Emigration-related attitudes of the final year medical students in Croatia: a cross-sectional study at the dawn of the EU accession

AIM To investigate the emigration-related attitudes of final year medical students in Croatia at the dawn of the EU accession in 2013. METHODS All final-year medical students at four Croatian medical schools (Zagreb, Rijeka, Split, and Osijek) were invited to participate in a cross-sectional survey on emigration attitudes. RESULTS Among 260 respondents (response rate 61%), 90 students (35%) reported readiness for permanent emigration, expecting better quality of life (N=22, 31%), better health care organization (N=17, 24%), more professional challenges (N=10, 14%), or simply to get a job (N=8, 11%), while the least common expectation were greater earnings (N=7, 10%). The most common target countries were Germany (N=36, 40%), USA and Canada (N=15, 17%), and UK (N=10, 11%). In a multivariate analysis, readiness for permanent emigration was associated with an interest in undertaking a temporary training abroad (odds ratio [OR] 6.87; 95% confidence interval [CI] 2.83-16.72), while the belief that the preferred specialty could be obtained in Croatia appeared protective against emigration (OR 0.26; 95% CI 0.12-0.59). CONCLUSION Despite shortages of health care workers in Croatia, the percentage of students with emigration propensity was rather high. Prevalent negative perception of the Croatian health care and recent Croatian accession to the EU pose a threat of losing newly graduated physicians to EU countries.