Skip to main content
Top
Published in: Human Resources for Health 1/2012

Open Access 01-12-2012 | Research

Emigration preferences and plans among medical students in Poland

Authors: Krzysztof Krajewski-Siuda, Adam Szromek, Piotr Romaniuk, Christian A Gericke, Andrzej Szpak, Krzysztof Kaczmarek

Published in: Human Resources for Health | Issue 1/2012

Login to get access

Abstract

Background

Migration and ethical recruitment of health care workers is receiving increased attention worldwide. Europe’s aging population is creating new opportunities for medical doctors for finding employment in other countries, particularly those of a better standard of living.

Methods

We conducted a survey among 1214 medical students in five out of eleven universities in Poland with medical schools in October 2008. A series of statistical tests was applied to analyse the characteristics of potential migrants. Projections were obtained using statistical analyses: descriptive, multifactorial logistic regression and other statistical methods .

Results

We can forecast that 26–36% of Polish medical students will emigrate over the next few years; 62% of respondents estimated the likelihood of emigration at 50%. Students in their penultimate year of study declared a stronger desire to migrate than those in the final year. At the same time, many students were optimistic about career opportunities in Poland. Also noted among students were: the decline in interest in leaving among final year students, their moderate elaboration of departure plans, and their generally optimistic views about the opportunities for professional development in Poland.

