Physician migration: Views from professionals in Colombia, Nigeria, India, Pakistan and the Philippines

Astor, Avraham; Akhtar, Tasleem; Matallana, María Alexandra; Muthuswamy, Vasantha; Olowu, Folarin; Tallo, Veronica; Lie, Reidar K.

doi:10.1016/j.socscimed.2005.05.003

Cited by 152 publications

(134 citation statements)

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“…Some local positions are not filled because international lending bodies imposed rules against recruitment for the public sector. Western recruiting agencies employ dubious practices to lure physicians away (Ahmad, 2005;Astor et al, 2005;Editor, 2008).…”

Section: Introductionmentioning

confidence: 99%

“…This may explain the failure of even doubling salaries in some countries to improve retention (Vujicic et al, 2004). It will also have to compete with other perceived attractions of life in the West that motivate migration, such as research facilities (Astor et al, 2005;WHO, 2006) and quality education for one's children (Pang et al, 2002). Unfortunately, offering competing attractions will remain utopian in many currently poor settings for many decades.…”

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confidence: 99%

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Physician Brain Drain: Can Nothing Be Done?

Eyal

Hurst

2008

Public Health Ethics

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Section: Introductionmentioning

confidence: 99%

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confidence: 99%

Physician Brain Drain: Can Nothing Be Done?

Eyal

Hurst

2008

Public Health Ethics

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“…A number of studies address the "push and pull" factors that motivate health professionals to migrate (Rutten, 2009b, andBloom, 2011, provide an extensive catalogue of studies; Astor, 2005, provides an extensive opinion survey). One particularly interesting observation by Vujicic et al (2004) is that the gap in earnings between source and destination countries is so enormous that no plausible increase in source country wages will have an effect on emigration rates.…”

Section: Push and Pull Factors And "Beneficial" Migrationmentioning

confidence: 99%

The international migration of health professionals

Grignon¹,

Owusu²,

Sweetman³

2013

International Handbook on the Economics of Migration

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Standard-Nutzungsbedingungen:Die Dokumente auf EconStor dürfen zu eigenen wissenschaftlichen Zwecken und zum Privatgebrauch gespeichert und kopiert werden.Sie dürfen die Dokumente nicht für öffentliche oder kommerzielle Zwecke vervielfältigen, öffentlich ausstellen, öffentlich zugänglich machen, vertreiben oder anderweitig nutzen.Sofern die Verfasser die Dokumente unter Open-Content-Lizenzen (insbesondere CC-Lizenzen) zur Verfügung gestellt haben sollten, gelten abweichend von diesen Nutzungsbedingungen die in der dort genannten Lizenz gewährten Nutzungsrechte. www.econstor.eu The Institute for the Study of Labor (IZA) in Bonn is a local and virtual international research center and a place of communication between science, politics and business. IZA is an independent nonprofit organization supported by Deutsche Post Foundation. The center is associated with the University of Bonn and offers a stimulating research environment through its international network, workshops and conferences, data service, project support, research visits and doctoral program. IZA engages in (i) original and internationally competitive research in all fields of labor economics, (ii) development of policy concepts, and (iii) dissemination of research results and concepts to the interested public. Terms of use: Documents in D I S C U S S I O N P A P E R S E R I E SIZA Discussion Papers often represent preliminary work and are circulated to encourage discussion. Citation of such a paper should account for its provisional character. A revised version may be available directly from the author.IZA Discussion Paper No. 6517 April 2012 ABSTRACTThe International Migration of Health Professionals * Health workforce shortages in developed countries are perceived to be central drivers of health professionals' international migration, one ramification being negative impacts on developing nations' healthcare delivery. After a descriptive international overview, selected economic issues are discussed for developed and developing countries. Health labour markets' unique characteristics imply great complexity in developed economies involving government intervention, licensure, regulation, and (quasi-)union activity. These features affect migrants' decisions, economic integration, and impacts on the receiving nations' health workforce and society. Developing countries sometimes educate citizens in expectation of emigration, while others pursue international treaties in attempts to manage migrant flows.JEL Classification: J61, I15, I18

