The market for professional services is increasingly international but comparisons have not been made between different professions nor on how state policies affect opportunities for mobility. This article considers three professions: engineers, physicians and psychologists and explores the similarities and differences in international labour market demand for occupations. It examines how state policies in four countries, Canada, Finland, France and the UK, aim to promote and control professional labour mobility and migration, and the differences across the three professions. Engineering is an international profession and the extent to which states encourage inward migration differs. Medicine is highly regulated in all four countries but inward migration of physicians varies depending on national policy. Psychologists are less mobile, and the extent of state sponsorship and regulation varies across countries. In all three professions, international organizations are a force encouraging global standards. The conclusion is that state policies reflect state interests and have a strong influence on patterns of mobility.
Aiken, L.H., Buchan, J., Sochalski, J., Nichols, B. and Powell, M. (2004) `Trends in International Nurse Migration', Health Affairs23(3): 69-77.
2.
Allsop, J. and Jones, K. (2006a) Quality Assurance in Medical Regulation in an International Context; at: www.lincoln.ac.uk/policystudies/Research (accessed November 2006).
3.
Allsop, J. and Jones, K. (2006b) `The Regulation of Health Care Professions: Towards Greater Partnership between the State, Professions and Citizens', Knowledge, Work and Society4(1): 35-57.
4.
Barer, M.L. and Webber, W.A. (1999) Immigration and Emigration of Physicians to/ from Canada. Vancouver: Centre for Health Services and Policy Research, University of British Columbia.
5.
Blitz, B.K. (2005) ` "Brain Circulation": The Spanish Medical Profession and International Medical Recruitment in the UK', Journal of European Social Policy15(4): 363-79.
6.
BMA (British Medical Association) Equal Opportunities Committee (2004) Career Barriers in Medicine: Doctors' Experiences. London: BMA.
7.
Bourgueil, Y., Marek, A. and Mousquès, J. (2006) Soins primaries: vers une coopération entre medécins et informières. L'apport d'experiénces européenes et canadiennes, Paris: IRDES (Institut de recherche et documentation en économie de la santé).
8.
BPS (British Psychological Society) (2006) Proposals for a Psychological Professions Council. London : BPS.
9.
Buchan, J. (2006) `Migration of Health Workers in Europe: Policy Problem or Policy Solution', in C.-A. Dubois, M. McKee and E. Nolte (eds) Human Resources for Health in Europe. Buckingham: Open University Press.
10.
Burau, V. (2007) `Comparative Health Research', in M. Saks and J. Allsop (eds) Researching Health. London: Sage.
11.
CCPE (Canadian Council of Professional Engineers) (2000) Canadian Engineers for Tomorrow, Trends in Engineering Enrolment and Degrees Awarded 1995-1999. Ottawa: CCPE; at: www.ccpe.ca/ccpe.cfm?page=enrolment (accessed November 2006).
12.
CCPE (Canadian Council of Professional Engineers) (2003) From Consideration to Integration: An Environmental Scan of the International Engineering Graduate Experience before Immigration and Once in Canada. Ottawa: CCPE .
13.
CIHI (Canadian Institute for Health Information) (2005) Geographic Distribution of Physicians in Canada: Beyond How Many and Where. Ottawa: CIHI.
14.
CNISF (Conseil National des Ingénieurs et Scientifiques de France) (2001) XIVème enquête sur la situation socio-économique des ingénieurs. Paris: CNISF.
15.
Cochrane, P. (1999) `A Future of Man, Woman and Machine', paper prepared for the Royal Society of Arts, London, 8 February.
16.
CPO (College of Psychologists of Ontario) ( 2005) Statistics of Members of the College of Psychologists of Ontario by Graduate Training Institution Location as of: October 12, 2005 . Ontario: CPO.
17.
Day, M. (2007) `So How Much Do Doctors Really Earn?', British Medical Journal334: 236-7.
18.
Department of Health (2000) The NHS Plan: A Plan for Investment, a Plan for Reform. London: Department of Health.
19.
Department of Health (2006) NHS Workforce Census 2006. London: Department of Health.
20.
Dubois, C.-A., Dixon, A. and McKee, M. (2006) `Reshaping Regulation of the Health Workforce in European Health Care Systems', in C.-A. Dubois, M. McKee and E. Nolte (eds) Human Resources for Health in Europe. Buckingham: Open University Press.
21.
ERS Market Research (2000) The Engineering Council Survey of Registrants 2000. London : ERS Market Research.