Conclusions

The majority of Polish students see the emigration as a serious alternative to the continuation of their professional training. This trend can pose a serious threat to the Polish health care system, however the observed decline of the interest in leaving among final year students, the moderate involvement in concrete departure plans and the optimistic views about the opportunities for professional development in Poland suggest that the actual scale of brain drain of young Polish doctors due to emigration will be more limited than previously feared.
Appendix
Available only for authorised users
Literature
1.
go back to reference Dodani S, LaPorte RE: Brain drain from developing countries: how can brain drain be converted into wisdom gain?. Journal of the Royal Society of Medicine. 2005, 98: 487-491. 10.1258/jrsm.98.11.487.CrossRefPubMedPubMedCentral Dodani S, LaPorte RE: Brain drain from developing countries: how can brain drain be converted into wisdom gain?. Journal of the Royal Society of Medicine. 2005, 98: 487-491. 10.1258/jrsm.98.11.487.CrossRefPubMedPubMedCentral
2.
go back to reference Mejia A: Migration of Physicians and Nurses: a World Wide Picture. International Journal of Epidemiology. 1978, 7 (3): 207-215. 10.1093/ije/7.3.207.CrossRefPubMed Mejia A: Migration of Physicians and Nurses: a World Wide Picture. International Journal of Epidemiology. 1978, 7 (3): 207-215. 10.1093/ije/7.3.207.CrossRefPubMed
3.
go back to reference The World Health Report Geneva: World Health Organization; 2006. 2006 The World Health Report Geneva: World Health Organization; 2006. 2006
4.
go back to reference Dovlo D: Taking more than a fair share? The migration of health professionals from poor to rich countries. PLoS Medicine. 2005, 5: e109-CrossRef Dovlo D: Taking more than a fair share? The migration of health professionals from poor to rich countries. PLoS Medicine. 2005, 5: e109-CrossRef
5.
go back to reference Liese B, Dussault G: The state of the health workforce in Sub-Saharan Africa. 2004, The World Bank, Washington Liese B, Dussault G: The state of the health workforce in Sub-Saharan Africa. 2004, The World Bank, Washington
6.
go back to reference Derkacz M: Lasowanie mózgów [in Polish: The brain drain]. Służba Zdrowia. 2005, 34–37: 15-16. Derkacz M: Lasowanie mózgów [in Polish: The brain drain]. Służba Zdrowia. 2005, 34–37: 15-16.
8.
go back to reference Buchan J, Sochalski J: The migration of nurses: trends and policies. Bulletin of the World Health Organisation. 2004, 8: 587-594. Buchan J, Sochalski J: The migration of nurses: trends and policies. Bulletin of the World Health Organisation. 2004, 8: 587-594.
9.
go back to reference Kuszewski K, Gericke C: Health Systems in Transition – Poland. 2005, WHO Regional Office for Europe on behalf of the European Observatory on Health Systems and Policies, Copenhagen Kuszewski K, Gericke C: Health Systems in Transition – Poland. 2005, WHO Regional Office for Europe on behalf of the European Observatory on Health Systems and Policies, Copenhagen
10.
go back to reference Aczel AD: Statystyka w zarządzaniu [in Polish: Statistics for management]. 2005, PWN, Warszawa Aczel AD: Statystyka w zarządzaniu [in Polish: Statistics for management]. 2005, PWN, Warszawa
11.
go back to reference Greń J: Statystyka matematyczna [in Polish: Mathematical statistics]. 1984, PWN, Warszawa Greń J: Statystyka matematyczna [in Polish: Mathematical statistics]. 1984, PWN, Warszawa
12.
go back to reference Jajuga K: Ekonometria. Metody i analiza problemów ekonomicznych [in Polish: Econometrics. Methods and analysis of economic problems]. 1999, Wyd. AE we Wrocławiu, Wrocław Jajuga K: Ekonometria. Metody i analiza problemów ekonomicznych [in Polish: Econometrics. Methods and analysis of economic problems]. 1999, Wyd. AE we Wrocławiu, Wrocław
13.
go back to reference Petrie A, Sabin C: Statystyka medyczna w zarysie [in Polish: Medical Statistics at a Glance]. 2006, PZWL, Warszawa Petrie A, Sabin C: Statystyka medyczna w zarysie [in Polish: Medical Statistics at a Glance]. 2006, PZWL, Warszawa
14.
go back to reference Breinmana L, Friedman J, Olshen R, Stone C: Classification and Regression Trees. 1984, CRC Press, London Breinmana L, Friedman J, Olshen R, Stone C: Classification and Regression Trees. 1984, CRC Press, London
15.
go back to reference Gatnar E: Symboliczne metody klasyfikacji danych [in Polish: Symbolic methods for data classification]. 1998, PWN, Warszawa Gatnar E: Symboliczne metody klasyfikacji danych [in Polish: Symbolic methods for data classification]. 1998, PWN, Warszawa
16.
go back to reference Klasyfikacja i analiza danych. Wybrane zagadnienia [in Polish: Data classification and analysis. Selected issues]. Edited by: Jajuga K, Nazarko J. 2005, Politechnika Białostocka, Białystok Klasyfikacja i analiza danych. Wybrane zagadnienia [in Polish: Data classification and analysis. Selected issues]. Edited by: Jajuga K, Nazarko J. 2005, Politechnika Białostocka, Białystok
17.
