The migration of health care workers is a longstanding process which causes shortages in the sending countries. The Eastern enlargements of the European Union strengthened the East-West migration flows causing serious political controversies and jeopardising medical services. Hungary is also heavily affected by these processes and in the last 10 years; thousands of doctors and nurses left the country. Managing migration processes requires complex policy answers with the involvement of actors from various spatial scales -but most of the studies on medical migration from Hungary focuses on the national scale. To fill this research gap, this study aims to analyse local political responses to the outmigration through the content analysis health care development documents to reveal the role of local scale. On local scale individual needs and preferences, emotional factors can influence the decision on staying or moving. Therefore, local policies, which take local features into account and apply place-based approach, can be useful elements of (re)migration policies in the case of health care workers, too.

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K e y w o r d s: small villages, Hungary, depopulated settlements, regional differences, urbanization, functionality loss A B S T R A C TIn the Hungarian settlement geography we use the term 'small village' for the villages with less than 500 inhabitants [1], [2], [3], [4]. In Hungary one third Centre for Research on Settlements and Urbanism Journal of Settlements and Spatial PlanningJ o u r n a l h o m e p a g e: http://jssp.reviste.ubbcluj.ro Urbanization trends in Hungary have been similar during the last decades to those of other Central and Eastern European countries. After 40-50 years of mass-urbanization the phase of suburbanization started. We could see out-migration from villages, especially from small ones. Because of this large-scale out-migration the residual population of these villages became older, so we can see that outmigration and natural decrease are parallel nowadays. In some cases the population decline of these small villages became critical; the population of more than 40 villages in Hungary is less than 25, according to the census of 2011. Because of the changing administrative structure, we can see those villages which were independent administrative units by the 1910 Hungarian Census irrespectively of these villages are administrative units (some of the Hungarian small villages) or not (the other part of Hungarian villages) nowadays. The area of investigation is Hungary. We could have a look at the ways and the types of decline by the reason of underpopulation, by clusters of population change and by size of these settlements. Most of the villages had steep decline of population during the last century, but in some of them we could see that the trends are changing. Because of the natural increase and the new functions (eco-village, tourism, suburbanization, counter-urbanization), the population is stable or increasing now. By the clusters of these villages we could create clear types of small villages and their geographic distribution is also understandable.