CAUSES OF MIGRATION AND WORKING CONDITIONS ABROAD AMONG PHYIOTHERAPISTS
DOI:
https://doi.org/10.24193/subbeag.66(2).12Keywords:
migration, physiotherapist, salary, return home.Abstract
Introduction: The migration of health professionals severely affects the current number of physicians and professionals in a country. Aim: The aim of our work was to investigate the reasons for the departure of physiotherapists already working abroad, to learn the working conditions abroad, and to explore the conditions for returning home. Method: Our data were obtained by a self-edited, online questionnaire survey. The number of items in our sample was 112 (N = 112) physiotherapists working abroad. Our research was conducted between November 2018 and February 2019. Results: Results of the most influential factors of migration were as follows: 62.5% (70 people) had a lack of financial reward, 55.4% (62 people) had a sense of uncertainty about the future, 49.1% (55 people) did not trust the Hungarian health care organization. The monthly salary of professionals working abroad varied between 1001-2000 Euros in 38.4% (43 people), between 2001 and 3000 in 38.4% (43 people) and was over 3000 Euros in 23.2% (26 people). 76.8% (86 people) didn't take a second job because they didn't need it. Factors influencing return were the following: 1) in 69.6% (78 people) “more favorite financial conditions”, 2) in 51.8% (58 people) “better working conditions”, 3) in 42.9% (48 people) “a better organized health care system. Conclusion: Physiotherapists working abroad have left mainly due to a better quality of life, a more predictable vision and more favorite financial conditions, and a change in these conditions would encourage them to return home the most.
References
Bethlehem, J., Boncz, I., Kriszbacher, I., Oláh, A., & Bódis, J. (2007). The export of nurses from Europe to the United States. Am J Public Health, 97: 2119.
Bethlehem, J., Horvath, A., Jeges, S., Gondos, Z., Németh, T., Kukla, A., & Oláh, A. (2014). How healthy are ambulance personnel in Central Europe? Eval Health Prof., 37: 394-406.
Boncz, I., & Sebestyén, A. (2006). Financial deficits in the health services of the UK and Hungary. Lancet, 368: 917-918.
Boncz, I., Evetovits, T., Dózsa, C., Sebestyén, A., Gulácsi, L., Ágoston, I., Thomas, G. (2015). The Hungarian care managing organization pilot program. Value Health Reg Issues, 7: 27-33.
Boncz, I., Vajda, R., Ágoston, I., Endrei, D., & Sebestyén, A. (2014). Changes in the health status of the population of Central and Eastern European countries between 1990 and 2010. Eur J Health Econ, 15: 137-141.
Castro-Palaganas, E., Spitzer, DL, Kabamalan, MM, Sanchez, M., Caricativo, R., Runnels, V., Bourgeault, I. (2017). An examination of the causes, consequences, and policy responses to the migration of highly trained health personnel from the Philippines: the high cost of living / leaving - a mixed method study. Hum Resour Health, 15:25.
Duvivier, RJ, Burch, VC, & Boulet, J. (2017). A comparison of physician emigration from Africa to the United States of America between 2005 and 2015. Hum Resour Health, 15:41.
Eisingerné Balassa, B., Csákvári, T., & Ágoston, I. (2019). Development of health insurance drug expenditures in Hungary. [Development of health insurance drug expenditures in Hungary.] [Hungarian]. Orv Hetil, 160 (Suppl 1): 49-54.
Eke, E., Girasek, E., & Szócska, M. (2009). Migration among the Hungarian medical doctors. [Migration among Hungarian doctors.] [Hungarian]. Statistical Review. 7–8, 795–827.
European Commission. (2012). Commission staff working document on an action plan for the EU health workforce. SWD (2012) 93 final. Strasbourg: European Commission.
European Commission. (2011). Modernizing the professional qualifications directive. COM (2011) 367 final. Brussels: Green Paper.
Galbany-Estragués, P., & Nelson, S. (2016). Migration of Spanish nurses 2009-2014. Underemployment and surplus production of Spanish nurses and mobility among Spanish registered nurses: a case study. Int J Nurs Stud, 63: 112-123.
Gavin, G., & Bruce, R. (2017). Is there a financial incentive to immigration? Examination of the health worker salary gap between India and populat destiantion countries. Hum Resour Health, 15: 74.
Girasek, E., Eke, E., & Szócska, M. (2018). Analysis of a survey on young doctors' willingness to work in rural Hungary. Hum Resour Health, 8:13.
Girasek, E., Molnár, R., Eke, E., & Szócska, M. (2011). The medical career choice motivations - results from a Hungarian study. Central European Journal of Medicine, 6: 502-509.
Glinos, IA (2014). Going beyond numbers: a typology of health professional mobility inside and outside the European Union. Policy and Society, 33: 25-37.
