Doctor Retention: A Cross-sectional Study of How Ireland Has Been Losing the Battle

The failure of some high-income countries to retain their medical graduates is one driver of doctor immigration from low- and middle-income countries. Ireland, which attracts many international medical graduates, implemented a doctor retention strategy from early 2015. This study measures junior doc...

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Bibliographic Details
Published in:International journal of health policy and management 2021-06, Vol.10 (6), p.299-309
Main Authors: Brugha, Ruairi, Clarke, Nicholas, Hendrick, Louise, Sweeney, James
Format: Article
Language:English
Subjects:
Adult
Analysis
College graduates
Company business planning
Cross-Sectional Studies
doctor retention
Emigration and Immigration
Humans
Ireland
Mentoring
Mentors
migration
Original
Physicians
Professional Practice Location
Surveys
Surveys and Questionnaires
who global code
workforce
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Summary:The failure of some high-income countries to retain their medical graduates is one driver of doctor immigration from low- and middle-income countries. Ireland, which attracts many international medical graduates, implemented a doctor retention strategy from early 2015. This study measures junior doctors' migration intentions, the reasons they leave and likelihood of them returning. The aim is to identify the characteristics and patterns of doctors who plan to emigrate to inform targeted measures to retain these doctors. A national sample of 1148 junior hospital doctors completed an online survey in early 2018, eliciting their experiences of training and working conditions. Respondents were asked to choose between the following career options: remain in Ireland, go and return, go and stay away, or quit medicine. Bivariate analyses and a two-stage multivariable analysis were used to model the factors associated with these outcomes. 45% of respondents planned to remain in Ireland, 35% leave but return later, 17% leave and not return; and 3% to quit medicine. An intention to go abroad versus remain in Ireland was independently associated (
ISSN:2322-5939
2322-5939
DOI:10.34172/ijhpm.2020.54