Onyebuchi A. Arah|Uzor C. Ogbu|Chinyere Okeke
Too Poor to Leave, Too Rich to Stay: Developmental and Global Health Correlates of Physician Migration to the United States, Canada, Australia, and the United Kingdom
National Institute for Public Health and the Environment|Academic Medical Center|University of Amsterdam|National Institute for Public Health and the Environment|Academic Medical Center|University of Amsterdam|National Institute for Public Health and the Environment|Academic Medical Center|University of Amsterdam
objectives analyzed relationship physician migration developing source countries developed host countries brain drain developmental global health profiles source countries methods used crosssection 141 countries lost emigrating physicians 4 major destinations united states canada australia united kingdom source country defined physician migration density number migrant physicians per 1000 population practicing 4 major destination countries results source countries better human resources health economic developmental progress better health status appear lose proportionately physicians disadvantaged countries higher physician migration density associated higher current physician r042 plt 001 nurse r027 p001 public health r048 p001 workforce densities medical schools r053 plt001 conclusions policymakers realize physician migration positively related better health systems development source countries view train retain sustain perspective public health workforce policies physician retention become even important countries growing richer whereas poorer countries must invest training policies