go back to reference Szromek AR, Krajewska-Siuda E: Koncepcja klasyfikacji diagnostycznej dzieci z niskorosłością i jej ekonomiczne implikacje. Ilościowe modele klasyfikacyjne w diagnostyce medycznej [in Polish: The concept of diagnostic classification of children with short body height and its economic implications. Quantitative models of classification in medical diagnostics]. 2008, Wyd. Politechniki Śląskiej w Gliwicach, Gliwice Szromek AR, Krajewska-Siuda E: Koncepcja klasyfikacji diagnostycznej dzieci z niskorosłością i jej ekonomiczne implikacje. Ilościowe modele klasyfikacyjne w diagnostyce medycznej [in Polish: The concept of diagnostic classification of children with short body height and its economic implications. Quantitative models of classification in medical diagnostics]. 2008, Wyd. Politechniki Śląskiej w Gliwicach, Gliwice
18.
go back to reference Misztal M: Wykorzystanie drzew klasyfikacyjnych do wspomagania procesów podejmowania decyzji [in Polish: Using the classification trees to support the decision-making processes]. 2000, Materiały z seminariów StatSoft Polska, Kraków, 33-43. Misztal M: Wykorzystanie drzew klasyfikacyjnych do wspomagania procesów podejmowania decyzji [in Polish: Using the classification trees to support the decision-making processes]. 2000, Materiały z seminariów StatSoft Polska, Kraków, 33-43.
19.
go back to reference Kowalska-Styczeń A: Symulowanie złożonych procesów ekonomicznych za pomocą automatów komórkowych [in Polish: Simulating the complex economic processes using cellular automata]. 2007, Wyd. Politechniki Śląskiej, Gliwice Kowalska-Styczeń A: Symulowanie złożonych procesów ekonomicznych za pomocą automatów komórkowych [in Polish: Simulating the complex economic processes using cellular automata]. 2007, Wyd. Politechniki Śląskiej, Gliwice
20.
go back to reference Sieci neuronowe w zastosowaniach [in Polish: Applied neural networks]. Edited by: Markowska-Kaczmar U, Kwaśnicka H. 2005, Wyd. Politechniki Wrocławskiej, Wrocław Sieci neuronowe w zastosowaniach [in Polish: Applied neural networks]. Edited by: Markowska-Kaczmar U, Kwaśnicka H. 2005, Wyd. Politechniki Wrocławskiej, Wrocław
21.
go back to reference Krajewski-Siuda K, Romaniuk P, Madaj B, Hubicki L, Kociel P: Plany emigracji zarobkowej studentów medycyny – kto i dlaczego zamierza wyjechać? [in Polish: Emigration plans of medical students - who and why going to leave?]. Materiały z Konferencji Szkoleniowej „Profesjonalizm w Ochronie Zdrowia”, 2 grudnia 2005 Swarzędz [in Polish: Proceedings of the Conference “Professionalism in Health Care”, 2 December 2005 Swarzędz]. Edited by: Głowacka D. 2005, Akademia Medyczna im. K. Marcinkowskiego, Poznań, 269-280. Krajewski-Siuda K, Romaniuk P, Madaj B, Hubicki L, Kociel P: Plany emigracji zarobkowej studentów medycyny – kto i dlaczego zamierza wyjechać? [in Polish: Emigration plans of medical students - who and why going to leave?]. Materiały z Konferencji Szkoleniowej „Profesjonalizm w Ochronie Zdrowia”, 2 grudnia 2005 Swarzędz [in Polish: Proceedings of the Conference “Professionalism in Health Care”, 2 December 2005 Swarzędz]. Edited by: Głowacka D. 2005, Akademia Medyczna im. K. Marcinkowskiego, Poznań, 269-280.
23.
go back to reference Võrk A, Kallaste E, Priinits M: Migration Intentions of Health Care Professionals: the Case of Estonia. 2004, Public Policy Center, Cluj Napoca Võrk A, Kallaste E, Priinits M: Migration Intentions of Health Care Professionals: the Case of Estonia. 2004, Public Policy Center, Cluj Napoca
24.
go back to reference Buchan J, Perfilieva G: Health worker migration in the European Region: country case studies and policy implications. 2006, WHO Regional Office for Europe, Copenhagen Buchan J, Perfilieva G: Health worker migration in the European Region: country case studies and policy implications. 2006, WHO Regional Office for Europe, Copenhagen
25.
go back to reference Borzeda A, Bonlarron A-G, Gregorie-Borzeda C, Precahowa N: European Enlargement: do health professionals from candidate countries plan to emigrate? The case of Hungary, Poland and the Czech Republic. 2002, République Française, Ministére des Affaires Sociales, Ministére de la Sante, Paris Borzeda A, Bonlarron A-G, Gregorie-Borzeda C, Precahowa N: European Enlargement: do health professionals from candidate countries plan to emigrate? The case of Hungary, Poland and the Czech Republic. 2002, République Française, Ministére des Affaires Sociales, Ministére de la Sante, Paris
26.
go back to reference Kolcic I, Polasek O, Mihalj H, Gombac E, Kraljevic V, Kraljevic I, Krakar G: Research involvement, specialty choice and emigration preferences of final year medical students in Croatia. Croatian Medical Journal. 2005, 1: 88-95. Kolcic I, Polasek O, Mihalj H, Gombac E, Kraljevic V, Kraljevic I, Krakar G: Research involvement, specialty choice and emigration preferences of final year medical students in Croatia. Croatian Medical Journal. 2005, 1: 88-95.
Metadata
Title
Emigration preferences and plans among medical students in Poland
Authors
Krzysztof Krajewski-Siuda
Adam Szromek
Piotr Romaniuk
Christian A Gericke
Andrzej Szpak
Krzysztof Kaczmarek
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Human Resources for Health / Issue 1/2012
Electronic ISSN: 1478-4491
DOI
https://doi.org/10.1186/1478-4491-10-8

Other articles of this Issue 1/2012

Human Resources for Health 1/2012 Go to the issue