On staying: Non-migration among Puerto Rican physicians

Abstract

Since 2000, an exodus of Puerto Ricans leaving the island has reduced the local population by almost 20 per cent. One of the migratory waves of greatest concern is that of physicians due to its potential impact on Puerto Rico’s (PR) public health. Strategies to curtail their migration have overlooked the island’s unique cultural and geographic strengths that could encourage physicians to stay. This article, influenced by place attachment theory, explores the perspectives of physicians who have chosen to stay in PR. The presented data stems from qualitative interviews with 24 physicians. The findings underscore how place attachment, including an appreciation for PR’s geography and culture, influences their decision to stay. We discuss how it is crucial to integrate place attachment into any comprehensive strategy to retain physicians on the island, as it becomes an intrinsic part of their identities and lifestyles. Thus, emphasis should be placed on the environmental and social benefits of remaining in PR, not solely economic factors.