and Kurekova, 2016;Krajewski-Siuda and Romianuk, 2007).…”

Section: Resultsmentioning

confidence: 99%

Business Model Transformation – Challenges for the Management of the Health Care Entity

Szewieczek¹

2019

EMS

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Every organisation has shaped its business model, which defines the way of creating value. Obviously, there several incentives for development as well as factors limiting the modification of business models. They can concern various sectors and also be analysed in various information sections. When looking for the determinants of shaping business models, one should carry out their classification. Conducting medical activity takes place in a special environment and the creation of business models in a health organisation requires close attention. Financing health care is predominantly made from public funds. As a result, shaping the revenue stream is significantly limited, as well as its differentiation. In turn, in terms of costs, unfavourable phenomena occur, causing their growth. Healthcare services are provided under quite special circumstances. Among other phenomena, one can perceive the movement of human resources from less wealthy economies to those offering more favourable employment conditions. It is also possible to identify determinants resulting mainly from the law regulation, as well as located in the field of behavioural, cultural and social factors. The phenomena mentioned above results in the transition of the business model of medical activity. These effects are also noticeable in financial flows of costs and revenues, as well as in cash flows. All of the mentioned above phenomena are important for managers who tend to pursue the set goals. In some situations, it is advisable to change the way the organization operates, to shape its organizational structure and network of connections with the environment. The aim of the article is to identify and classify barriers and incentives of business model transformation in health care organizations. The hypothesis states that among the determinants of business model transformation in health care organization tax optimization and limited resources availability are very important for their managers. The research methods contain meta-analysis of literature, observation, case-study and cause and effect relationship analysis as well as the method of synthesis.

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Emigration preferences and plans among medical students in Poland

Cited by 41 publications

References 5 publications

Physician migration at its roots: a study on the emigration preferences and plans among medical students in Romania

Physician migration at its roots: a study on the emigration preferences and plans among medical students in Romania

Comparison of Medical Education between Germany and Poland Considering Internal Medicine, General Medicine, and Anaesthesia

Business Model Transformation – Challenges for the Management of the Health Care Entity

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