22.
European Commission (1994) Official Journal of the European Communities. Information and Notices , C268 Vol. 37, English edn.
23.
Evetts, J. (2002) `New Directions in State and International Professional Occupations: Discretionary Decision-Making and Acquired Regulation', Work , Employment and Society16(2): 341-53.
24.
Evetts, J. and Jefferies, D. (2005) `The Engineering and Science Institutions in the UK: Changes, Ambiguities and Current Challenges', European Journal of Engineering Education30(3): 299-308.
25.
Finnish Medical Association (2006) `Lääkärit 2006 taskutilasto' [Doctors 2006 Pocket Statistics]; at: www.laakariliitto.fi/tilastot/laakaritilastot/taskutilasto.html (accessed November 2006).
26.
Finnish Ministry of Education (2002) ETA-alueen ulkopuolelta tulevien lääkäreiden ammatinharjoittamisoikeudet ja työllistyminen [The Licensure and Employment of Doctors Originating from Outside the EEA Area], 8:2002. Helsinki: Opetusministeriön työryhmien muistioita.
27.
Finnish Ministry of Education (2005) `Tekniikan alan korkeakoulutuksen ja tutkimuksen kehittäminen' [The Development of University Level Education and Research in the Technical Area] , Opetusministeriön työryhmämuistioita ja selvityksiä2005:19. Helsinki: Opetusministeriö.
28.
Finniston Commission (1980) Engineering our Future: report of the Committee of Inquiry into the Engineering Profession/Chairman Sir Montague Finniston, Cmnd 7794. London: HMSO.
29.
Forcier, M.B., Simoens, S. and Giuffrida, A. (2004) `Impact, Regulation and Health Policy Implications of Physician Migration inOECD Countries', Human Resources for Health 2(12); at: www.human-resource-health.com/content/2/1/12 (accessed November 2006).
30.
Freidson, E. (1994) Professionalism Reborn: Theory, Prophecy and Policy . Chicago, IL: University of Chicago Press.
31.
Freidson, E. (2001) Professionalism: The Third Logic in the Practice of Knowledge. Chicago, IL: The University of Chicago Press.
32.
Ghiglione, R. (1998) Les Métiers de la psychologie. Paris: Dunod.
33.
GMC (General Medical Council) (2005) A Guide to the Registers 2005. London: GMC.
34.
GMC (General Medical Council) (2006) `Evidence to the Health Select Committee Inquiry into Work Needs and Planning for the Health Service'; at: www.gmcpressoffice.org.uk (accessed November 2006).
35.
Goss, J. and Lindquist, B. (1995) `Conceptualizing International Labor Migration: A Structuration Approach', International Migration Review29(2): 317-51.
36.
Gouldner, A.W. (1957) `Cosmopolitans and Locals: Toward an Analysis of Latent Social Roles I', Administrative Science Quarterly2(3): 281-306.
37.
Hall, J. and Lunt, I. (2005) `Global Mobility for Psychologists: The Role of Psychology Organizations in the United State, Canada, Europe and Other Regions', American Psychologist60(7): 712-26.
38.
Hawley Report (2000) Making the Best of Valuable Talent, Joint initiative of the Engineering Council and DTI. London: Engineering Council.
39.
INSEE (Institute national de la statistique et des études économiques - National Institute for Statistics and Economic Studies) (2004) Enquête emploi 2004 en continu. Paris: INSEE.
40.
IOM ( International Organization for Migration) (2002) The Migration-Development Nexus: Evidence and Policy Options: MRS-58. Geneva: IOM.
41.
Iredale, R. (2001) `Migration of Professionals: Theories and Typologies' , International Migration39(5): 7-26.
42.
Jefferies, D. and Evetts, J. (2000) `Approaches to the International Recognition of Professional Qualifications in Engineering and the Sciences', European Journal of Engineering Education25(1): 99-107.
43.
Johnson, T.J. (1973) `Imperialism and the Professions: Notes on the Development of Professional Occupations in Britain's Colonies and the New States', in P. Halmos (ed.) Professionalization and Social Change, Sociological Review Monograph Number 20. Keele: University of Keele.
44.
Johnson, T.J. and Caygill, M. (1973) `The British Medical Association and its Overseas Branches: A Short History', The Journal of Imperial and Commonwealth History1(3): 303-29.
45.
Jounin, N. and Wolff, L. (2006) Entre fonctions et statuts. Les Relations hiérarchiques dans les établissements de santé. Paris: DREES-Ministère de la Santé.
