Abstract | UVOD: Posljednjih godina širom Europe prisutan je trend smanjivanja broja liječnika.
Relativno visoka prosječna dob liječnika te liberalizacija tržišta rada i starenje stanovništva
postaju sve važniji javnozdravstveni i društveni problemi s kojima se suočavaju države
članice Europske unije. Upravo se zbog toga pitanje migracije zdravstvenih djelatnika počelo
intenzivnije razmatrati, posebice u kontekstu proširenja Europske unije (EU).
----- CILJ: Istražiti emigracijske planove studenata, njihove stavove prema radnim uvjetima u
inozemstvu i očekivanja o novim poslovnim mogućnostima u Hrvatskoj nakon pristupanja EU
----- ISPITANICI I METODE: Na uzorku 232 studenta medicine posljednje godine studija na
Medicinskom fakultetu Sveučilišta u Zagrebu, uz pomoć elektronskog upitnika, istraživali
smo stavove prema radu u inozemstvu tijekom svibnja 2013. godine.
----- REZULTATI: S ukupnim postotkom odaziva 87%, više od polovice studenata (53%) izjasnilo
se da namjerava raditi u inozemstvu u sklopu specijalizacije (52 ili 26%) ili subspecijalizacije
(54 ili 27%). Više studentica (58 ili 43%) nego studenata (17 ili 27%) odgovorilo je da se ne
namjerava iseliti iz Hrvatske. Najpopularnije ciljne zemlje koje su odabrali studenti su:
Njemačka (34 ili 28%), SAD (19 ili 16%), Velika Britanija (19 ili 16%), Švicarska (16 ili
13%) i Kanada (11 ili 9%). Najvažniji ciljevi koje ispitanici namjeravaju ostvariti tijekom
usavršavanja u inozemstvu su: profesionalno usavršavanje (45 ili 38%), zarada (20 ili 17%),
stjecanje novih iskustava i upoznavanje svijeta (31 ili 26%). Muški ispitanici (12 ili 26%)
odabrali su zaradu kao drugi najvažniji cilj usavršavanja/rada u inozemstvu. Poticajni
čimbenici za iseljavanje, ciljevi koje studenti žele ostvariti tijekom usavršavanja u
inozemstvu, generalno pozitivni stavovi prema radnim uvjetima u inozemstvu i ne baš
pozitivna očekivanja prema poslovnim mogućnostima u Hrvatskoj nakon pristupanja
Europskoj uniji mogu biti važan pokazatelj stanja u hrvatskom zdravstvenom sustavu i državi.
ZAKLJUČAK: Značajan postotak studenata (62%) je razmišljao o preseljenju u inozemstvo
nakon diplomiranja. Rezultati mogu biti rani pokazatelji nepovoljnog emigracijskog trenda
zdravstvenih profesionalaca s potencijalno ozbiljnim posljedicama na funkcioniranje
hrvatskog zdravstvenog sustava. |
Abstract (english) | INTRODUCTION: In a recent years there has been a trend of decline in the number of
physicians in Europe. The relatively high average age of physicians, the liberalization of the
labor market, the continually aging populations with consequently increased demands for
healthcare are all becoming more important public-health and social problems for EU member
states. The question of health worker migration has been increasingly discussed, especially
within the context of European Union (EU) enlargement.
----- AIM: We want to investigate emigration preferences of students, attitudes towards working
conditions abroad and expectations for career opportunities in Croatia after joining to the EU.
----- SUBJECTS AND METHODS: We investigated emigration preferences among 232 final-year
medical students of the Zagreb Medical School by use of an electronic questionnaire in which
we assessed their attitudes towards working conditions abroad during May 2013.
RESULTS: With an overall response rate of 87%, more than half of the surveyed students
(62%) intended to travel abroad for specialty, 52 (26%), subspecialty - 54 (27%) training and
17 (9%) students wanted to travel abroad if they have the opportunity. More female, 58
(43%); than male, 17 (27%) students indicated that they would not emigrate The most
attractive destinations identified by respondents were Germany, 34 (28%); the USA, 19
(16%); the UK, 19 (16%); Switzerland, 16(13%) and Canada, 11 (9%). The most important
goals that respondents aimed to achieve through training abroad were: to excel professionally
45 (38%), to prosper financially 20 (17%) and to acquire new experiences and international
exposure 31 (26%). Male respondents indicated earnings, 12 (26%), as the second most
important factor for leaving the country. Factors that our students’ reported as motivating for
departure, goals they want to achieve through training abroad, generally positive beliefs about
working conditions abroad and not very positive expectations regarding career opportunities
in Croatia following accession to the EU may serve as an indicator of areas in the healthcare
system and overall national/social system.
----- CONCLUSION: A significant percentage of final- year medical students from Zagreb
University (62%) expressed intentions to migrate abroad after graduation. This survey and the
obtained results may be an early warning for potential adverse trend(s) in the migration of
health professionals with the possible serious consequences on the functioning of the Croatian
healthcare system at all levels. |