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Too poor to leave, too rich to stay: Developmental and global health correlates of physician migration to the United States, Canada, Australia, and the United Kingdom

Author

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  • Arah, O.A.
  • Ogbu, U.C.
  • Okeke, C.E.

Abstract

Objectives. We analyzed the relationship between physician migration from developing source countries to more developed host countries (brain drain) and the developmental and global health profiles of source countries. Methods. We used a cross-section of 141 countries that lost emigrating physicians to the 4 major destinations: the United States, Canada, Australia, and the United Kingdom. For each source country, we defined physician migration density as the number of migrant physicians per 1000 population practicing in any of the 4 major destination countries. Results. Source countries with better human resources for health, more economic and developmental progress, and better health status appear to lose proportionately more physicians than the more disadvantaged countries. Higher physician migration density is associated with higher current physician (r=0.42, P

Suggested Citation

  • Arah, O.A. & Ogbu, U.C. & Okeke, C.E., 2008. "Too poor to leave, too rich to stay: Developmental and global health correlates of physician migration to the United States, Canada, Australia, and the United Kingdom," American Journal of Public Health, American Public Health Association, vol. 98(1), pages 148-154.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2006.095844_1
    DOI: 10.2105/AJPH.2006.095844
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    Cited by:

    1. Adebusola Adebayo & Oluwaseun Oladapo Akinyemi, 2022. "“What Are You Really Doing in This Country?”: Emigration Intentions of Nigerian Doctors and Their Policy Implications for Human Resource for Health Management," Journal of International Migration and Integration, Springer, vol. 23(3), pages 1377-1396, September.
    2. Evgenia Anastasiou & Georgia Anagnostou & George Theodossiou & Vasileios Papamargaritis, 2020. "Physicians' Brain Drain: Investigating the Determinants to Emigrate Through Empirical Evidence," International Journal of Business and Economic Sciences Applied Research (IJBESAR), Democritus University of Thrace (DUTH), Kavala Campus, Greece, vol. 13(2), pages 83-92, September.
    3. Burnham, Gilbert M. & Lafta, Riyadh & Doocy, Shannon, 2009. "Doctors leaving 12 tertiary hospitals in Iraq, 2004-2007," Social Science & Medicine, Elsevier, vol. 69(2), pages 172-177, July.
    4. Mihi-Ramírez Antonio & García Rodríguez Yolanda & Metelski Dominik, 2015. "Economic Factors Concerning The Migration Of The Best Educated Workers. The Case Of College Teachers / Wpływ Czynników Ekonomicznych na Migrację Pracowników z Wysokimi Kwalifikacjami. Przykład Pracown," Comparative Economic Research, Sciendo, vol. 18(4), pages 99-122, December.
    5. Kevin J. A. Thomas, 2016. "Highly Skilled Migration from Africa to the US: Exit Mechanisms, Demographic Determinants, and the Role of Socioeconomic Trends," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 35(6), pages 825-849, December.
    6. Okeke, Edward N., 2013. "Brain drain: Do economic conditions “push” doctors out of developing countries?," Social Science & Medicine, Elsevier, vol. 98(C), pages 169-178.
    7. Kuhlmann, Ellen & Batenburg, Ronald & Groenewegen, Peter P. & Larsen, Christa, 2013. "Bringing a European perspective to the health human resources debate: A scoping study," Health Policy, Elsevier, vol. 110(1), pages 6-13.
    8. Varas-Díaz, Nelson & Rodríguez-Madera, Sheilla & Padilla, Mark & Rivera-Bustelo, Kariela & Mercado-Ríos, Claudia & Rivera-Custodio, Joshua & Matiz-Reyes, Armando & Santiago-Santiago, Adrián & González, 2023. "On leaving: Coloniality and physician migration in Puerto Rico," Social Science & Medicine, Elsevier, vol. 325(C).

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