The health migration crisis: the role of four Organisation for Economic Cooperation and Development countries

Pond, Bob; McPake, Barbara

doi:10.1016/s0140-6736(06)68346-3

Cited by 56 publications

(49 citation statements)

References 12 publications

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“…España y Estados Unidos son los principales países que tienen en mente los internos de medicina para ejercer su profesión; esto se correlaciona con los principales destinos donde han migrado los profesionales médicos desde hace 10 años: EEUU 33,2%, Chile 12,2%, Bolivia 11,7%, Ecuador 7,5%, Argentina 7,7%, Brasil 6,7% y España 3,9% (21) . Este deseo de emigrar obedece a una realidad a nivel mundial donde el personal de salud proveniente de países de recursos bajo y mediano buscan en los países desarrollados, como Estados Unidos, Inglaterra, Canadá, entre otros, mejores oportunidades y una mejor situación socioeconómica (22,23) . Por otra parte, 45,9% de los internos de medicina deseaba laborar en la capital del país y solo 15% había pensado en alguna provincia como posibilidad, entre ellas Trujillo, Arequipa y Ancash.…”

Section: Discussionunclassified

Expectativas profesionales de internos de medicina y su inclinación por la atención primaria de salud

Ramírez

2013

An Fac med

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* Trabajo presentado como Tesis para optar al Título Profesional de Médico Cirujano en la Facultad de Medicina -UNMSM Resumen Introducción: Actualmente la disponibilidad de recursos humanos en salud se encuentra en los estándares internacionales, pero su distribución en nuestro país es inequitativa e inversa en relación a los problemas centrales de salud. Objetivo: Conocer las expectativas profesionales de los internos de medicina humana y su inclinación por la atención primaria de la salud. Diseño: Estudio descriptivo y transversal, con muestreo sistemático aleatorio. Lugar: Cinco hospitales nacionales de Lima y Callao, durante el año 2006. Participantes: Doscientos siete internos de medicina. Intervenciones: Aplicación de un cuestionario autoadministrado. Resultados: La especialización se mostró en 84,5% como la opción de formación y de ejercicio profesional más valorada y de prioridad para los internos de medicina. Entre las especialidades más anheladas se encontraron las quirúrgicas, en 37%, y posteriormente las médicas, con 30%. Asimismo, 30% de futuros médicos planeaba desempeñarse laboralmente en el extranjero. Se halló una asociación estadísticamente significativa entre la procedencia de una universidad pública y el deseo de realizar estudios de especialización en nuestro país, así como, la procedencia de una universidad privada y el deseo de realizar estudios de especialización en el extranjero. Finalmente, 25,1% de los internos manifiestó que sí se dedicarían a la atención primaria de la salud. Conclusiones: En los internos de medicina encuestados en el presente trabajo, existió una alta expectativa en la especialización, sobretodo quirúrgica, así como predisposición a laborar en el extranjero, con poca preferencia al trabajo en el primer nivel de atención. Palabras clave: Especialización; atención primaria de salud; recursos humanos en salud. AbstractIntroduction: Current availability of human resources in health is within international standards, but in our country distribution is not equitable and in inverse relation with central health problems. Objective: To determine professional expectations of medical interns and their inclination for primary health care. Design: Descriptive and transversal study, with randomized systematic sampling. Setting: Five Lima and Callao's national hospitals, during 2006. Par ticipants: Two hundred and seven medical interns. Interventions: Application of a self-administered questionnaire. Results: Specialization represented in 84,5% the most valuable and priority training and professional practice option for medical interns. Most wished specialties were surgical in 37% and clinical in 30%. Also 30% of future physicians planned to work in a foreign country. There was significant statistical association between procedence from a public university and the desire to specialize in our country, as well as, coming from a private university and wishes to specialize abroad. Finally 25,1% of the interns manifested they would do primary health care. Conclusions: There existed hig...

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Section: Discussionunclassified

Expectativas profesionales de internos de medicina y su inclinación por la atención primaria de salud

Ramírez

2013

An Fac med

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“…22 The federal Medicare program subsidized hospital residency training starting in the late 1980s. Because hospital-based residencies are focused largely on training specialists, there followed a rising percentage of IMGs as fi rst-year residents and an increase in the number of physicians licensed in the United States.…”

Section: Discussionmentioning

confidence: 99%

“…Legislation in 1997 froze these subsidies; since then, the percentage of fi rst-year residents who are IMGs has fallen. 22 The impact of federal funding on primary care physician supply was also marked. Starting in 1976, support of primary-care-oriented residencies led to a marked increase in the number of physicians in family practice residences, only to be followed by a decline as support waned in recent years.…”

Section: Discussionmentioning

confidence: 99%

The Primary Care Physician Workforce: Ethical and Policy Implications

Starfield

Fryer²

2007

The Annals of Family Medicine

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PURPOSE We undertook a study to examine the characteristics of countries exporting physicians to the United States according to their relative contribution to the primary care supply in the United States. METHODSWe used data from the World Health Organization and from the American Medical Association Physician Masterfi le to gather sociodemographic, health system, and health characteristics of countries and the number of international medical graduates (IMGs) for the countries, according to the specialty of their practice in the United States.RESULTS Countries whose medical school graduates added a relatively greater percentage of the primary care physicians than the overall percentage of primary care physicians in the United States (31%) were poor countries with relatively extreme physician shortages, high infant mortality rates, lower life expectancies, and lower immunization rates than countries contributing relatively more specialists to the US physician workforce.CONCLUSION The United States disproportionately uses graduates of foreign medical schools from the poorest and most deprived countries to maintain its primary care physician supply. The ethical aspects of depending on foreign medical graduates is an important issue, especially when it deprives disadvantaged countries of their graduates to buttress a declining US primary care physician supply.

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“…The number of pathologists in Nigeria is equally abysmally low for the population and only very few of them are trained specially for gastrointestinal diseases. Some high-income countries such as Austrialia, Canada, Saudi Arabia, the USA and the United Arab Emirates and the UK have sustained their relatively high physician -to population ratio by recruiting medical graduates from developing regions, including countries in sub-Saharan Africa (Labonte et al 2006, Mullan 2006, Pond et al 2006. In contrast, over half of the countries in sub-Saharan Africa do not meet the minimum acceptable physician to population ratio of one per 5000 (WHO 2007).…”

Section: Global Distribution Of Medical Personnelmentioning

confidence: 99%

Challenges of Gastrointestinal Endoscopy in Resource-Poor Countries

Chuks¹

2011

Gastrointestinal Endoscopy

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The health migration crisis: the role of four Organisation for Economic Cooperation and Development countries

Cited by 56 publications

References 12 publications

Expectativas profesionales de internos de medicina y su inclinación por la atención primaria de salud

Expectativas profesionales de internos de medicina y su inclinación por la atención primaria de salud

The Primary Care Physician Workforce: Ethical and Policy Implications

Challenges of Gastrointestinal Endoscopy in Resource-Poor Countries

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