Foreign advertisements for doctors in the SAMJ 2006 - 2010

Dambisya, Yoswa M.; Mamabolo, Malema Hendricca

doi:10.7196/samj.5803

Cited by 2 publications

(2 citation statements)

References 16 publications

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“…Several important steps need to be taken to minimize any compromise of either principle. Some authors make a distinction between active and passive recruitment, where the former can include recruiting elements such as advertisements and information sessions encouraging and promoting migration [ 10 , 36 ]. Such active practices are often discouraged [ 36 , 40 , 41 ].…”

Section: Discussionmentioning

confidence: 99%

“…South Africa has previously been described as an exporter of well-trained physicians to high-income countries [4,6,10,11], but while physicians from South Africa indeed migrate to high-income countries, South Africa also acts as a recipient of trainees and specialists from sub-Saharan countries [10,[12][13][14][15][16]. Consequently, South Africa has been described as an African hub of physician migration [4,[17][18][19].…”

Section: Introductionmentioning

confidence: 99%

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South Africa and the Surgical Diaspora—A Hub for Surgical Migration and Training

et al. 2023

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Background The shortage of trained surgeons, anesthesiologists, and obstetricians is a major contributor to the unmet need for surgical care in low- and middle-income countries, and the shortage is aggravated by migration to higher-income countries. Methods We performed a cross-sectional observational study, combining individual-level data of 43,621 physicians from the Health Professions Council of South Africa with data from the registers of 14 high-income countries, and international statistics on surgical workforce, in order to quantify migration to and from South Africa in both absolute and relative terms. Results Of 6670 surgeons, anesthesiologists, and obstetricians in South Africa, a total of 713 (11%) were foreign medical graduates, and 396 (6%) were from a low- or middle-income country. South Africa was an important destination primarily for physicians originating from low-income countries; 2% of all surgeons, anesthesiologists, and obstetricians from low- and middle-income countries were registered in South Africa, and 6% in the other 14 recipient countries. A total of 1295 (16%) South African surgeons, anesthesiologists, and obstetricians worked in any of the 14 studied high-income countries. Conclusion South Africa is an important regional hub for surgical migration and training. A notable proportion of surgical specialists in South Africa were medical graduates from other low- or middle-income countries, whereas migration out of South Africa to high-income countries was even larger.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

South Africa and the Surgical Diaspora—A Hub for Surgical Migration and Training

et al. 2023

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South African physician emigration and return migration, 1991–2017: a trend analysis

Nwadiuko

Switzer

Stern

et al. 2021

Health Policy and Planning

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Although critical for understanding health labour market trends in low- and middle-income countries (LMICs), longitudinal LMIC health worker emigration and return migration trends are not routinely documented. This article seeks to better understand SA’s trends in physician emigration and return migration and whether economic growth and related policies affect migration patterns. This study used physician registry data to analyse patterns of emigration and return migration only among SA-trained physicians registered to practice in top destination countries such as Australia, Canada, New Zealand, the USA or the UK between 1991 and 2017, which represent the top five emigration destinations for this group. A linear regression model analysed the relationship between migration trends (as dependent variables) and SA’s economic growth, health financing and HIV prevalence (as independent variables). There has been a 6-fold decline in emigration rates from SA between 1991 and 2017 (from 1.8% to 0.3%/year), with declines in emigration to all five destination countries. About one in three (31.8% or 5095) SA physicians returned from destination countries as of 2017. Annual physician emigration fell by 0.16% for every $100 rise in SA GDP per capita (2011 international dollars) (95% confidence interval −0.60% to −0.086%). As of 2017, 21.6% (11 224) of all SA physicians had active registration in destination nations, down from a peak of 33.5% (16 366) in 2005, a decline largely due to return migration. Changes to the UK’s licensing regulations likely affected migration patterns while the Global Code of Practice on International Recruitment contributed little to changes. A country’s economic growth might influence physician emigration, with significant contribution from health workforce policy interventions. Return migration monitoring should be incorporated into health workforce planning.

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Foreign advertisements for doctors in the SAMJ 2006 - 2010

Cited by 2 publications

References 16 publications

South Africa and the Surgical Diaspora—A Hub for Surgical Migration and Training

South Africa and the Surgical Diaspora—A Hub for Surgical Migration and Training

South African physician emigration and return migration, 1991–2017: a trend analysis

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