The Risk of the Outflow of Doctors and IT/ICT ... - Outlook Web App

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The majority (three quarters) of the doctors that want to leave to other countries assume that they will work in hospitals, another 17% in the outpatient sphere and almost a tenth plan active work at a local university or connection to international research projects. (5) The approached doctors choose a return migration in the absolute majority of the cases. 13% of the potential migrants declare permanent migration abroad. This percentage corresponds to the extent of the estimated potential doctors that are actually expected to leave. The frequency of permanent migrants for doctors is three times higher than for surveys of foreign migration for the total Czech population. The most common length of the stay for doctors with the intention to leave to other countries ranges from one to five years (46%). Only every eighth doctor with a positive attitude to migration would want to stay abroad. The remaining nearly one fourth of the potential migrants are doctors that have not yet decided. The most attractive migration destinations for doctors were made up of three European countries - Great Britain, Ireland (i.e. countries with an open labour market since the Czech Republic’s entry to the EU) and the geographically close Germany. The number of those interested in Austria was identical with the interest in overseas countries being either the USA and Canada or relatively new migration destinations - Australia and New Zealand. In the rankings of preference for the most popular countries among doctors, the overseas countries split into fifth, sixth and seventh place from ten possible options. The basic motive in choosing the destination country was definitely the financial effect – the vision of a high income, thereby achieving a higher standard of living. Unlike the general Czech population, there is a high importance attributed to motives concerning employment among doctors - the motive of being employed in one’s field, better conditions for the work of doctors in the given country. When selecting the migration country language concerns, being the knowledge of the language of the country in question and also the possibility of further perfecting it, are important. Conversely it has been shown that the motive of the country where relatives and acquaintances are living does not play a significant role in the choice of the destination country (it ranked seventh from among ten possible choices). Data on the intended start of the work activity abroad corresponds to the degree of the reality of these considerations. During the analyses we assume that the more remote the planned departure from the country is, the lower the actuality of the migration intention will be. A higher probability of foreign migration would be attributed to roughly one fifth of the potential migrating doctors that plan to leave for other countries during the following year. Those that expect to work abroad in a timeframe of one to two years or later is a far higher percentage (35%). Roughly 30% of these have not clarified their migration intention as far as the time is concerned. (6) General motives for leaving to another country coincide to a certain extent with the motives for selecting a destination migration country. A higher financial evaluation clearly dominates in the first ranking (94% of the migration-oriented doctors consider it to be an important impulse for foreign migration). 18
Language reasons and motives related to the development of specialised and professional prerequisites (to obtain an international perspective and contacts, to learn to work with the best medical technology and examination and treatment procedures) are a significant motivation for working abroad. Most doctors see working abroad as hope for more professional relations in the workplace and the possibility of working in a renowned healthcare facility. When deciding on foreign migration the signing of a work contract is primary for doctors before leaving (91% of the doctors) as is precise and detailed information on the migration country. Family reasons are attributed high importance - the possibility of visiting family members remaining in the Czech Republic several times a year, leaving to the other country directly with the family or with one's partner and the creation of better conditions for one's children's future. The fact that the doctor’s wife/husband will find employment opportunities abroad is important for more than two-thirds of the doctors. On the other hand low importance (ninth place out of ten options considered) is attributed to support for the doctors from relatives living abroad. (7) Men in the age category from 30-39 and 25-29 years of age predominate among the potential migrating doctors. The inclination to migrate weakens considerably with advancing age. Nevertheless experienced, qualified specialists are interested and probably have a chance, unlike the general Czech population, to work abroad even at a more advanced age. The survey showed that 13% of the doctors in the age from 50-55 years of age were considering foreign migration. The major part of the doctors (43%) with a positive attitude to migration work in teaching hospitals, another tenth in regional hospitals; one fifth is from doctors from former regional hospitals, doctors from the private sphere and other types of healthcare facilities (long-term care hospital, outpatient facilities, first-aid services, rehabilitation institutes, etc.). Secondary doctors primarily think about working abroad, but doctors with basic certification in the field and doctors that have not yet received certification do as well. 8 (8) The basic barrier to leaving for another country is a good job in the Czech Republic and fear from leaving one’s family. The third most common obstacle to a foreign stay is language - for the performance of a medical profession enhanced by the need for good communicational language skills. A serious barrier for a working abroad is the partner's disagreement and fears of a worse job than the doctors have at home. However the waste of suitable opportunities in the Czech Republic is entirely insignificant according to the positions of the interested doctors (this option is in last place in the rankings of perceived barriers). 8 Other characteristics of potential migrants, i.e. the medical specialisation or the place of work, can be essentially determined by the size and structure of the selection sample, and thus these findings cannot be generalised. 19
Page 1 and 2: Prague Research Institute for Labou
Page 3 and 4: CONTENTS The risk of the outflow of
Page 5 and 6: THE RISK OF THE OUTFLOW OF DOCTORS
Page 7 and 8: Part I Group at Risk of Migration D
Page 9 and 10: working environment in Czech health
Page 11 and 12: even tradition, customs and histori
Page 13 and 14: Internet portals), the monitoring o
Page 15 and 16: increasing at the same tempo. The a
Page 17: The goal of the survey was to objec
Page 21 and 22: five years) and with a return to th
Page 23 and 24: Table 5 The Relative Price Level of
Page 25 and 26: B. SELECTED RESULTS OF THE QUESTION
Page 27 and 28: B2. SELECTED SURVEY RESULTS THE FOR
Page 29 and 30: Graph 1 Are you thinking about leav
Page 31 and 32: - Probably not accept the offer; -
Page 33 and 34: The date of the intended departure
Page 35 and 36: Table 16 Comparison of Type of Heal
Page 37 and 38: MIGRATION MOTIVES Graph 5 Please sp
Page 39 and 40: Part II Group at Risk of Migration
Page 41 and 42: greater emphasis on the graduates
Page 43 and 44: A total of 24,775,670 available job
Page 45 and 46: In the field of Application System
Page 47 and 48: (8) The model for estimating educat
Page 49 and 50: The subject of the questionnaire su
Page 51 and 52: obstacle. High expenses connected w
Page 53 and 54: people that are staying with the em
Page 55 and 56: The second factor that is currently
Page 57 and 58: B. SELECTED RESULTS OF THE QUESTION
Page 59 and 60: The length of the stay was differen
Page 61 and 62: Graph 8 Destination Countries for P
Page 63 and 64: groups. Similarly employees of larg
Page 65 and 66: MIGRATION MOTIVES Graph 11 Motives
Page 67 and 68: SUMMARY - CONCLUSIONS Part I - DOCT
Page 69 and 70:
Surprisingly, however, a field surv
Page 71 and 72:
2. Registered Number of Dentists fr
Page 73 and 74:
4. Number of General Practitioners
Page 75 and 76:
6. Number of Unemployed Doctors / N
Page 77 and 78:
8. Computer Experts Employed in Ind
Page 79 and 80:
10. A Comparison of the Average Mon
Page 81 and 82:
SOURCES AND LITERATURE A. Primary L
Page 83:
Jana Vavrečková and Collective TH
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