46.
Kapur D. (2005) Give Us Your Best and Brightest: The Global Hunt for Talent in the Developing World. Washington, DC: Brookings Institute Press.
47.
Lazuech, G. (1999) L'Exception française: le modèle des grandes écoles à l'épreuve de l'internationalisation. Rennes: Presses universitaires de Rennes.
48.
Lunt, I. (2005) `The Implications of the Bologna Process for the Development of a European Qualification in Psychology', European Psychologist10(2): 86-92.
49.
Majone, G. (1996) Regulating Europe. London: Routledge.
50.
Maynard, A. and Street, A. (2006) `Seven Years of Feast, Seven Years of Famine: From Boom to Bust in the NHS', British Medical Journal332: 906-8.
51.
Ministère de la Santé ( 2006) Rapport annuel de l'Observatoire National de Démographie des Professions de Santé. Paris: La Documentation française.
52.
Moran, M. (2002) `The Health Professions in International Perspective' , in J. Allsop and M. Saks (eds) Regulating the Health Professions. London: Sage.
53.
Nykänen, P. (2005) `Teaching and Research atHelsinki University of Technology since 1849'; at: www.tkk.fi/General/history.html (accessed November 2006).
54.
OECD (Organization for Economic Cooperation and Development) (2002) International Mobility of the Highly Skilled. Paris: OECD.
55.
OECD (Organization for Economic Cooperation and Development) (2006) OECD Health Division: Health Data 2006; at: www.oecd.org/dataoecd/20/51/37622205. xls (accessed November 2006).
56.
Ordre National des Médecins (2006) Démographie médicale française. Situation au 1er janvier 2006. Paris: Ordre National des Médecins.
57.
Orzack, L. (1998). `Professions and World Trade Diplomacy: National Systems and International Authority', in V. Olgiati, L. Orzack and M. Saks (eds) Professions, Identity, and Order in ComparativePerspective. Onati: Institute for International Study of the Sociology of Law.
58.
Pilgrim, D. (2002) `The Emergence of Clinical Psychology as a Profession' , in J. Allsop and M. Saks (eds) Regulating the Health Professions. London: Sage.
59.
Raghuram, P. and Kofman, E. (2002) `The State, Skilled Labour Markets, and Immigration: The Case of Doctors in England', Environment and Planning34: 2071-89.
60.
Sabour, M. and Tulkki, P. (2004) `The State, Education and the Market: The Case of Engineering in Finland', in P. Littlewood , I. Glorieux and I. Jönsson (eds) The Future of Work in Europe . Aldershot: Ashgate.
61.
Salter, B. (2000) Medical Regulation and Public Trust: An International Review. London: King's Fund Publishing .
62.
Simmigen, M. (2004) `Why German Doctors EnjoyBritish Medicine', Clinical Medicine4: 57-9.
63.
Simoens, S. and Hurst, J. (2006) The Supply of Physician Services in OECD Countries , OECD Health Working Papers 1. France: OECD.
64.
Stacey, M. (1992) Regulating British Medicine: The General Medical Council. Chichester: John Wiley .
65.
Stilwell, B., Diallo, K., Zurn, P., Dalpoz, M.R., Adams, O. and Buchan, J. (2003) `Developing Evidence-Based Ethical Policies on the Migration of Health Workers: Conceptual andPractical Challenges', Human Resources for Health 1(8); at: www.human-resources-health.com/content/1/1/8 (accessed November 2006).
66.
UK-SPEC (2003) UK Standard for Professional Engineering Competence. London : Engineering Council (UK).
67.
Wilsford, D. (1995) `States Facing Interests: Struggles over Health Care Policy in Advanced Industrial Democracies', Journal of Health Policy, Politics and Law 20(3) 571-613.
68.
Wrede, S. (2007) 'Terveydenhuollon ammattilaisten kansainvälinen liikkuvuus ja ammattijärjestöjen strategiat' [The International Mobility of Health Care Professionals and the Strategies of the Professional Associations] , in M. Helander (ed.) Ammattiyhdistysliikkeen globalisaatiostrategiat. Jyväskylä : SoPhi.
69.
Wrede, S., Benoit, C., Bourgeault, I., van Teijlingen, E., Sandall, J. and De Vries, R. (2006) `Decentred Comparative Research: Context Sensitive Analysis of Maternal Health Care', Social Science and Medicine 63(11): 2986-97.
