Saurabh Saluja|Niclas Rudolfson|Benjamin B. Massenburg|John G. Meara|Mark G. Shrime
The impact of physician migration on mortality in low and middle-income countries: an economic modelling study
Social Change and Development|Yale University|Harvard University|Social Change and Development|Harvard University|World Health Organization - Pakistan|Lund University|Social Change and Development|University of Washington|Plastic Surgery Hospital|Harvard University|Social Change and Development|Boston Children's Museum|Boston Children's Hospital|Harvard University|Social Change and Development|Massachusetts Eye and Ear Infirmary|Harvard University
background estimates global shortage 28 million physicians severe deficiencies especially low middleincome countries lmic unequitable distribution physicians worldwide exacerbated migration physicians lmics highincome countries hic largescale migration numerous economic consequences include increased mortality associated inadequate physician supply lmics methods estimate economic cost lmics due excess mortality associated physician migration use concept value statistical life marginal mortality benefit provided physicians uncertainty estimates evaluated monte carlo analysis results estimate lmics lose us1586 billion 95 ci 34 382 annually due physician migration hics greatest total costs incurred india nigeria pakistan south africa costs considered per cent gross national income cost greatest african region lowincome countries conclusion movement physicians lower higher income settings substantial economic consequences simply result movement human capital also due excess mortality associated loss physicians valuing costs inform international domestic policy discussions meant address issue