Doctors on the move: a qualitative study on the driving factors in a group of Egyptian physicians migrating to Germany
Abstract Background Migration of physicians has become a global phenomenon with significant implications for the healthcare delivery systems worldwide. The motivations and factors driving physician’s migration are complex and continuously evolving. Purpose of this study is to explore the driving for...
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| Format: | Article |
| Language: | English |
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BMC
2019-01-01
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| Series: | Globalization and Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12992-018-0434-x |
| _version_ | 1818521555327516672 |
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| author | Marwa Schumann Asja Maaz Harm Peters |
| author_facet | Marwa Schumann Asja Maaz Harm Peters |
| author_sort | Marwa Schumann |
| collection | DOAJ |
| description | Abstract Background Migration of physicians has become a global phenomenon with significant implications for the healthcare delivery systems worldwide. The motivations and factors driving physician’s migration are complex and continuously evolving. Purpose of this study is to explore the driving forces in a group of Egyptian physicians and final-years medical students preparing to migrate to Germany. Methods A qualitative study was conducted based on social constructivism epistemology. In five focus group discussions, there participated a total 12 residents and 6 final-year medical students from 7 different training and workplace locations in Egypt. The participants provided information about their motivation and planning for migration. We applied a coding framework based on the concept of push/pull factors and barriers/facilitators for migration, and used Atlas.ti software for analysis. Results The thematic analysis indicated that the migration within the study’s participants results from a specific weighting of push and pull factors. Push factors are considered to be more important than pull factors. Factors related to professional development play a leading role. The route of migration towards Germany is mainly determined by the low hurdle registration and licensing requirements in this destination country compared to other countries. In some cases, Germany is regarded as a “transit country”, a step on the road to other European countries. The intent, planning and preparation of migration is assisted considerably by the local formation of a community and culture of migration with multiple ways for information exchange, identity building and social support through face-to-face and online channels. Conclusions This study specifies – in a group of Egyptian physicians and final-year medical students – the perceived push and pull factors which influenced their intent to migrate to Germany. In addition to the general wealth gap, their particular route of migration is mainly determined by the requirements in licensing and registration procedures for foreign physicians in the potential destination country. The planning and preparation of a move is substantially facilitated by their joining a social network and a community of migrating physicians. |
| first_indexed | 2024-12-11T01:52:37Z |
| format | Article |
| id | doaj.art-a4a9833dcc704ecfb5b5faa88460cf90 |
| institution | Directory Open Access Journal |
| issn | 1744-8603 |
| language | English |
| last_indexed | 2024-12-11T01:52:37Z |
| publishDate | 2019-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Globalization and Health |
| spelling | doaj.art-a4a9833dcc704ecfb5b5faa88460cf902022-12-22T01:24:42ZengBMCGlobalization and Health1744-86032019-01-011511910.1186/s12992-018-0434-xDoctors on the move: a qualitative study on the driving factors in a group of Egyptian physicians migrating to GermanyMarwa Schumann0Asja Maaz1Harm Peters2Dieter Scheffner Center for Medical Education and Educational Research, Dean’s Office of Student Affairs, Charité - Universitätsmedizin Berlin, Free and Humboldt University BerlinDieter Scheffner Center for Medical Education and Educational Research, Dean’s Office of Student Affairs, Charité - Universitätsmedizin Berlin, Free and Humboldt University BerlinDieter Scheffner Center for Medical Education and Educational Research, Dean’s Office of Student Affairs, Charité - Universitätsmedizin Berlin, Free and Humboldt University BerlinAbstract Background Migration of physicians has become a global phenomenon with significant implications for the healthcare delivery systems worldwide. The motivations and factors driving physician’s migration are complex and continuously evolving. Purpose of this study is to explore the driving forces in a group of Egyptian physicians and final-years medical students preparing to migrate to Germany. Methods A qualitative study was conducted based on social constructivism epistemology. In five focus group discussions, there participated a total 12 residents and 6 final-year medical students from 7 different training and workplace locations in Egypt. The participants provided information about their motivation and planning for migration. We applied a coding framework based on the concept of push/pull factors and barriers/facilitators for migration, and used Atlas.ti software for analysis. Results The thematic analysis indicated that the migration within the study’s participants results from a specific weighting of push and pull factors. Push factors are considered to be more important than pull factors. Factors related to professional development play a leading role. The route of migration towards Germany is mainly determined by the low hurdle registration and licensing requirements in this destination country compared to other countries. In some cases, Germany is regarded as a “transit country”, a step on the road to other European countries. The intent, planning and preparation of migration is assisted considerably by the local formation of a community and culture of migration with multiple ways for information exchange, identity building and social support through face-to-face and online channels. Conclusions This study specifies – in a group of Egyptian physicians and final-year medical students – the perceived push and pull factors which influenced their intent to migrate to Germany. In addition to the general wealth gap, their particular route of migration is mainly determined by the requirements in licensing and registration procedures for foreign physicians in the potential destination country. The planning and preparation of a move is substantially facilitated by their joining a social network and a community of migrating physicians.http://link.springer.com/article/10.1186/s12992-018-0434-xMedical migrationEgyptian physiciansGermanyDriving forcesPush and pull factorsFacilitators and barriers |
| spellingShingle | Marwa Schumann Asja Maaz Harm Peters Doctors on the move: a qualitative study on the driving factors in a group of Egyptian physicians migrating to Germany Globalization and Health Medical migration Egyptian physicians Germany Driving forces Push and pull factors Facilitators and barriers |
| title | Doctors on the move: a qualitative study on the driving factors in a group of Egyptian physicians migrating to Germany |
| title_full | Doctors on the move: a qualitative study on the driving factors in a group of Egyptian physicians migrating to Germany |
| title_fullStr | Doctors on the move: a qualitative study on the driving factors in a group of Egyptian physicians migrating to Germany |
| title_full_unstemmed | Doctors on the move: a qualitative study on the driving factors in a group of Egyptian physicians migrating to Germany |
| title_short | Doctors on the move: a qualitative study on the driving factors in a group of Egyptian physicians migrating to Germany |
| title_sort | doctors on the move a qualitative study on the driving factors in a group of egyptian physicians migrating to germany |
| topic | Medical migration Egyptian physicians Germany Driving forces Push and pull factors Facilitators and barriers |
| url | http://link.springer.com/article/10.1186/s12992-018-0434-x |
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