The migration of health professionals is a growing worldwide phenomenon which poses a number of challenges to countries. Therefore, in order to find appropriate solutions for health systems, more research that pays attention to the effects of migration and their polar characteristics is being carried out. Recently, it has been suggested that circular migration is one of the most suitable instruments to increase the positive and limit the negative consequences of migration.
The aim of the present study is to analyze circular migration as a new instrument that has the potential to help overcome the challenges that migration poses to countries‘ health systems. The methods used include analysis and synthesis of scientific literature and reports of various international and national organizations.
The results of a number of studies show that there isn’t a unified definition of circular migration and the proposed ones at an academic and political level vary in nature. The similarities among them are in the explanation of the circular migration as a temporary and repeating movement of people between two countries, and the differences come from the established duration of stay in the host and sending countries and the legal form it takes. There are different reasons that lead to the development of this phenomenon among health professionals, and it is considered that personal motives have the strongest influence on the decision of individuals. Given the dynamic pace at which circular migration is developing, international organizations recommend that countries improve the data collection on circular migration of health professionals, which can serve as an evidence base for policy-making in this area.
Agunias DR, Newland K. Circular Migration and Development: Trends, Policy Routes and Ways Forward. Washington, DC: Migration Policy Institute. 2007.
Biondo A. What’s up after brain drain? Sometimes, somewhere, someone comes back: a general model of return migration. International Review of Economics, Springer; Happiness Economics and Interpersonal Relations (HEIRS). 2012; 59(3): 269-284.
Constant AF, Nottmeyer O, Zimmermann KF. The Economics of Circular Migration. IZA Discussion Paper Series 6940. The Institute Labour Economics (IZA).2012. [cited 2021 feb 20]. Available from: https://www.econstor.eu/bitstream/10419/67308/1/728401940.pdf
Council of the European Union.Press release No. 15966/07, 2838th Council meeting, Justice and Home Affairs, 6-7 December. 2007.
Djajic S, Milbourne R. A general equilibrium model of guest-worker migration: The sourcecountry perspective. Journal of International Economics. 1988; 25(3-4): 335-51. doi: https://doi.org/10.1016/0022-1996(88)90059-1.
Dussault G, Frontiera I, Cabral J. Migration of Health Personnel in the WHO European Region. Copenhagen: World Health Organization. 2009. [cited 2021 feb 20]. Available from: http://www.euro.who.int/__ data/assets/pdf_file/0010/95689/E93039.pdf.
Dustmann C, Fadlon I, Weiss Y. Return migration, human capital accumulation and the brain drain. Journal of Development Economics. 2011; 95(1): 58-67.
Dustmann C. Return migration, wage differentials and the optimal migration duration. European Economic Review. 2003; 47(2): 353–69.
European Migration Network (EMN). Temporary and circular migration: empirical evidence, current policy practice and future options in EU Member States. 2011 [cited 2021 feb 20]. Available from: https://www.refworld.org/docid/4ece317e2.html.
Fargues P. Circular migration: Is it relevant for the south and east of the Mediterranean? CARIM Analytic and Synthetic Notes 2008/40, Robert Schuman Centre for Advanced Studies, San Domenico di Fiesole (FI): European University Institute. 2008. [cited 2021 feb 20] Available from: http://www.eui.eu/Personal/fargues/Documents/CARIM_AS&N_2008_40.pdf .
Frenzel H, Weber T. Circular migration of healthcare professionals: what do employers think. ILO Working Papers 994860923402676. International Labour Organization. 2014. [cited 2021 feb 20]. Available from: https://www.ilo.org/wcmsp5/groups/public/---asia/---ro-bangkok/---ilomanila/documents/publication/wcms_335060.pdf.
Global Forum on Migration and Development. Workshop on Creating Development Benefits through Circular Migration. 2008. [cited 2021 feb 20]. Available from: https://www.gfmd.org/files/documents/gfmd_manila08_contribution_to_rt2-1_workshop_mauritius_2008_en.pdf .
Hill JK. Immigrant decisions concerning duration of stay and migratory frequency. Journal of Development Economics. 1987; 25(1): 221-34.doi: 10.1016/0304-3878(87)90082-4.
