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Rebalancing brain drain: Exploring resource reallocation to address health worker migration and promote global health

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  • Mackey, Timothy Ken
  • Liang, Bryan Albert

Abstract

Global public health is threatened by an imbalance in health worker migration from resource-poor countries to developed countries. This “brain drain” results in health workforce shortages, health system weakening, and economic loss and waste, threatening the well-being of vulnerable populations and effectiveness of global health interventions. Current structural imbalances in resource allocation and global incentive structures have resulted in 57 countries identified by WHO as having a “critical shortage” of health workers. Yet current efforts to strengthen domestic health systems have fallen short in addressing this issue. Instead, global solutions should focus on sustainable forms of equitable resource sharing. This can be accomplished by adoption of mandatory global resource and staff-sharing programs in conjunction with implementation of state-based health services corps.

Suggested Citation

  • Mackey, Timothy Ken & Liang, Bryan Albert, 2012. "Rebalancing brain drain: Exploring resource reallocation to address health worker migration and promote global health," Health Policy, Elsevier, vol. 107(1), pages 66-73.
    • Handle: RePEc:eee:hepoli:v:107:y:2012:i:1:p:66-73
    DOI: 10.1016/j.healthpol.2012.04.006
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    References listed on IDEAS

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    1. Pfeiffer, J. & Johnson, W. & Fort, M. & Shakow, A. & Hagopian, A. & Gloyd, S. & Gimbel-Sherr, K., 2008. "Strengthening health systems in poor countries: A code of conduct for nongovernmental organizations," American Journal of Public Health, American Public Health Association, vol. 98(12), pages 2134-2140.
    2. Harley Feldbaum & Joshua Michaud, 2010. "Health Diplomacy and the Enduring Relevance of Foreign Policy Interests," PLOS Medicine, Public Library of Science, vol. 7(4), pages 1-6, April.
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    2. Goštautaitė, Bernadeta & Bučiūnienė, Ilona & Milašauskienė, Žemyna & Bareikis, Karolis & Bertašiūtė, Eglė & Mikelionienė, Gabija, 2018. "Migration intentions of Lithuanian physicians, nurses, residents and medical students," Health Policy, Elsevier, vol. 122(10), pages 1126-1131.
    3. Prescott, Megan & Nichter, Mark, 2014. "Transnational nurse migration: Future directions for medical anthropological research," Social Science & Medicine, Elsevier, vol. 107(C), pages 113-123.
    4. Connell, John, 2014. "The two cultures of health worker migration: A Pacific perspective," Social Science & Medicine, Elsevier, vol. 116(C), pages 73-81.
    5. Anabelle Wong & Kevin K. C. Hung & Mzwandile Mabhala & Justin W. Tenney & Colin A. Graham, 2021. "Filling the Gaps in the Pharmacy Workforce in Post-Conflict Areas: Experience from Four Countries in Sub-Saharan Africa," IJERPH, MDPI, vol. 18(15), pages 1-15, July.
    6. Frenzel, Helen. & Weber, Tina, 2014. "Circular migration of health-care professionals : what do employers in Europe think of it?," ILO Working Papers 994860923402676, International Labour Organization.
    7. Ferreira, Pedro L. & Raposo, Vitor & Tavares, Aida Isabel & Correia, Tiago, 2020. "Drivers for emigration among healthcare professionals: Testing an analytical model in a primary healthcare setting," Health Policy, Elsevier, vol. 124(7), pages 751-757.
    8. Ifanti, Amalia A. & Argyriou, Andreas A. & Kalofonou, Foteini H. & Kalofonos, Haralabos P., 2014. "Physicians’ brain drain in Greece: A perspective on the reasons why and how to address it," Health Policy, Elsevier, vol. 117(2), pages 210-215.

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