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      Are We Facing a Radical Change in the Migration Behavior of Medical Graduates from Less Developed Countries? Demographic Profile vs. Social Push Factors

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          Abstract

          The phenomenon of migration among medical personnel from less developed countries is a large one, with negative effects on the origin country, but more worrying is graduates’ propensity to migrate during or immediately after university studies. The analysis of the labor market in the health sector from the last two decades shows us greater attractiveness of employment in (more) economically developed states compared to the demand from the health sector in graduates’ origin countries. This research’s purpose is to identify the determinants of the propensity to study and work abroad of medical students as a defined factor for better employment, and to identify the push factors in the origin country. As a result of the dichotomous nature of the dependent variables, logistic regression was applied. The independent variables (gender, residence, medical specialization, grades and perceived economic status) were used to identify the odds of the intention to migrate for studies. The results highlighted a higher propensity to migrate for studies among medical students, with opportunities offered by universities differing across countries and geographical areas. Moreover, students with a lower level of household income have openness to migrate, the tuition fees being managed through part-time/temporary employment during studies.

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          Linear versus logistic regression when the dependent variable is a dichotomy

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            Evidence of factors influencing self-medication with antibiotics in low and middle-income countries: a systematic scoping review

            Self-medication with antibiotics (SMA) is a practice of global concern with a higher incidence within the low- and middle-income countries (LMICs). Despite worldwide efforts to control and promote the rational use of antibiotics, the continuing practice of SMA systematically exposes individuals and communities to the risk of antibiotic resistance and a host of other antibiotic side-effects. This systematic scoping review maps evidence on the factors influencing SMA in these settings.
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              A theory of migration: the aspirations-capabilities framework

              This paper elaborates an aspirations–capabilities framework to advance our understanding of human mobility as an intrinsic part of broader processes of social change. In order to achieve a more meaningful understanding of agency and structure in migration processes, this framework conceptualises migration as a function of aspirations and capabilities to migrate within given sets of perceived geographical opportunity structures. It distinguishes between the instrumental (means-to-an-end) and intrinsic (directly wellbeing-affecting) dimensions of human mobility. This yields a vision in which moving and staying are seen as complementary manifestations of migratory agency and in which human mobility is defined as people’s capability to choose where to live, including the option to stay, rather than as the act of moving or migrating itself. Drawing on Berlin’s concepts of positive and negative liberty (as manifestations of the widely varying structural conditions under which migration occurs) this paper conceptualises how macro-structural change shapes people’s migratory aspirations and capabilities. The resulting framework helps to understand the complex and often counter-intuitive ways in which processes of social transformation and ‘development’ shape patterns of migration and enable us to integrate the analysis of almost all forms of migratory mobility within one meta-conceptual framework.
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                Author and article information

                Contributors
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                Journal
                IJERGQ
                International Journal of Environmental Research and Public Health
                IJERPH
                MDPI AG
                1660-4601
                March 2023
                March 10 2023
                : 20
                : 6
                : 4894
                Article
                10.3390/ijerph20064894
                1aa2557a-b7ed-45b9-91c9-f73191cb29d2
                © 2023

                https://creativecommons.org/licenses/by/4.0/

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