Aid, restitution and international fiscal redistribution in health care: implications of health professionals' migration

Mackintosh, Maureen; Mensah, Kwadwo B.; Henry, Leroi; Rowson, Mike

doi:10.1002/jid.1312

Cited by 24 publications

(13 citation statements)

References 21 publications

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“…Out in the real world this is already occurring: we increasingly see anthropologists brought into global health programmes to evaluate why medical interventions are accepted or rejected by communities [19]; sociologists asked to explain why child mortality rates vary, where quantitative techniques give inconclusive answers [20]; labour market economists to analyse patterns of employment in the health professions within and across countries [21,22]; and mathematicians to understand the impact of interventions on patients or individuals working in complex and ever-changing health systems [23]. Within global health teaching the situation is similar, with a wide variety of different disciplines – biomedicine, social sciences and humanities – being taught on undergraduate and postgraduate global health courses.…”

Section: Discussionmentioning

confidence: 99%

Conceptualising global health: theoretical issues and their relevance for teaching

Rowson¹,

Willott²,

Hughes

et al. 2012

Globalization and Health

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BackgroundThere has long been debate around the definition of the field of education, research and practice known as global health. In this article we step back from attempts at definition and instead ask what current definitions tell us about the evolution of the field, identifying gaps and points of debate and using these to inform discussions of how global health might be taught.DiscussionWhat we now know as global health has its roots in the late 19th century, in the largely colonial, biomedical pursuit of ‘international health’. The twentieth century saw a change in emphasis of the field towards a much broader conceptualisation of global health, encompassing broader social determinants of health and a truly global focus. The disciplinary focus has broadened greatly to include economics, anthropology and political science, among others. There have been a number of attempts to define the new field of global health. We suggest there are three central areas of contention: what the object of knowledge of global health is, the types of knowledge to be used and around the purpose of knowledge in the field of global health. We draw a number of conclusions from this discussion. First, that definitions should pay attention to differences as well as commonalities in different parts of the world, and that the definitions of global health themselves depend to some extent on the position of the definer. Second, global health’s core strength lies in its interdisciplinary character, in particular the incorporation of approaches from outside biomedicine. This approach recognises that political, social and economic factors are central causes of ill health. Last, we argue that definition should avoid inclusion of values. In particular we argue that equity, a key element of many definitions of global health, is a value-laden concept and carries with it significant ideological baggage. As such, its widespread inclusion in the definitions of global health is inappropriate as it suggests that only people sharing these values may be seen as ‘doing’ global health. Nevertheless, discussion of values should be a key part of global health education.SummaryOur discussions lead us to emphasise the importance of an approach to teaching global health that is flexible, interdisciplinary and acknowledges the different interpretations and values of those practising and teaching the field.

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Section: Discussionmentioning

confidence: 99%

Conceptualising global health: theoretical issues and their relevance for teaching

Rowson¹,

Willott²,

Hughes

et al. 2012

Globalization and Health

View full text Add to dashboard Cite

show abstract

“…As government policies that attract medical migrants have recently been seen as an ethical issue (for discussions, see Dauphinee 2005;Eastwood et al 2005;Iglehart 1996;MacIntosh et al 2006), ethnographic approaches including interviews, focus groups, participant observation and archival research, could potentially be applied to policy circles where such issues are being debated, focusing on how governments and transnational bodies are attempting to enact policies to circumvent the 'emptying out' of African health systems. Conversely, ethnographic methods could attend to the ways that aspiring or current medical migrants are thinking about, engaging with, maneuvering or even circumventing such structural issues.…”

Section: Resultsmentioning

confidence: 99%

Negotiating Professionalism, Economics and Moral Obligation: An Appeal for Ethnographic Approaches to African Medical Migration

2010

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This article provides a preliminary framework of useful methodologies and topics for future ethnographic research on medical migration from Africa to North America. We argue that medical professionals’ migrations must be understood in terms of their multiple struggles for meaning as they negotiate their professional and personal preferences in light of their desires to help rebuild ailing medical systems in their countries of origin. Our ethnographic interviews suggest that networks and family have been of critical importance to medical mobility, as well as providing a potential means of continued involvement in philanthropic investments in their countries of origin. Ultimately, we argue that economic perspectives on medical migration are insufficient, and leave out the complexities of balancing professionalism, personal goals and moral obligation to the country of origin.

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“…For nurse migration, many poor countries have expressed concerns about the depletion of nurse manpower that affects the effective functioning of their health systems (Dovlo, 2007; Mackintosh, Mensah, Henry, & Rowson, 2006). At the same time, some are nurse‐producing countries that view nurse emigration as economic opportunities both for the nurses and the national economy (Skeldon, 2009).…”

Section: Cooperation and The International Recruitment Of Nursesmentioning

confidence: 99%

“We Want Your Nurses!”: Negotiating Labor Agreements in Recruiting Filipino Nurses

Cabanda

2020

Asian Politics and Policy

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Nurse migration is a significant global issue that necessitates the cooperation of host and sending states. Cooperation enables countries to collaborate on shared solutions to confront global nurse imbalance that threatens health systems. While cooperation allows countries to collaborate, some states are cautious to cooperate while others participate actively. This article examines the bilateral labor negotiations between the Philippines and the following host countries: Canadian provinces-Saskatchewan (2006), Manitoba and Alberta (2006-2008), and South Australia (2008-2009) to demonstrate how bilateral parties negotiate agreements in hiring Filipino nurses. Drawing from negotiation analysis, it argues that bilateral negotiations that fulfill two necessary conditions-(i) participation of nonpartisan technical expert and (ii) history of previous interactions-facilitate successful negotiations that ultimately lead to labor cooperation. This article concludes by explaining how negotiation analysis uncovers the advantage of labor-sending countries like the Philippines in successfully securing agreements that promote labor export to achieve economic growth.

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Aid, restitution and international fiscal redistribution in health care: implications of health professionals' migration

Cited by 24 publications

References 21 publications

Conceptualising global health: theoretical issues and their relevance for teaching

Conceptualising global health: theoretical issues and their relevance for teaching

Negotiating Professionalism, Economics and Moral Obligation: An Appeal for Ethnographic Approaches to African Medical Migration

“We Want Your Nurses!”: Negotiating Labor Agreements in Recruiting Filipino Nurses

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