Tantangan dan Strategi Penerapan Adaptasi Dokter Spesialis Lulusan Luar Negeri di Rumah Sakit : Systematic Literatur Review
Challenges and Strategies for Implementing Adaptation of Foreign Graduate Specialist Doctors in Hospitals: Systematic Literature Review
Abstract
Latar Belakang: Kekurangan tenaga dokter spesialis kronis dapat diatasi dengan suplai dokter lulusan luar negeri. Suplai dokter spesialis lulusan luar negeri menjadi alternatif dalam pemenuhan layanan spesialistik di rumah sakit. Terlepas dari peran pentingnya dalam pemenuhan layanan spesialistik, masih terdapat tantangan dan hambatan dalam adaptasi dokter lulusan luar negeri di rumah sakit.
Tujuan: Penelitian ini bertujuan untuk mengeksplorasi pengalaman adaptasi dokter spesialis lulusan luar negeri di berbagai negara baik berupa tantangan dan strategi untuk mengatasinya selama masa adaptasi di rumah sakit.
Metode: Tinjauan sistematik menggunakan panduan PRISMA (Preferred Reporting Items for Systematic Review or Meta-Analysis). Pencarian data menggunakan search engine yaitu Pubmed, Proquest dan Scopus mulai tahun 2018 sampai dengan tahun 2023. Penulis menggunakan kriteria inklusi dan eksklusi untuk mengidentifikasi studi yang akan direviu.
Hasil: 12 studi yang memenuhi kriteria inklusi dari 1070 artikel. Tantangan pelaksanaan adaptasi dokter lulusan luar negeri di berbagai negara adalah perbedaan bahasa dan budaya, pemenuhan fasilitas pendukung adaptasi, stigma penerimaan dan diskriminasi terhadap lulusan luar negeri serta sistem dan standar pelayanan kesehatan yang berbeda. Beberapa studi menyampaikan strategi untuk menghadapi tantangan pelaksanaan adaptasi meliputi pemahaman bahasa serta tradisi budaya setempat, pemenuhan kebutuhan fisiologis dan psikologis bagi dokter spesialis lulusan luar negeri, bimbingan serta pelatihan terkait sistem dan regulasi kesehatan.
Kesimpulan: Pemenuhan kebutuhan fisiologis dan psikologis dokter spesialis lulusan luar negeri sangat penting untuk disiapkan di lokasi pelaksanaan adaptasi. Bimbingan serta pelatihan terkait sistem dan regulasi kesehatan menjadi bekal bagi dokter spesialis lulusan luar negeri dalam menerapkan adaptasi di rumah sakit. Strategi-strategi tersebut perlu mendapatkan penguatan dukungan dari Pemerintah. Penguatan dukungan dalam bentuk penyiapan infrastruktur, pelatihan dan regulasi.
References
World Health Organization. Health workforce requirements for universal health coverage and the Sustainable Development Goals. (Human Resources for Health Observer, 17) [Internet]. World Health Organization; 2016 [cited 2023 Jun 16]. 40 p. Available from: https://apps.who.int/iris/handle/10665/250330
World Health Statistics 2022 [Internet]. [cited 2023 Jun 16]. Available from: https://www.who.int/news/item/20-05-2022-world-health-statistics-2022
theOECD [Internet]. [cited 2023 Jun 16]. Health resources - Doctors - OECD Data. Available from: http://data.oecd.org/healthres/doctors.htm
Kumar R, Pal R. India achieves WHO recommended doctor population ratio: A call for paradigm shift in public health discourse! J Fam Med Prim Care. 2018;7(5):841–4.
Foster LP. Foreign Trained Doctors in Canada: Cultural Contingency and Cultural Democracy in the Medical Profession. Int J Criminol Sociol Theory [Internet]. 2008 May 26 [cited 2023 Jun 16]; Available from: https://ijcst.journals.yorku.ca/index.php/ijcst/article/view/16148
Wong A, Lohfeld L. Recertifying as a doctor in Canada: international medical graduates and the journey from entry to adaptation: Recertifying as a doctor in Canada. Med Educ. 2007 Dec 13;42(1):53–60.
Nekoranec J, Nagyová L. Adaptation Of Employees In The Organization And Its Importance In Terms Of Human Resource Management. 2014;
Li M, Croucher S, Wang M. Re-entry Cultural Adaptation of Foreign-Educated Academics at Chinese Universities. J Intercult Commun. 2020 Nov 20;20(3):1–16.
Belfiore EB, Zasso FB, Santos FN. Canadian fellowship experience: the different challenges and emotions faced by an International Medical Graduate and mitigation strategies. Can Med Educ J. 2022 Sep;13(5):106–10.
Byrne JP, Conway E, McDermott AM, Matthews A, Prihodova L, Costello RW, et al. How the organisation of medical work shapes the everyday work experiences underpinning doctor migration trends: The case of Irish-trained emigrant doctors in Australia. Health Policy Amst Neth. 2021 Apr;125(4):467–73.
Pemberton M, Gnanapragasam SN, Bhugra D. International medical graduates: challenges and solutions in psychiatry. BJPsych Int. 2022 May;19(2):30–3.
Rashid M, Nguyen J, Foulds JL, Djordjevic G, Forgie SE. International Medical Graduates’ perceptions about residency training experience: a qualitative study. Int J Med Educ. 2023 Jan 27;14:4–10.
Stuerson L, Magnus O. Migrant physicians’ entrance and advancement in the Swedish medical labour market: a cross-sectional study | Human Resources for Health | Full Text. 2019 [cited 2023 Jun 14]; Available from: https://human-resources-health.biomedcentral.com/articles/10.1186/s12960-019-0414-0
Stabel LS, Öhlander M, Stenfors T. Migrant physicians’ unlocking of gateways to practise their knowledge: A qualitative quasi-longitudinal study. PLoS One. 2023 Mar;18(3):e0282317.
Motala M, Van Wyk JM. Professional experiences in the transition of Cuban-trained South African medical graduates. South Afr Fam Pract Off J South Afr Acad Fam Pract Care. 2021 Nov 22;63(1):e1–8.
Mannes MM, Thornley DJ, Wilkinson TJ. The consequences of cultural difference: the international medical graduate journey in New Zealand. Int J Med Educ. 2023 Apr 28;14:43–54.
Zawawi AN, Al-Rashed AM. The experiences of foreign doctors in Saudi Arabia: A qualitative study of the challenges and retention motives. Heliyon. 2020 Aug;6(8):e03901.
BOTEZAT A, MORARU A. Brain drain from Romania: what do we know so far about the Romanian medical diaspora? East J Eur Stud. 2020 Jun;11(1):309–34.
Schumann M, Maaz A, Peters H. Doctors on the move: a qualitative study on the driving factors in a group of Egyptian physicians migrating to Germany. Glob Health. 2019 Jan 7;15(1):2.
Heponiemi T, Hietapakka L, Lehtoaro S, Aalto AM. Foreign-born physicians’ perceptions of discrimination and stress in Finland: a cross-sectional questionnaire study. BMC Health Serv Res. 2018 Jun 7;18(1):418.
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