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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 陳端容(Duan-Rung Chen) | |
| dc.contributor.author | Mat Lowe | en |
| dc.contributor.author | 麥洛偉 | zh_TW |
| dc.date.accessioned | 2021-06-15T11:09:28Z | - |
| dc.date.available | 2018-03-01 | |
| dc.date.copyright | 2017-03-01 | |
| dc.date.issued | 2016 | |
| dc.date.submitted | 2016-10-21 | |
| dc.identifier.citation | Adams, O., & Stilwell, B. (2004). Health professionals and migration. Bull World Health Organ, 82(8), 560. doi: /S0042-96862004000800002
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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/48795 | - |
| dc.description.abstract | Background: The West African health sector is characterized by a human resource base lacking in numbers and specialized skills. Among the factors contributing to this lack of human resource for health include the migration of health professionals to rich countries. This study aims to explore some of the factors associated with migration of West African health professionals.
Methods: An online cross-sectional survey and in-depth interviews of 118 health professionals who participated in the Young Professional Internship Program (YPIP) of the West African Health Organization (WAHO) from (2005-2013), was conducted. The survey and in-depth interviews inquired about their work preference, characteristics of their work experience, migration intentions, and the factors predicting their decisions to migrate. Results: Of the 118 health professionals, 100 responded to the online survey. The overwhelming majority (61%) indicated that they prefer to be posted in urban areas in their countries as opposed to (25%) who reported that their preference is to be posted in rural areas and (14%) who indicated semi-urban areas as their choice of posting. The overwhelmingly most important reason for their motivation to stay and work in their countries includes giving health professionals opportunities for career development (96%), which has also exerted the greatest influence on their intentions to migrate (93%), followed by desire to find a suitable job match (90%). The role of social capital and network was also noticeable in their characteristics of work experience. About (46%) reported that their first job position after they have graduated from the Young Professional Internship Program (YPIP) was obtained through informal channels such as family members, acquaintances or co-workers. The highest level of satisfaction expressed in their current job position were with their work itself (82%) and the significance of their task (80%), followed by collegial relations (77%) and the level of supervision they receive from their supervisors (74%). In only two categories was there less satisfaction: that is, with their pay (55%) and future prospects (61%). These two categories were also less favored by the larger majority in the qualitative findings. Multiple regression analysis shows that variables such as gender, marital status, working hours, previous job tenure, and country of previous job tenure and source of job information are all significant predictors in their decisions to migrate (p < 0.05). Conclusions: This study has provided some understanding of some of the factors associated with migration of West African health professionals. The findings could be used by policymakers in health workforce planning and in modifying the migration pattern of health professionals in the West African health sector. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-15T11:09:28Z (GMT). No. of bitstreams: 1 ntu-105-D02848009-1.pdf: 2098808 bytes, checksum: 2aae72eb47ed7359b44f271f2fd71fb2 (MD5) Previous issue date: 2016 | en |
| dc.description.tableofcontents | ACKNOWLEDGEMENTS ii
DECLARATION iii ABSTRACT iv LIST OF ABBREVIATIONS AND ACRONYMS ix LIST OF FIGURES x LIST OF TABLES xi CHAPTER ONE 1 INTRODUCTION 1 1.1 Background of the Study 1 1.2 Study Context 3 1.3 Countries in the Study 4 1.4 Human Resource for Health Situation in the Study Countries 5 1.5 Rationale of the Study 6 1.6 Objectives of the Study 7 1.7 Operational Definitions of Terms used in the Study 7 CHAPTER TWO 9 LITERATURE REVIEW 9 2.1 Introduction 9 2.2 Crisis in Africa’s Health Workforce and Africa’s brain drain 9 2.3 Dimensions of impact assessment and causes of the brain drain 10 2.4 Critique of previous studies on migration of health professionals 11 CHAPTER THREE 15 METHODOLOGY 15 3.1 Introduction 15 3.2 Research Design and Rationale 15 3.3 Quantitative Component 16 3.3.1 Research Design 16 3.3.2 Conceptual Framework 16 3.3.3 Definitions of Variables used in the Study and their Roles 17 3.3.4 Study Participants 21 3.3.5 Questionnaire 22 3.3.6 Content Validity and reliability 23 3.3.7 Data Collection Procedure 23 3.3.8 Statistical Analysis 23 3.4 Qualitative Component 24 3.4.1 Research Design 24 3.4.2 Study Participants 24 3.4.3 Data Collection Procedure 25 3.4. 4 Data Quality Control 26 3.4. 5 Data Management and Analysis 27 3.4. 6 Ethical Considerations 27 CHAPTER FOUR 28 RESULTS 28 4.1 Introduction 28 4.2 Quantitative Results 28 4.2.1 Descriptive Statistics 28 4.2.2 Respondents’ socio-demographic characteristics 28 4.2.3 Work Preference 29 4.2.4 Characteristics of Work Experience 30 4.2.5 Migration Intentions 33 4.2.6 Multiple Regressions of Predictors of Migration Decisions 34 4.3 Qualitative Results 37 4.4 Reasons for intention not to stay 38 4.4.1 Lack of opportunity for career development 38 4.4.2 Low Pay 39 4.4.3 Poor working conditions in public health services 39 4.5 Reasons for intention to migrate 40 4.5.1 Better opportunities for career development 40 4.6 Reasons for motivation to stay 41 4.6.1 Competing social responsibilities 41 4.6.2 Relative political stability 42 CHAPTER FIVE 43 DISCUSSION 43 5.1 Introduction 43 5.2 Objective and Framework of the Study 43 5.3 Summary of the Quantitative and Qualitative Findings 43 5.4 Strengths and Limitations of the Study 51 5.5. Implications for policy/and or practice 51 5.6 Direction for Future Research 52 REFERENCES 53 APPENDICES 57 Appendix 1: Consent Form for Participation in the Study 57 Appendix 2: Questionnaires 59 Appendix 3: Research Letter of Institutional Support 67 Appendix 4: Letter of Collaboration from the West African Health Organization 68 | |
| dc.language.iso | en | |
| dc.subject | 洄游 | zh_TW |
| dc.subject | 西非（非洲西部） | zh_TW |
| dc.subject | ?生??人? | zh_TW |
| dc.subject | Young Professional Internship Program | en |
| dc.subject | health professionals | en |
| dc.subject | West Africa | en |
| dc.subject | Migration | en |
| dc.subject | West African Health Organization | en |
| dc.title | 西非地區醫療專業人員遷徙模式的探討 | zh_TW |
| dc.title | Factors Associated with Migration of West African Health Professionals | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 105-1 | |
| dc.description.degree | 博士 | |
| dc.contributor.oralexamcommittee | 江東亮(Tung-Liang Chiang),陳宏基(Hung-chi Chen),翁慧卿(Hui-Ching Weng),邱瓊萱(Megan Chiu) | |
| dc.subject.keyword | 洄游,西非（非洲西部）,?生??人?, | zh_TW |
| dc.subject.keyword | Migration,West Africa,health professionals,West African Health Organization,Young Professional Internship Program, | en |
| dc.relation.page | 68 | |
| dc.identifier.doi | 10.6342/NTU201603653 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2016-10-21 | |
| dc.contributor.author-college | 公共衛生學院 | zh_TW |
| dc.contributor.author-dept | 健康政策與管理研究所 | zh_TW |
| 顯示於系所單位： | 健康政策與管理研究所 | |
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