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The Shortage of Medical Workers in Sub-Saharan Africa and Substitution Policy

Author

Listed:
  • Arnaud Bourgain
  • Patrice Pieretti
  • Benteng Zou

    (CREA, University of Luxembourg)

Abstract

Substitution policies are strategies sometimes chosen in Sub-Saharan Africa for curtailing the shortage of health professionals especially caused by the outflow of medical personnel. The aim of our contribution is to propose a way to assess the merits and drawbacks of substitution policies by developing a simple growth model of healthcare productivity with medical brain drain. Within this framework, we use a medical care production function of the CES type which aggregates low and high specialized health workers. We then run simulations which compare scenarios with and without substitution strategies by using data from the Ghana’s medical sector.

Suggested Citation

  • Arnaud Bourgain & Patrice Pieretti & Benteng Zou, 2008. "The Shortage of Medical Workers in Sub-Saharan Africa and Substitution Policy," DEM Discussion Paper Series 08-13, Department of Economics at the University of Luxembourg.
    • Handle: RePEc:luc:wpaper:08-13
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    References listed on IDEAS

    as
    1. Stark, Oded & Helmenstein, Christian & Prskawetz, Alexia, 1997. "A brain gain with a brain drain," Economics Letters, Elsevier, vol. 55(2), pages 227-234, August.
    2. Pieretti, Patrice & Zou, Benteng, 2009. "Brain drain and factor complementarity," Economic Modelling, Elsevier, vol. 26(2), pages 404-413, March.
    3. repec:ebl:ecbull:v:6:y:2007:i:35:p:1-11 is not listed on IDEAS
    4. Benteng ZOU & Patrice Pieretti, 2007. "An Extended Solow Growth Model with Emigration: Transitional Dynamics and Skills Complementarity," Economics Bulletin, AccessEcon, vol. 6(35), pages 1-11.
    5. Stark, Oded & Helmenstein, Christian & Prskawetz, Alexia, 1998. "Human capital depletion, human capital formation, and migration: a blessing or a "curse"?," Economics Letters, Elsevier, vol. 60(3), pages 363-367, September.
    6. repec:bla:ausecr:v:39:y:2006:i:3:p:323-329 is not listed on IDEAS
    7. Alok Bhargava & Frédéric Docquier, 2008. "HIV Pandemic, Medical Brain Drain, and Economic Development in Sub-Saharan Africa," The World Bank Economic Review, World Bank, vol. 22(2), pages 345-366, May.
    8. M. H. Khalil Timamy, 2005. "Debate," Review of African Political Economy, Taylor & Francis Journals, vol. 32(104-105), pages 383-393, June.
    9. Richardson, Gerald & Maynard, Alan & Cullum, Nicky & Kindig, David, 1998. "Skill mix changes: substitution or service development?," Health Policy, Elsevier, vol. 45(2), pages 119-132, August.
    10. Martineau, Tim & Decker, Karola & Bundred, Peter, 2004. ""Brain drain" of health professionals: from rhetoric to responsible action," Health Policy, Elsevier, vol. 70(1), pages 1-10, October.
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    Cited by:

    1. Driouchi, Ahmed, 2014. "Evidence and Prospects of Shortage and Mobility of Medical Doctors: A Literature Survey," MPRA Paper 59322, University Library of Munich, Germany.

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    More about this item

    Keywords

    Medical shortage; healthcare policy; substitution policy.;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • F22 - International Economics - - International Factor Movements and International Business - - - International Migration

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