Changes needed to medicine in the UK before senior UK-trained doctors, working outside the UK, will return: questionnaire surveys undertaken between 2004 and 2015.
Changes needed to medicine in the UK before senior UK-trained doctors, working outside the UK, will return: questionnaire surveys undertaken between 2004 and 2015.
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DOI：
10.1177/2054270417738195
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发表时间：
2017-12-01
期刊：
影响因子：
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通讯作者：
Goldacre, Michael J
中科院分区：
文献类型：
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作者：
Lambert, Trevor W;Smith, Fay;Goldacre, Michael J
目的：研究目的：报告英国医学的变化，移民医生告诉我们，这将增加他们返回英国医学的可能性。设计：问卷调查。地点：英国培养的医学毕业生。对象：问卷被发送到毕业后11年的7158名医生谁在1993年和1996年在英国的资格：4763份问卷被收回。毕业后17年和19年，向相同的队列：4554份问卷被退回。主要观察指标：在国外工作的医生对英国医学需要的变化，然后才能返回。结果：毕业后11年，290（6%）的受访者在国外医学工作; 277（6%）这样做17/19年毕业后。毕业11年后，53%在国外工作的医生表示不打算回国，71%的医生在毕业17/19年后表示不打算回国。这些受访者报告了一些需要对英国医学进行的改变，以增加他们返回的可能性。最常提到的变化涉及“政治/管理/资金”、“薪酬/养恤金”、“职位/安全/机会”、“工作条件/小时”和“医疗以外的因素”。政策关注的因素，包括资金，薪酬，管理，特别是临床政治界面，工作时间，工作与生活的平衡可能会为所有人带来红利，无论是在说服一些既定的医生返回，也许更重要的是，鼓励其他年轻的医生相信，英国和国家卫生服务可以为他们提供一个满意的和有益的职业生涯。
OBJECTIVE: To report the changes to UK medicine which doctors who have emigrated tell us would increase their likelihood of returning to a career in UK medicine.DESIGN: Questionnaire survey.SETTING: UK-trained medical graduates.PARTICIPANTS: Questionnaires were sent 11 years after graduation to 7158 doctors who qualified in 1993 and 1996 in the UK: 4763 questionnaires were returned. Questionnaires were sent 17 and 19 years after graduation to the same cohorts: 4554 questionnaires were returned.MAIN OUTCOME MEASURES: Comments from doctors working abroad about changes needed to UK medicine before they would return.RESULTS: Eleven years after graduation, 290 (6%) of respondents were working in medicine abroad; 277 (6%) were doing so 17/19 years after graduation. Eleven years after graduation, 53% of doctors working abroad indicated that they did not intend to return, and 71% did so 17/19 years after graduation. These respondents reported a number of changes which would need to be made to UK medicine in order to increase the likelihood of them returning. The most frequently mentioned changes cited concerned 'politics/management/funding', 'pay/pension', 'posts/security/opportunities', 'working conditions/hours', and 'factors outside medicine'.CONCLUSIONS: Policy attention to factors including funding, pay, management and particularly the clinical-political interface, working hours, and work-life balance may pay dividends for all, both in terms of persuading some established doctors to return and, perhaps more importantly, encouraging other, younger doctors to believe that the UK and the National Health Service can offer them a satisfying and rewarding career.