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“…El ingreso económico del médico es un factor importante que se debe considerar en las políticas de salud pública, pues los bajos ingresos están asociados a desenlaces negativos, como una menor satisfacción laboral, realizar mayores jornadas laborales (1) , realizar doble práctica laboral (2,3) , incrementar la intensidad de los servicios prestados, invertir menor tiempo por paciente (4) , renunciar al trabajo, y migrar (5) .…”

Section: Introductionunclassified

Ingresos económicos en médicos peruanos según especialidad: Un análisis transversal de la ENSUSALUD 2015

Taype-Rondán

Torres-Román

Herrera-Añazco

et al. 2017

Rev Peru Med Exp Salud Publica

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RESUMENObjetivos. Evaluar la asociación entre tener una especialidad médica y el ingreso económico mensual en médicos peruanos, y comparar los ingresos económicos entre áreas con mayor y menor densidad de médicos en Perú. Materiales y métodos. Se analizaron los datos de la Encuesta Nacional de Satisfacción de Usuarios de Salud realizada en Perú el año 2015. Esta encuesta con nivel de inferencia nacional fue realizada a médicos que laboran en establecimientos de salud de Perú. Se evaluó el ingreso económico considerando todas las actividades remuneradas del médico. Se calcularon las razones de prevalencia crudas y ajustadas (RP y RPa) y sus intervalos de confianza al 95% (IC95%) mediante regresiones de Poisson con varianza robusta, tomando en cuenta el muestreo complejo de la encuesta. Resultados. De 2219 médicos encuestados, se analizaron 2154 (97,0%) observaciones. La frecuencia de ganar >S/ 5000 (1572,3 USD) mensuales fue de 29,1% en médicos generales; 65,6% en especialistas; 63,0% en especialidades clínicas; 70,5% en especialidades quirúrgicas, y 55,7% en otras especialidades. En comparación a los médicos generales, los médicos con especialidades clínicas, quirúrgicas, y otras especialidades, tuvieron más probabilidades de ganar >S/ 5000 mensuales (RPa = 1,44, 1,49, y 1,26, respectivamente). La probabilidad de ganar >S/ 5000 fue mayor en quienes laboraban en departamentos con baja densidad de médicos. Conclusiones. Los ingresos económicos fueron mayores en médicos especialistas que en no especialistas. Los ingresos económicos fueron mayores en departamentos con menor densidad de médicos, lo cual puede animar a que los médicos laboren en dichos departamentos. Palabras clave: Salarios y beneficios; Recursos humanos; Emigración e inmigración (fuente: DeCS BIREME). ECONOMIC INCOME IN PERUVIAN PHYSICIANS ACCORDING TO THE SPECIALTY: A CROSS-SECTIONAL ANALYSIS OF THE ENSUSALUD 2015 ABSTRACTObjectives. To evaluate the relationship between having a medical specialty and the monthly income of Peruvian doctors, and to compare the economic incomes among areas with higher and lower density of medical doctors in Peru. Materials and methods. We analyzed data of the National Satisfaction Survey of Health Users (in Spanish: ENSUSALUD) carried out in Peru in the year 2015. This survey, with a national level of inference, was performed on physicians working at health facilities in Peru. Monthly income was measured considering all paid activities of the physician. Crude and adjusted prevalence ratios (PR and aPR) and their 95% confidence intervals (95% CI) were calculated through Poisson regression models with robust variance, taking into account the complex sampling of the survey. Results. Out of 2 219 Physicians surveyed, 2 154 (97.0%) observations were analyzed. The probability of earning > S/5 000 (1 572.3 USD) per month was 29.1% for general practitioners; 65.6% for specialists; 63.0% for clinical specialists; 70.5% for surgeons, and 55.7% for other specialties. Compared to general practitioners, physicians with clinical, s...

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Physician migration: Views from professionals in Colombia, Nigeria, India, Pakistan and the Philippines

Cited by 152 publications

References 14 publications

Physician Brain Drain: Can Nothing Be Done?

Physician Brain Drain: Can Nothing Be Done?

The international migration of health professionals

Ingresos económicos en médicos peruanos según especialidad: Un análisis transversal de la ENSUSALUD 2015

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