Scientific Online Resource System

Varna Medical Forum

Migration of health professionals – effects for the participants in the process

Iliyana Georgieva

Abstract

Мigration of health professionals is a growing worldwide phenomenon which presents various challenges a country's health system. In order to find a solution to deal with this phenomenon, it is necessary to study the motives for migration and to know the consequences of it.

The aim оf this article is to systematize the effects of health professionals’ migration, considered in different aspects and sections - for the individual, the sending and receiving country, paying special attention to the consequences for the health system. The methods used include analysis and synthesis of scientific literature and reports of various international and national organizations.

The results of the studies show that the migration of health professionals has both positive and negative effects for the participants in the process. One of the most substantial consequences for the sending countries is the loss of capital in the form of human and financial resources. In the receiving countries, greatest attention is paid to the reduced shortage of health professionals and among the most significant effects for the individual are the professional and financial opportunities they gain in the destination countries. Given the two-way effects of migration, the efforts of many national and international organizations are aimed at developing policies and strategies that offer approaches to overcome the negative consequences and enhance the benefits of the phenomenon.


Keywords

migration; health professionals; consequences of migration; reasons for migration

Full Text


References

Afzal S, Masroor I, & Shafqat G. 2012. Migration of health workers: a challenge for health care system. Journal of the College of Physicians and Surgeons-Pakistan: JCPSP, 2012; 22(9): 586–587.

Awases G et al. Migration of Health Professionals in Six Countries: A Synthesis Report. World Health Organization Regional Office for Africa, 2004. [cited 2020 Sept 07]. Available from http://www.afro.who.int/dsd/migration6countriesfinal.pdf.

Bach S. International Migration of Health Workers: Labour and Social Issues. Sectoral Activities Programme Working Paper. Geneva: International Labour Office, 2003.

Brock, G. Is Active Recruitment of Health Workers Really Not Guilty of Enabling Harm or Facilitating Wrongdoing? Journal of Medical Ethics, 2013; 39 (10): 612-614. doi: 10.2307/43282844.

Brush BL, Sochalski J and Berger AM. Imported Care: Recruiting foreign nurses to U.S. health care facilities. Health Affairs, 2004; 23(3):78-87. doi: 10.1377/hlthaff.23.3.78.

Bruyneel L, Li B, Aiken L, Lesaffre E, Van den Heede K, Sermeus W. A multi-country perspective on nurses’ tasks below their skill level: reports from domestically trained nurses and foreign-trained nurses from developing countries. In: Buchan J, Wismar M, Glinos IA, Bremner J, editors. Health professional mobility in a changing Europe: new dynamics, mobile individuals and diverse responses. Observatory Studies Series 32.World Health Organization (acting as the host organization for, and secretariat of, the European Observatory on Health Systems and Policies); 2014. p. 251-266.

Buchan J. The Impact of Global Nursing Migration on Health Services Delivery. Policy, Politics &Nursing Practice.7; 2006.

Buchan J, Perfilieva G. Health worker migration in the European Region: country case studies and policy implications. Copenhagen: WHO Regional Office for Europe. 2006. [cited 2020 Sept 07]. Available from: http://www.euro.who.int/document/e88366.pdf.

Buchan J, Dovlo D. International recruitment of health workers to the UK: A report for DFID. Report for DFID. London: DFID Health Systems Resource Centre, 2014.

Castro-Palaganas E, Spitzer DL, Kabamalan MM, Sanchez MC, Caricativo R, Runnels V. Labonté R., et. Al. An examination of the causes, consequences, and policy responses to the migration of highly trained health personnel from the Philippines: the high cost of living/leaving-a mixed method study. Human resources for health, 2017; 15(1), 25. doi: 10.1186/s12960-017-0198-z.

Chikanda A. Nurse migration from Zimbabwe: analysis of recent trends and impacts. Nursing Inquiry. 2005; 12(3):162-174. doi:10.1111/j.1440-1800.2005.00273.x.

Dussault G, Frontiera I, Cabral J. Migration of Health Personnel in the WHO European Region. Copenhagen: World Health Organization. 2009. [cited 2020 Sept 07]. Available from: http://www.euro.who.int/__data/assets/pdf_file/0010/95689/E93039.pdf.

Dwyer J. What's Wrong with the Global Migration of Health Care Professionals?: Individual Rights and International Justice. The Hastings Center Report, 2007; 37 (50): 36-43. doi: 10.1353/hcr.2007.0070.

