The migration of UK trained GPs to Australia: Does risk attitude matter?
Adult
Attitude of Health Personnel
Australia
Career Choice
Female
General Practitioners
/ psychology
Humans
Job Satisfaction
Longitudinal Studies
Male
Professional Practice Location
/ statistics & numerical data
Quality of Life
Risk Assessment
/ statistics & numerical data
Scotland
Surveys and Questionnaires
United Kingdom
/ ethnology
General practitioners
Migration
Risk attitude
Journal
Health policy (Amsterdam, Netherlands)
ISSN: 1872-6054
Titre abrégé: Health Policy
Pays: Ireland
ID NLM: 8409431
Informations de publication
Date de publication:
11 2019
11 2019
Historique:
received:
26
03
2019
revised:
30
05
2019
accepted:
12
09
2019
pubmed:
1
10
2019
medline:
17
9
2020
entrez:
1
10
2019
Statut:
ppublish
Résumé
Little is known about the drivers of migration of GPs. Risk attitude may play an important role as migration is fundamentally a risky decision that balances the risks of staying with the risks associated with leaving. This paper examines the association between risk attitudes and the migration of UK GPs to Australia. GPs who qualified in the UK but work in Australia and who responded to the Medicine in Australia: Balancing Employment and Life (MABEL) national longitudinal survey of doctors, were compared with GPs based in Scotland who responded to a survey. Risk attitudes were elicited for financial risks, career and professional risks and clinical risks on a scale from 1 to 5. GPs in Scotland and UK trained GPs in Australia have similar risk attitudes for financial risk. However, UK trained GPs in Australia are less willing to take clinical and career risks. GPs who migrated to Australia after qualifying in the UK were more risk averse about their career and clinical risks. This may suggest that more risk averse GPs migrate to Australia due to pull factors such as less uncertainty around career and clinical outcomes in Australia. The uncertain NHS climate may push more risk averse doctors away from the UK.
Sections du résumé
BACKGROUND
Little is known about the drivers of migration of GPs. Risk attitude may play an important role as migration is fundamentally a risky decision that balances the risks of staying with the risks associated with leaving. This paper examines the association between risk attitudes and the migration of UK GPs to Australia.
METHODS
GPs who qualified in the UK but work in Australia and who responded to the Medicine in Australia: Balancing Employment and Life (MABEL) national longitudinal survey of doctors, were compared with GPs based in Scotland who responded to a survey. Risk attitudes were elicited for financial risks, career and professional risks and clinical risks on a scale from 1 to 5.
RESULTS
GPs in Scotland and UK trained GPs in Australia have similar risk attitudes for financial risk. However, UK trained GPs in Australia are less willing to take clinical and career risks.
CONCLUSION
GPs who migrated to Australia after qualifying in the UK were more risk averse about their career and clinical risks. This may suggest that more risk averse GPs migrate to Australia due to pull factors such as less uncertainty around career and clinical outcomes in Australia. The uncertain NHS climate may push more risk averse doctors away from the UK.
Identifiants
pubmed: 31564383
pii: S0168-8510(19)30223-4
doi: 10.1016/j.healthpol.2019.09.003
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Pagination
1093-1099Subventions
Organisme : Chief Scientist Office
ID : HERU1
Pays : United Kingdom
Informations de copyright
Crown Copyright © 2019. Published by Elsevier B.V. All rights reserved.