Hugo G. Circular migration: Keeping development rolling?.2003. Migration Policy Institute. [cited 2021 feb 20]. Available from: https://www.migrationpolicy.org/article/circular-migration-keeping-development-rolling.
Hugo G. What we know about circular migration and enhanced mobility. Policy Brief No 7.Migration Policy Institute. 2013. [cited 2021 feb 20]. Available from: https://www.migrationpolicy.org/sites/default/files/publications/Circular-Migration.pdf .
IOM. Glossary on Migration. No 25. 2011. [cited 2021 feb 20]. Available from: https://www.corteidh.or.cr/sitios/observaciones/11/anexo5.pdf
Justice and Home Affairs. Council Conclusions of December 6–7, 2007, Doc No 15966/07 (Presse 275). 2007. [cited 2021 feb 20]. Availbale from: https://db.eurocrim.org/db/en/doc/1258.pdf
Kingma M. Nurses on the move: a global overview. Health services research. 2007; 42(3 Pt 2), 1281–1298. doi: https://doi.org/10.1111/j.1475-6773.2007.00711.x.
Mekur Sh, Policy responses facilitating mobility or mitigating its negative effects: national, EU and international instruments. 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. 301-324.
Meyer, Jean-Baptiste, David E. Kaplan, and Jorge Charum. 2001. Scientific Nomadism and the New Geopolitics of Knowledge. International Social Science Journal 53 (168):309-321.
Money J, Lin TK.Circular Migration of Health Professionals: Integration in the Host Countries. International Labour Organisation. Policy Brief 2. 2014.
Newland K. Circular Migration and Human Development. Human Development Research Papers, HDRP-2009-42. Human Development Report Office (HDRO), United Nations Development Programme (UNDP). 2009.
OECD. Recent Trends in International Migration of Doctors, Nurses and Medical Students. OECD Publishing, Paris. 2019. doi: https://doi.org/10.1787/5571ef48-en.
Piore MJ. Birds of Passage: Migrant Labor in Industrial Societies. Cambridge: Cambridge University Press. 1979.
Sandu D. Emerging transnational migration from Romanian villages.Current Sociology. 2005; 53(4): 555-582.
Stark O. The Migration of Labor. Cambridge: Basil Blackwell.1991
Stewart J, Clark D, Clark PF. Migration and Recruitment of Healthcare Professionals: Causes, Consequences and Policy Responses. Policy Brief 7, Focus Migration; 2007.
Tijera A, Sheps M, Tucci E, Krasteva V, Novkovska B, Tønnessen M et. al. Defining and Measuring Circular Migration. 2016. doi: https://doi.org/10.18356/d11c3de5-en.
Triandafyllidou A. Towards a better understanding of circular migration. METOIKOS project. Concept paper. Robert Schuman Centre for Advanced Studies. European University Institute. 2010. [cited 2021 feb 20]. Available form: http://hdl.handle.net/1814/19716.
Vadean FP, Piracha M. Circular migration or permanent return: what determines different forms of migration?. IZA Discussion Papers 4287. Institute of Labor Economics (IZA). 2009.
Vertovec S. Circular migration: The way forward in global policy? Canadian Diversity. 2008; 6(3): 36–40.
Wickramasekara P. Circular Migration: A Triple Win or a Dead End. Global Union Research Network Discussion Paper No. 15. 2011. doi: http://dx.doi.org/10.2139/ssrn.1834762.
World Health Organization. WHO Global Code of Practice on the International Recruitment of Health Personnel. Geneva: WHO; 2010. [cited 2021 feb 20] Available from: http://www.who.int/hrh/migration/code/WHO_global_code_of_practice_EN.pdf
Съобщение на Комисията до Съвета, Европейския парламент, Европейския икономически и социалентакомитет и Комитета на регионите относно циркулярната миграция и партньорствата за мобилност между Европейския съюз и трети държави. COM (2007) 248. 2007. Достъпно на: https://eur-lex.europa.eu/legal-content/BG/TXT/PDF/?uri=CELEX:52007DC0248&from=BG .