Greenberg, D., Mohamed Ibrahim, M. b., & Boncz, I. (2014). What are the challenges in onducting cost-of-illness studies? Value Health Reg Issues, 4: 115-116.
Győrffy, Z., & Girasek, E. (2014). Workload, work satisfaction and burnout among Hungarian female residents. Results of representative, online survey. [Workload, job satisfaction and burnout among Hungarian residents - a representative online survey]. Orv Hetil, 155: 1831-1840.
Győrffy, Z., & Széll, Z. (2018). Willingness to work abroad among Hungarian medical students. [Intentions of Hungarian medical students to work abroad.] [Hungarian]. Orv Hetil, 159: 31-37.
Government Decree, 1 (2019). 139/2019. (June 14) Government Decree amending certain government decrees related to wage measures for the retention and development of human resources for health professionals and health visitors, and cases of tuberculosis. Magyar Közlöny, 101: 3474-3492.
Labonté, R., Sanders, D., Mathole, T., Crush, J., Chikanda, A., Dambisya, Y., Bourgeault, I. (2015). Health worker migration from South Africa: causes, conquences and policy responses. Hum Resour Health, 13:92.
Molics, B., Boncz, I., Leidecker, E., Horváth, C., Sebestyén, A., Kránicz, J., Oláh, A. (2015). Health insurance aspects of physiotherapeutic care of neurology disorders in outpatient care. [Health Insurance Aspects of Physiotherapy for Neurological Diseases in Outpatient Specialized Care.] [Hungarian]. Neurologist Szle., 68: 399-408.
Molics, B., Hanzel, A., Nyárády, J., Sebestyén, A., Boncz, I., Sélleyné Gyuró, M., & Kránicz, J. (2013). Utilization indicators of physiotherapy in musculoskeletal and connective tissue disorders for outpatient care. [Utilization rates of physiotherapy outpatient care in the treatment of musculoskeletal disorders.] [Hungarian]. Hungarian Traumatology, Orthopedics, Hand Surgery, Plastic Surgery, 56: 305-315.
Molics, B., Kránicz, J., Schmidt, B., Sebestyén, A., Nyárády, J., & Boncz, I. (2013). Utilization of physiotherapy services in the case of trauma disorders of the lower extremity in the outpatient care. [Utilization indicators of physiotherapy activities in outpatient specialist care for lower limb traumatological diseases] [Hung. Orv Hetil , 154: 985-92.
Ognyanova, D., Maier, C.B., Wismar, M., Girasek, E., & Busse, R. (2012). Mobility of health professionals pre and post 2004 and 2007 EU enlargements: evidence from the EU project PROMeTHEUS. Health Policy, 108: 122-132.
National Hospital Directorate General. (20/07/2020). State Health Care Center - Directorate-General for Human Resources Development. Source: www.enkh.hu: https://www.enkk.hu/hmr/index.php/migracios-statisztikak/eves-statisztikak.
Péter, I., Jagicza, A., Ajtay, Z., Boncz, I., Kiss, I., Szendi, K., Németh, B. (2017). Balneotherapy in psoriasis rehabilitation. In Vivo, 31: 1163-1168.
Pónusz, R., Kovács, D., Raposa, LB, Hock, M., Decsi, T., Kránicz, J., & Endrei, D. (2016). Motivations for foreign employment and carrier change among Hungarian physiotherapists. [Motives to work abroad and to leave the profession among Hungarian physiotherapists.] [Hungarian]. Orv Hetil, 157: 342-349.
Sebestyén, A., Mester, S., & Vokó, Z. (2015). Wintertime surgery increases the risk of conversion to hip arthroplasty after internal fixation of femoral neck fracture. Osteoporos Int., 26: 1109-17.
Sipos, D., Vandulek, C., Petőné Csima, M., Dear, A., Pandúr, A., Boncz, I., Kovács, Á. (2018). The migration and attrition behavior among Hungarian radiographers. Glob J Health Sci, 10: 1.
Somogyi, N. (2014). Research of the motivations to work abroad among young people in London. [Examining the motivations for working abroad among young people in London.] [English]. E-CONOM., 4: 1-11.
Suciu Ş.M., Popescu, C.A., Ciumageanu, M.D., & Buzoianu, A.D. (2017). Physician migration at its roots: a study on the emigration preferences and plans among medical students in Romania. Hum Resour Health, 15: 6.
Szekanecz, Z., Tóth, Z., Hamar, A., & Lánczi, L. (2017). Why would doctors from Debrecen go abroad? [Why do doctors in Debrecen go abroad?] [Hungarian]. Orv Hetil, 158: 1458-1468.
Varga, V., Boncz, I., Sebestyén, A., Endrei, D., Ágoston, I., Péter, I., & Molics, B. (2019). Utilization indicators of spa services in Hungary. [Indicators of the use of spa services in Hungary.] [Hungarian]. Orv Hetil, 60 (Suppl 1): 22-28.
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