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Immigration projects among young doctors in Tunisia: Prevalence, destinations and causes

Published online by Cambridge University Press:  01 September 2022

M. Ajmi ,
M. Kahloul ,
I. Kacem ,
A. Chouchane ,
S. Ben Mansour ,
Y. Slama ,
M. Hafsia ,
M. Maoua ,
N. Mrizak  and
W. Naija
M. Ajmi
Affiliation:
Sahloul Academic Hospital, University of medicine, “Ibn Al Jazzar”, Sousse, Tunisia, Department Of Anesthesia And Intensive Care,, Sousse, Tunisia
M. Kahloul*
Affiliation:
Sahloul Academic Hospital, University of medicine, “Ibn Al Jazzar”, Sousse, Tunisia, Department Of Anesthesia And Intensive Care,, Sousse, Tunisia
I. Kacem
Affiliation:
Farhat Hached Academic Hospital, Occupational Medicine, Sousse, Tunisia
A. Chouchane
Affiliation:
Farhat Hached Academic Hospital, Occupational Medicine, Sousse, Tunisia
S. Ben Mansour
Affiliation:
Sahloul Academic Hospital, University of medicine, “Ibn Al Jazzar”, Sousse, Tunisia, Department Of Anesthesia And Intensive Care,, Sousse, Tunisia
Y. Slama
Affiliation:
Sahloul Academic Hospital, University of medicine, “Ibn Al Jazzar”, Sousse, Tunisia, Department Of Anesthesia And Intensive Care,, Sousse, Tunisia
M. Hafsia
Affiliation:
Sahloul Academic Hospital, 1- department Of Occupational Medicine, sousse, Tunisia
M. Maoua
Affiliation:
Farhat Hached Academic Hospital, Occupational Medicine, Sousse, Tunisia
N. Mrizak
Affiliation:
Farhat Hached Academic Hospital, Occupational Medicine, Sousse, Tunisia
W. Naija
Affiliation:
Sahloul Academic Hospital, University of medicine, “Ibn Al Jazzar”, Sousse, Tunisia, Department Of Anesthesia And Intensive Care,, Sousse, Tunisia
*
*Corresponding author.

Abstract

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Introduction

The shortage of doctors has become a worrying problem in Tunisia. It is influenced by the phenomenon of immigration which remains poorly studied despite its magnitude.

Objectives

To describe the migration intentions of Tunisian young doctors and to identify the associated factors that influence their decisions.

Methods

This is a cross-sectional, analytical survey conducted between January and June 2019. It included all young doctors practicing in academic hospitals of Sousse (Tunisia). Data collection was based on a standardized self-administered questionnaire.

Results

A total of 182 valid questionnaires were collected. The median age was 26.9±2.5 years and the sex-ratio was 0.47. Immigration projects were reported by 38.5% of participants. The main destination was France (36.3%%). The main contributing factors were marital status (p<10-3), resident status (p=0.002), surgical specialty (p<10-3), personal dissatisfaction (p=0.003), underpayment (p<10-3), workload and difficult work conditions (p<10-3), lack of appropriate training (p<10-3), financial crisis and economic instability (p<10-3), lack of a clear strategy for the healthcare system (p=0.005) and the impression by the model of other doctors who left Tunisia (p=0.01).

Conclusions

The rate of migration intentions expressed in this study highlights the emergent need of interventions emanating from the Tunisian health-care system’s problems in order to stop the flow of young doctors towards developed countries in quest of better conditions.

Disclosure

No significant relationships.

Keywords

causesimmigrationyoung doctors
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S633 - S634
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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