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Abstract

The debate about the effect of health worker migration on the health systems of developing countries has moved on from an over-simplistic ‘brain drain’ argu- ment to a recognition of a more nuanced and complex picture. Recognition has also been growing that a range of factors must be considered when assessing the effect of health worker migration. These include the rights of individuals to move, the possibility of international mobility providing work for unem- ployed professionals or career development, and the possible financial benefit to source countries of remittances sent home by migrant health professionals. The argument that we need a more ethical or considered approach to interna- tional recruitment that can mitigate any negative effects continues to resonate. Media reports, articles, and online chat rooms continue to spotlight examples of ‘unethical’ recruitment practice, and highlight the impact on low-income countries of losing scarce health professionals through out-migration.

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References

  • Alkire, S. and L. C. Chen (2006) ‘Medical Exceptionalism in International Migration: Should Doctors and Nurses Be Treated Differently?’, in K. Tamas and J. Palme (eds.), Globalizing Migration Regimes (Aldershot: Ashgate), 100–17.

    Google Scholar 

  • Baumann, A., J. Blythe and D. Ross (2010) ‘Internationally Educated Health Professionals: Workplace Integration and Retention’, Healthcare Papers, 10(2), 8–20.

    Article  Google Scholar 

  • Bland Jones, C. (2008) ‘Revisiting Nurse Turnover Costs: Adjusting for Inflation’, Journal of Nursing Administration, 38(1), 11–8.

    Article  Google Scholar 

  • Brown, R. and J. Connell (2004) “The Migration of Doctors and Nurses from South Pacific Island Nations’, Social Science and Medicine, 58(11), 2193–210.

    Article  Google Scholar 

  • Buchan, J. (2011) ‘The Financial Cost of Physician Emigration from Sub-Saharan Africa’, British Medical Journal, 343: d6817.

    Article  Google Scholar 

  • Buchan, J. and J. Campbell (2013) ‘Challenges Posed by the Global Crisis in the Health Workforce: No Workforce, No Health’, British Medical Journal, 347, f6201.

    Article  Google Scholar 

  • Buchan J., B. McPake, K. Mensah and G. Rae (2009) ‘Does a Code Make a Difference-Assessing the English Code of Practice on International Recruitment’, Human Resources for Health, 7:33.

    Article  Google Scholar 

  • Buchan, J., F. O’May and G. Dussault (2013) ‘Nursing Workforce Policy and the Economic Crisis: A Global Overview’, Journal of Nursing Scholarship, 45(3), 298–307.

    Google Scholar 

  • Buchan, J., T. Parkin and J. Sochalski (2003) International Nurse Mobility: Trends and Policy Implications (Geneva: WHO/International Council of Nurses).

    Google Scholar 

  • Buchan, J. and G. Perfilieva (2006) Health Worker Migration in the European Region: Country Case Studies and Policy Implications (Copenhagen: WHO Regional Office for Europe).

    Google Scholar 

  • Buchan, J., M. Wismar, I. A. Glinos and J. Bremner (eds.) (2014) Health Professional Mobility in a Changing Europe. New Dynamics, Mobile Individuals and Diverse Responses (Copenhagen: WHO).

    Google Scholar 

  • Bueno de Mesquita, J. and M. Gordon (2005) The International Migration of Health Workers: A Human Rights Analysis, at: http://www.medact.Org/wp-content/uploads/2014/03/l.-health-worker-migration-a-human-rights-analysis.pdf, accessed 12 May 2014.

  • Commonwealth Secretariat (2003) Commonwealth Code of Practice for the International Recruitment of Health Workers (London: Commonwealth Secretariat).

    Google Scholar 

  • DalPoz, M. R., N. Gupta, E. Quain and A. Soucat (eds.) (2009) Handbook on Monitoring and Evaluation of Human Resources for Health with Special Applications for Low-and Middle-income Countries, WHO/World Bank/USAID (Geneva: WHO).

    Google Scholar 

  • Dhillon, I. S., M. E. Clark and R. H. Kapp (2010) Innovations in Cooperation: A Guidebook on Bilateral Agreements to Address Health Worker Migration, at: http://www.aspeninstitute.org/sites/default/files/content/docs/pubs/Bilateral%20Report_final%20code.pdf, accessed 12 May 2014.

  • Diallo, K. (2004) ‘Data on the Migration of Health-care Workers: Sources, Uses, and Challenges’, Bulletin of the World Health Organization, 82(8), 601–7.

    Google Scholar 

  • Dumont, J. and P. Zurn (2007) Immigrant Health Workers in OECD Countries in the Broader Context of Highly Skilled Migration, SOPEMI 2007 edition (Paris: OECD).

    Google Scholar 

  • European Commission (2012) Commission Staff Working Document on an Action Plan for the EU Health Workforce (Strasbourg: EC).

    Google Scholar 

  • Glinos, I. A., J. Buchan and M. Wismar (2014) ‘Health Professional Mobility in a Changing Europe: Lessons and Findings’, in J. Buchan, M. Wismar, I. A. Glinos and J. Bremner (eds.), Health Professional Mobility in a Changing Europe. New Dynamics, Mobile Individuals and Diverse Responses (Copenhagen: WHO), 17–32.

