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BMJ 2005;331:235 (23 July), doi:10.1136/bmj.331.7510.235-a
| The first 150 words of the full text of this article appear below. |
EDITORThe political transition in formerly communist countries has affected not only the health of their populations but also their healthcare systems.1 Healthcare reform introduced in Poland in 1999 influenced the organisation of health care, but the working environment of Poland's doctors has not improved. Since Poland's accession to the European Union, many doctors have left the country to look for jobs in west European countries, particularly the United Kingdom and Scandinavia (almost 500 Polish doctors registered in the UK in 2004, 30 times as many as in the previous year).
Why do so many doctors decide to leave their native country after democracy has been won?
Firstly, salaries are low, especially in hospitalsmuch lower than the average salary in public institutions (in a public hospital, doctors typically earn about
300 (£206; $362) per month after tax). This is not enough to live on, so doctors (particularly young ones)
Malgorzata M Bala, PhD student
Jagiellonian University Medical College Institute of Public Health, Grzegorzecka 20, 31-531 Krakow, Poland gosiabala@mp.pl
Wiktoria M Lesniak, assistant
Department of Medicine, Jagiellonian University School of Medicine, Skawinska 8, 31-066 Krakow