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Brain drain threat–Polish students are not satisfied with labor market options for health professionals in Poland

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Abstract

Background

Following the EU expansion in 2004, the threat of mass migration of medical doctors in the new member states has become a widely debated issue. It is particularly relevant in the context of skills shortages in developed countries that seek to fill gaps in their systems with foreign labor. This makes doctors from the former Eastern bloc an attractive resource.

Aim

To explore and quantify the potential scale of medical migration, a study of intentions of medical and dentistry students was conducted at the largest medical university in Poland.

Methods

A total of 367 students of the first and final degree was examined using our own questionnaire. Binary and multivariate analyses based on logistic regression models were used to examine the data.

Results

The study shows that 85% of students admit they are considering going abroad, mainly because of poor financial and professional development perspectives at home. No clear profile of a potential migrant could be built. Only those with better grades are less inclined to move, suggesting that overall people from different backgrounds are equally dissatisfied with their professional options at home. Almost 80% of those considering migration would reconsider their decisions if appropriate job opportunities were available locally.

Conclusion

The majority of medical students are considering going abroad to work, and those in their final year have been actively preparing to do so. If Poland wants to retain its doctors, it needs to take action to improve both the financial and development perspectives in the medical profession.

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References

  • Bala M, Leśniak W (2005) Poland is losing its doctors. BMJ 331:235

    Article  PubMed  Google Scholar 

  • Chen L, Evans T, Anand S, Boufford JI, Brown H, Chowdhury M, Cueto M, Dare L, Dussault G, Elzinga G, Fee E, Habte D, Hanvoravongchai P, Jacobs M, Kurowski C, Michael S, Pablos-Mendez A, Sewankambo N, Solimano G, Stilwell B, de Waal A, Wibulpolprasert S (2004) Human resources for health: overcoming the crisis. Lancet 364:1984–1990

    Article  PubMed  Google Scholar 

  • Commander S, Kangasniemi M, Winters LA (2003) The brain drain: curse or boon? IZA Discussion Paper No. 809

  • Czupryniak L, Loba J (2004) Route of corruption in Poland’s healthcare system. Lancet 364:1856

    Article  PubMed  Google Scholar 

  • Department of Health (2000) The NHS plan. A plan for investment. A plan for reform. Department of Health, London

    Google Scholar 

  • Derkacz M (2005) Lasowanie mózgów (Brain crumble). Służba Zdrowia 34–37:15–16

    Google Scholar 

  • Dubis M (2005) Poni¿ej œredniej (Below the average). Gaz Lek 4:10–12

    Google Scholar 

  • Larrenbee FS (1992) Down and Out in Warsaw and Budapest. Eastern Europe and East-West migration. Int Secur 16/4:5–33

    Article  Google Scholar 

  • Main Statistical Office (2005a) Mały Rocznik Statystyczny Polski (Small Statistical Yearbook for Poland). Główny Urząd Statystyczny, Warszawa

    Google Scholar 

  • Main Statistical Office (2005b) Komunikaty i obwieszczenia (Announcements and Notices). http://www.stat.gov.pl/komunikaty. Accessed: 15.10.2005

  • Martineau T, Decker K, Bundred P (2002) Briefing note on international migration of health professionals: levelling the playing field for developing country health systems. Liverpool School of Tropical Science, Liverpool

    Google Scholar 

  • Martineau T, Decker K, Bundred P (2004) "Brain drain" of health professionals: from rhetoric to responsible action. Health Policy 70:1–10

    Article  PubMed  Google Scholar 

  • Mejia A (1978) Migration of physicians and nurses: a worldwide picture. Int J Epidemiol 7/3:207–215

    Article  Google Scholar 

  • Michałowicz T (2005) Lekarze nie chcą wyje¿d¿aæ (Doctors do not want to leave). Gazeta Wyborcza 21 February. http://praca.gazeta.pl/praca/1,47367,2504834.html

  • Mullan F (2005) The metrics of the physician brain drain. N Engl J Med 353/17:1810–1818

    Article  Google Scholar 

  • Sadłowska K, Bielecki J (2005) Specjaliści na wagę złota (Weight in gold for specialists). Rzeczpospolita 110:A5

    Google Scholar 

  • Sterkowicz S (2004) O godność zawodu lekarza (For the dignity of medical profession). Służba Zdrowia 17–20:24–26

    Google Scholar 

  • Studniarski M (2005) Lekarski krzyk (Doctor’s scream). Menedżer Zdrowia 5:30–32

    Google Scholar 

Download references

Acknowledgements

The Department of Health Policy, Medical University of Silesia, uses computer equipment purchased by the Medical Aid for Poland Fund in London.

Conflict of interest statement

The authors confirm that there are no relevant associations that might pose a conflict of interest.

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Correspondence to Krzysztof Krajewski-Siuda.

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Krajewski-Siuda, K., Romaniuk, P., Madaj, B. et al. Brain drain threat–Polish students are not satisfied with labor market options for health professionals in Poland. J Public Health 16, 347–351 (2008). https://doi.org/10.1007/s10389-007-0174-5

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  • DOI: https://doi.org/10.1007/s10389-007-0174-5

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