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dc.rights.licenseThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
dc.contributor.authorHumphries, Niamhen
dc.contributor.authorConnell, Johnen
dc.contributor.authorNegin, Joelen
dc.contributor.authorBuchan, Jamesen
dc.date.accessioned2019-07-03T10:10:40Z
dc.date.available2019-07-03T10:10:40Z
dc.date.issued2019-05-28
dc.identifier.citationHumphries, N., Connell, J., Negin, J. & Buchan, J. (2019) Tracking the leavers: Towards a better understanding of doctor migration from Ireland to Australia 2008–2018. Human Resources for Health, 17 [36].en
dc.identifier.issn1478-4491en
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/9840
dc.identifier.urihttp://dx.doi.org/10.1186/s12960-019-0365-5
dc.description.abstractBackground: The recession of 2008 triggered large-scale emigration from Ireland. Australia emerged as a popular destination for Irish emigrants and for Irish-trained doctors. This paper illustrates the impact that such an external shock can have on the medical workforce and demonstrates how cross-national data sharing can assist the source country to better understand doctor emigration trends. Method: This study draws on Australian immigration, registration and census data to highlight doctor migration flows from Ireland to Australia, 2008–2018. Findings: General population migration from Ireland to Australia increased following the 2008 recession, peaked between 2011 and 2013 before returning to pre-2008 levels by 2014, in line with the general economic recovery in Ireland. Doctor emigration from Ireland to Australia did not follow the same pattern, but rather increased in 2008 and increased year on year since 2014. In 2018, 326 Irish doctors obtained working visas for Australia. That doctor migration is out of sync with general economic conditions in Ireland and with wider migration patterns indicates that it is influenced by factors other than evolving economic conditions in Ireland, perhaps factors relating to the health system. Discussion: Doctor emigration from Ireland to Australia has not decreased in line with improved economic conditions in Ireland, indicating that other factors are driving and sustaining doctor emigration. This paper considers some of these factors. Large scale doctor emigration has significant implications for the Irish health system; representing a brain drain of talent, generating a need for replacement migration and a high dependence on internationally trained doctors. This paper illustrates how source countries, such as Ireland, can use destination country data to inform an evidence-based policy response to doctor emigration.en
dc.description.sponsorshipThanks to the HRB for funding the Hospital Doctor Retention and Motivation (HDRM) Project via an Emerging Investigator Award (EIA-2017-022) to NH. The funders had no role in the design of the study, or in the collection, analysis, and interpretation of data, or in writing the manuscript.en
dc.language.isoenen
dc.publisherBioMed Centralen
dc.relation.ispartofHuman Resources for Healthen
dc.titleTracking the leavers: Towards a better understanding of doctor migration from Ireland to Australia 2008–2018en
dc.typeArticleen
dcterms.accessRightspublic
dcterms.dateAccepted2019-04-11
dc.description.volume17 [36]en
dc.description.ispublishedpub
rioxxterms.typeJournal Article/Reviewen
rioxxterms.publicationdate2019-05-28
refterms.dateFCA2019-07-03
refterms.dateFCD2019-07-03
refterms.depositExceptionpublishedGoldOAen
refterms.accessExceptionNAen
refterms.technicalExceptionNAen
refterms.panelUnspecifieden
qmu.authorBuchan, Jamesen
dc.description.statuspub
refterms.versionVoRen
refterms.dateDeposit2019-07-03


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