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Out-migration and attrition of physicians and dentists before and after EU accession (2003 and 2011). The case of Hungary

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  • Júlia Varga

    (Institute of Economics - Centre for Economic and Regional Studies, Hungarian Academy of Sciences)

Abstract

This paper employs a large-scale, individual-level, panel dataset to analyse the effect of EU accession on the probability of out-migration on the part of Hungarian physicians and dentists between 2003 and 2011. The study uses event history modelling and competing risk models. The results show that EU accession did not at the time affect the probability of the out-migration on the part of Hungarian medical doctors, while after the end of the transitional period of restrictions on the free movement of labour from the new EU member states to Austria and Germany (May 2011), the probability of doctors’ migration increased considerably, as it did (for other reasons) starting in the spring of 2010. We also found that more than half of those medical doctors who left the country during the observation period returned sometime later. Results also show that in Hungary, in addition to migration, the attrition of doctors’ numbers is also a severe problem. It seems that shortages of healthcare professionals are not only due to high outward migration but may also be attributed to other problems in the Hungarian health system. Nevertheless, outward migration plays an important and growing role in the phenomenon.

Suggested Citation

  • Júlia Varga, 2016. "Out-migration and attrition of physicians and dentists before and after EU accession (2003 and 2011). The case of Hungary," Budapest Working Papers on the Labour Market 1604, Institute of Economics, Centre for Economic and Regional Studies.
    • Handle: RePEc:has:bworkp:1604
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    References listed on IDEAS

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    1. Karoly Fazekas & Janos Kollo (ed.), 2009. "The Hungarian Labour Market 2009," The Hungarian Labour Market Yearbooks, Institute of Economics, Centre for Economic and Regional Studies, number 2009, December.
    2. Ognyanova, Diana & Maier, Claudia B. & Wismar, Matthias & Girasek, Edmond & Busse, Reinhard, 2012. "Mobility of health professionals pre and post 2004 and 2007 EU enlargements: Evidence from the EU project PROMeTHEUS," Health Policy, Elsevier, vol. 108(2), pages 122-132.
    3. Karoly Fazekas & Lászlo Neumann (ed.), 2014. "The Hungarian Labour Market 2014," The Hungarian Labour Market Yearbooks, Institute of Economics, Centre for Economic and Regional Studies, number 2014, December.
    4. Karoly Fazekas & Gabor Kezdi (ed.), 2007. "The Hungarian Labour Market 2007," The Hungarian Labour Market Yearbooks, Institute of Economics, Centre for Economic and Regional Studies, number 2007, December.
    5. Sorenson, Corinna & Drummond, Michael & Bhuiyan Kahn, Beena, 2013. "Medical technology as a key driver of rising health expenditures: disentangling the relationship," LSE Research Online Documents on Economics 48043, London School of Economics and Political Science, LSE Library.
    6. Glinos, Irene A., 2015. "Health professional mobility in the European Union: Exploring the equity and efficiency of free movement," Health Policy, Elsevier, vol. 119(12), pages 1529-1536.
    7. Bidwell, Posy & Humphries, Niamh & Dicker, Patrick & Thomas, Steve & Normand, Charles & Brugha, Ruairí, 2013. "The national and international implications of a decade of doctor migration in the Irish context," Health Policy, Elsevier, vol. 110(1), pages 29-38.
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    Citations

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    Cited by:

    1. Iván Major, 2019. "Two-Sided Information Asymmetry in the Healthcare Industry," International Advances in Economic Research, Springer;International Atlantic Economic Society, vol. 25(2), pages 177-193, May.
    2. 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.
    3. Mário Amorim-Lopes & Álvaro Almeida & Bernardo Almada-Lobo, 2019. "Physician Emigration: Should they Stay or Should they Go? A Policy Analysis," Computational Economics, Springer;Society for Computational Economics, vol. 54(3), pages 905-931, October.
    4. Attila Juhász & Csilla Nagy & Orsolya Varga & Klára Boruzs & Mária Csernoch & Zoltán Szabó & Róza Ádány, 2020. "Antithrombotic Preventive Medication Prescription Redemption and Socioeconomic Status in Hungary in 2016: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(18), pages 1-16, September.

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    More about this item

    Keywords

    medical doctors’ migration; competing risk model;

    JEL classification:

    • C41 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods: Special Topics - - - Duration Analysis; Optimal Timing Strategies
    • C55 - Mathematical and Quantitative Methods - - Econometric Modeling - - - Large Data Sets: Modeling and Analysis
    • I10 - Health, Education, and Welfare - - Health - - - General
    • J4 - Labor and Demographic Economics - - Particular Labor Markets
    • J40 - Labor and Demographic Economics - - Particular Labor Markets - - - General
    • J45 - Labor and Demographic Economics - - Particular Labor Markets - - - Public Sector Labor Markets
    • J60 - Labor and Demographic Economics - - Mobility, Unemployment, Vacancies, and Immigrant Workers - - - General
    • J61 - Labor and Demographic Economics - - Mobility, Unemployment, Vacancies, and Immigrant Workers - - - Geographic Labor Mobility; Immigrant Workers

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