The migration of health-care professionals has often produced morally charged discussions among ethicists, politicians, and policy makers in the migrant-sending and migrant-receiving countries because of its devastating effects on the health of those left behind in the countries of origin.This movement of skilled professionals – their decision to leaving their countries of origin in search of better work environments – has created a phenomenon that has been described as brain drain. Although the migration of health workers continue to bring prosperity to millions of people around the world, they have also evoked hopelessness in many more people. Thus, questions of global justice manifest themselves when it comes to the matters of brain drain and the just distribution of health and healthcare professionals.
El SaghirSAndersonBGralowJ, et al.
Impact of merit-based immigration policies on brain drain from low- and middle-income countries. JCO Glob Oncol2020;
6: 185–189.
2.
GibsonJMcKenzieD.Eight questions about brain drain. J Econ Perspect2011;
25: 107–128.
3.
RaghuramP.Caring about “brain drain” migration in a postcolonial world. Geoforum2009;
40: 25–33.
4.
NajibMAbdullaSNarresh, et al.
Brain-drain phenomenon among healthcare workers. Int J Public Health Clin Sciences (IJPHCS)2019;
6: 90–103.
5.
AluttisCBishawTFrankMW.The workforce for health in a globalized context global shortages and international migration. Global Health Action2014;
7: 23611.
6.
BaruchYBudhwarPSKhatriN.Brain drain: inclination to stay abroad after studies. J World Bus2007;
42: 99–112.
7.
YuksekdagY.Health without care? Vulnerability, medical brain drain, and health worker responsibilities in underserved contexts. Health Care Anal2018;
26: 17–32.
8.
KumarP.Perspective providing the providers – remedying Africa’s shortage of health care workers. N Engl J Med2007;
356: 2564–2567.
9.
World Health Organization. The world health report, working together for health. Geneva, Switzerland: World Health Organization; https://www.who.int/whr/2006/en/ (2006, accessed 21 June 2018).
KalipeniESemuLLMbiliziMA, et al.
The brain drain of health care professionals from Sub-Saharan Africa: a geographic perspective. Progr Dev Studies2012;
12: 153–171.
12.
McsorleyBE. The global “Brain Drain” of health professionals: an examination of ethical recruitment policies. Undercurrent 2011; 9: 24–33.
13.
JonesR.What time human geography?Progr Human Geography2004;
28: 287–304.
14.
LinVOberoiS.Brain drain of doctors from Southern Africa: brain gain for Australia. Aust Health Rev2006;
30: 25–33.
15.
SnyderJ.Is health worker migration a case of poaching?Am J Bioeth2009;
9: 3–7.
16.
Brock G. Health in developing countries and our global responsibilities. In A. Dawson (Ed.), The philosophy of public health. Surrey: Ashgate Publishing Limited. 2009: 73--84.
17.
Kollar E and Buyx A. Ethics AND Policy of Medical Brain Drain: A Review. Swiss Medical Weekly 2013; 143: w13845.
18.
Clemens M and Pritchett L. Income per Natural: Measuring Development for People Rather than Places. Population and Development Review 2008; 34: 395--434.
Mills et al. The financial cost of doctors emigrating from sub-Saharan Africa: human capital analysis. BMJ 2011; 343--376.
21.
Kirigia J, Gbary A, Muthuri L, et al. The cost of health professionals’ brain drain in Kenya. BMC Health Serv Res 2006; 6: 89.
22.
SankoreR. How the brain drain to the West worsens Africa’s public health crisis. Pambazuka News, p.269, www.pambazuka.org/en/category/. comment/37062 (2006, accessed 9 November 2015).
23.
FarmerP.Pathologies of power: health, human rights, and the new war on the Poor California Series in Public Anthropology. vol.
4.
Berkeley:
University of California Press, 2003.
24.
Toumi R. Globalization and health care: global justice and the role of physicians. Med Health Care Philos 2014; 17: 71--80.
25.
Daniels N. Just Health: Meeting Health Needs Fairly. New York: Cambridge University Press; 2008.
26.
Mejía A, Helena P and Erica R. Physician and Nurse Migration: Analysis and Policy Implications : Report of a Who Study. Geneva: World Health Organization, 1979.
27.
Kline. Push and pull factors in international nurse migration. Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing 2003; 35: 107--111.
28.
AwasesMGbaryANyoniJ, et al. Migration of health professionals in six countries: a synthesis report. Republic of Congo: WHO Regional Office for Africa, 2004.
29.
OgilvieLMillJAstleB, et al.
The exodus of health professionals from Sub-Saharan Africa: balancing human rights and societal needs in the twenty-first century. Nurs Inq2007;
14: 114–124.
30.
MillsEJSchabasWAVolminkJ, et al.
Should active recruitment of health workers from Sub-Saharan Africa be viewed as a crime?Lancet2008;
371: 685–688.
31.
DwyerJ.What’s wrong with the global migration of health care professionals? Individual rights and international justice. Hastings Cent Rep2007;
37: 36–43.
32.
Universal declaration of human rights. (n.d.), www.un.org/. en/documents/udhr/index.shtml (accessed 15 January 2018).
33.
Rothman D and Rothman S. Trust is not enough. Bringing human rights to medicine. New York: New York Review Books, 2006.
34.
ByronSJ.Framing the principles of catholic social thought. Catholic Educ1999;
3: 7–14.
35.
PistoneMRHoeffnerJ.Stepping out of the brain drain: applying Catholic social teaching in a new era of migration.
Lanham, MD:
Lexington Books, 2007.
36.
Maybud S and Wisko W. Care trade: The international brokering of health care professionals. In C. Kuptsch (Ed.), Merchants of labour. Geneva: International Institute for Labour Studies 2006; 223--238.
37.
Benedict O and Ukpere W. Brain drain and African development: any possible gain from the drain? Afr J Business Manage 2012; 6: 2421--2428.
38.
HooperCR.Adding insult to injury: the healthcare brain drain. J Med Ethics2008;
34: 684–687.
39.
OECD Health Policy Studies. The looming crisis in the health workforce: How canOECDcountries respond? Paris: OECD Publishing, 2008.
40.
Commonwealth code of practice for the international recruitment of health workers, pp.3–6, www.thecommonwealth.org (2003, accessed 10 January 2017).
41.
Skeldon R. Of skilled migration, brain drains and policy responses. Int Migr 2008, 47: 3--29.
42.
Foad H. The Brain Drain: Leveling the Playing Field or Widening the North-South Divide? Emory University 2005; 1--26.
43.
Docquier F. The brain drain from developing countries. IZA World of Labor 2014; 31: 10--15.