Glinos IA. Health professional mobility in the European Union: Exploring the equity and efficiency of free movement. Health Policy, 2015; 119 (12): 1529-1536. doi: 10.1016/j.healthpol.2015.08.010.

Hatletin S, Vadean F. Remittances - A Bridge between Migration and Development?, Focus Migration, Policy Brief 5; 2006.

Kline, DS. Push and pull factors in international nurse migration. Journal of Nursing Scholarship, 2003; 35 (2): 107-111.

Kristiansen M, Mygind A, Krasnik, A. Health effects of migration. Danish Medical Bulletin 2007; 54: 46-7.

Lopez-Valcarcel BG, Perez PB, Quintana CDD. Opportunities in an expanding health service: Spain between Latin America and Europe. In: Wismar M, Maier CB, Glinos IA, Dussault G, Figueras J, editors. Health professional mobility and health systems: evidence from 17 European countries. Observatory Studies Series 23. Copenhagen: WHO Regional Office for Europe on behalf of the European Observatory on Health Systems and Policies; 2011; p.263-294.

Mutafova E, Rohova M, Kostadinova T. National Profile of Migration of Bulgarian Health Professionals. Health Economics and Management. 2012; 1 (43): 15-26.

Mwaniki D, Dulo C. Migration of Health Workers in Kenya: The Impact on Health Service Delivery. EQUINET Discussion paper 55, EQUINET, ECSA HC and IOM, Harare 2008. [cited 2020 Sept 07]. Available from: https://equinetafrica.org/sites/default/files/uploads/documents/Diss55KenyaHRMig.pdf.

Robinson R. The costs and benefits of health worker migration from East and Southern Africa (ESA): A literature review; 2007.

Stewart J, Clark D, Clark PF. Migration and Recruitment of Healthcare Professionals: Causes, Consequences and Policy Responses. Policy Brief 7, Focus Migration; 2007.

Stilwell B, Diallo K, Zurn P, Vujicic M, Adams O, Dal Poz M. Migration of health-care workers from developing countries: strategic approaches to its management. Bulletin of the World Health Organization, 2004; 82(8): 595–600. Doi: /s0042-96862004000800009.

United Nations, Department of Economic and Social Affairs, Population Division. International Migration 2019: Report (ST/ESA/SER.A/438). 2019 [cited 2020 Sept 07]. Available from: https://www.un.org/en/development/desa/population/migration/publications/migrationreport/docs/InternationalMigration2019_Report.pdf.

United Nations. Recommendations on Statistics of International Migration, Series M, No 58, Revision 1, 1998. [cited 2020 Sept 07]. Available from: https://unstats.un.org/unsd/publication/seriesm/seriesm_58rev1e.pdf.

Walton-Roberts M, Runnels V, Rajan SI, et al. Causes, consequences, and policy responses to the migration of health workers: key findings from India. Human Resources for Health, 2017; 15(1): 28. doi:10.1186/s12960-017-0199-y.

WHO. Brochure: A dynamic understanding of health worker migration. Findings from the EC-supported Brain Drain to Brain Gain Project (2014-2017).2017. [cited 2020 Sept 07]. Available from: https://www.who.int/hrh/HWF17002_Brochure.pdf?ua=1.

Wiskow, C. Health worker migration flows in Europe: overview and case studies in selected CEE countries - Romania, Czech Republic, Serbia and Croatia, ILO Working Papers 993914163402676, International Labour Organization. 2006. [cited 2020 Sept 07]. Available from: https://www.ilo.org/wcmsp5/groups/public/---ed_dialogue/---sector/documents/publication/wcms_161162.pdf.

Wiskow, C. International migration of health personnel: Challenges and opportunities for North- and West- African countries. CARIM Research Reports 2011/02, Robert Schuman Centre for Advanced Studies, San Domenico di Fiesole (FI):European University Institute, 2011.

Young R. A major destination country: The United Kingdom and its changing recruitment policies. In: Wismar M, Maier CB, Glinos IA, Dussault G, Figueras J, editors. Health professional mobility and health systems: evidence from 17 European countries. Observatory Studies Series 23. Copenhagen: WHO Regional Office for Europe on behalf of the European Observatory on Health Systems and Policies; 2011; p. 295-336.




DOI: http://dx.doi.org/10.14748/vmf.v9i2.7130

Refbacks

Font Size


|