    Google Scholar 

  • Kawi, J. and Y. Xu (2009) ‘Facilitators and Barriers to Adjustment of International Nurses: An Integrative Review’, International Nursing Review, 56(2), 174–83.

    Article  Google Scholar 

  • Mcintosh, T., R. Torgerson and N. Klassen (2007) The Ethical Recruitment of Internationally Educated Health Professionals: Lessons from Abroad and Options for Canada, at: www.cpm.org/documents/4 6 78 l_en.pdf, accessed 3 April 2014.

  • Mills, E. J., S. Kanters, A. Hagopian, N. Bansback, J. Nachega, M. Alberton, C. G. Au-Yeung and A. Mtambo (2011) ‘The Financial Cost of Doctors Emigrating from Sub-Saharan Africa: Human Capital Analysis’, British Medical journal, 343: d7031.

    Article  Google Scholar 

  • Newton, S., J. Pillay and G. Gigginbottom (2012) ‘The Migration and Transitioning Experiences of Internationally Educated Nurses: A Global Perspective’, Journal of Nursing Management, 20(4), 534–50.

    Article  Google Scholar 

  • Nguyen, L., S. Ropers, E. Nderitu, A. Zuyderduin, S. Luboga and A. Hagopian (2008) ‘Intent to Migrate among Nursing Students in Uganda: Measures of the Brain Drain in the Next Generation of Health Professionals’, Human Resources for Health, 6, 5.

    Google Scholar 

  • OECD (2010) International Migration of Health Workers, Policy brief, February (Paris: OECD).

    Google Scholar 

  • Packer, C, R. Labonté and D. Spitzer (2007) WHO Commission on Social Determinants of Health: Globalization and Health Worker Crisis, Globalization and Health Knowledge Network, Research papers, at: http://www.globalhealthequity.ca/electronic% 201ibrary/Globalization%20and%20Health%20Worker%20Crisis.pdf, accessed 3 April 2014.

  • Plotnikova, E. (2014) ‘Bilateral Agreements in Regulation of Health Worker Migration’, in J. Buchan, M. Wismar, I. A. Glinos and J. Bremner (eds.), Health Professional Mobility in a C h a nging Eu rop e (C openha gen: WHO), 325–44.

    Google Scholar 

  • Robinson, R. (2007) The Costs and Benefits of Health Worker Migration from East and Southern Africa (ESA): A Literature Review, at: www.equinetafrica.org/bibl/docs/DIS49HRrobinson. pdf, accessed 3 April 2014.

  • Salmon, M. E., J. Yan, H. Hewitt and V. Guisinger (2007) ‘Managed Migration: The Caribbean Approach to Addressing Nursing Services Capacity’, Health Services Research, 42 (3 Pt. 2), 1354–72.

    Article  Google Scholar 

  • Stilwell, B., K. Diallo, P. Zum, M. Dal Poz, O. Adams and J. Buchan (2003) ‘Developing Evidence-based Ethical Policies on the Migration of Health Workers: Conceptual and Practical Challenges’, Human Resources for Health, 1: 8.

    Google Scholar 

  • Vujicic, M., P. Zum, K. Diallo, O. Adams and M. Dal Poz (2004) “The Role of Wages in the Migration of Healthcare Professionals from Developing Countries’, Human Resources for Health, 2: 3.

    Article  Google Scholar 

  • WHO (2010a) WHO Global Code of Practice on the International Recruitment of Health Personnel (Geneva: WHO).

    Google Scholar 

  • WHO (2010b) The WHO Global Code of Practice on the International Recruitment of Health Personnel: Implementation by the Secretariat (Geneva: WHO).

    Google Scholar 

  • WHO (2010c) Global Policy Recommendations on Increasing Access to Health Workers in Remote and Rural Areas through Improved Retention (Geneva: WHO).

    Google Scholar 

  • Wismar, M., C. B. Maier, I. A. Glinos, G. Dussault and J. Figueras (eds.) (2011) Health Professional Mobility and Health Systems: Evidence from 17 European Countries (Copenhagen: WHO, on behalf of the European Observatory on Health Systems and Policies).

    Google Scholar 

  • World Bank (2009) The Nurse Labor and Education Markets in the English-Speaking CARICOM: Issues and Options for Reform, June 2009: Report no. 48988-LAC (Washington, DC: World Bank).

    Google Scholar 

  • Zander, B., M. Blümel and R. Busse (2013) ‘Nurse Migration in Europe — Can Expectations Really Be Met? Combining Qualitative and Quantitative Data from Germany and Eight of Its Destination and Source Countries’, International Journal of Nursing Studies, 50(2), 210–8.

    Article  Google Scholar 

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© 2015 James Buchan

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Buchan, J. (2015). Health Worker Migration in Context. In: Kuhlmann, E., Blank, R.H., Bourgeault, I.L., Wendt, C. (eds) The Palgrave International Handbook of Healthcare Policy and Governance. Palgrave Macmillan, London. https://doi.org/10.1057/9781137384935_21

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