Medical Migration : What Can We Learn from the UK's Perspective?

Medical Migration : What Can We Learn from the UK's Perspective?

This paper seeks to determine the macro-economic impacts of migration of skilled medical personnel from a receiving country's perspective. The resource allocation issues are explored in theory, by developing an extension of the Rybczynski theo...

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Bibliographic Details
Main Author:	Rutten, Martine
Format:	Policy Research Working Paper
Language:	English
Published:	World Bank, Washington, DC 2012
Subjects:	AMBULANCE BRAIN DRAIN BUDGET INCREASE BUDGETARY IMPACT BURDEN OF DISEASE CONSEQUENCES OF MIGRATION COST OF CAPITAL COST OF HEALTH CARE COST OF PROVISION COSTS OF HEALTH CARE COUNTRY OF DESTINATION COUNTRY OF ORIGIN DEMAND FOR HEALTH DEMAND FOR HEALTH CARE DEPENDENCY RATIO DEVELOPING COUNTRIES DOCTORS DOMESTIC MARKET DOMESTIC WORKERS ECONOMIC IMPLICATIONS ECONOMIC POLICY ECONOMICS OF HEALTH EMPLOYMENT EQUILIBRIUM EXPORT MARKET EXTERNALITIES FOREIGN WORKERS HEALTH CARE HEALTH CARE CONSUMPTION HEALTH CARE EXPENDITURE HEALTH CARE POLICY HEALTH CARE PROVISION HEALTH CARE SYSTEM HEALTH CARE SYSTEMS HEALTH CONSEQUENCES HEALTH EFFECTS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH OUTCOMES HEALTH PROFESSIONALS HEALTH PROVISION HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SERVICES RESEARCH HEALTH STATUS HEALTH SYSTEMS HEALTH WORKERS HIV HOSPITAL HOST COUNTRIES HOUSEHOLD STRUCTURE HOUSEHOLD SURVEY HUMAN CAPITAL HUMAN RESOURCES ILL HEALTH ILLNESS IMMIGRANT IMMIGRATION IMMIGRATION LEVELS IMMIGRATION POLICY IMPACT OF MIGRATION INCOME INCOME COUNTRIES INSURANCE INSURERS INTERNATIONAL MARKET INTERNATIONAL MIGRATION INTERNATIONAL TRADE INVESTMENT IN EDUCATION LABOR MARKET LABOR MARKETS LABOR SUPPLIES LABOR SUPPLY LABOUR LABOUR FORCE LABOUR MARKET LABOUR MOBILITY LABOUR SUPPLY LIVING CONDITIONS MEDICAL INSTRUMENTS MEDICAL INSURANCE MEDICAL PERSONNEL MEDICAL SCHOOL MEDICAL SERVICES MIGRANT WORKERS MIGRANTS MIGRATION MIGRATION FLOWS NATIONAL HEALTH NATIONAL HEALTH SERVICE NUMBER OF PEOPLE NUMBER OF WORKERS NURSE NURSES PANDEMIC PHYSICIANS POINT OF DEPARTURE POLICY IMPLICATIONS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POOR HEALTH PRICES OF HEALTH CARE PRIVATE CARE PRODUCT MARKETS PRODUCT PRICES PRODUCTIVITY GAP PROGRESS PROVISION OF HEALTH CARE PROVISION OF HEALTH SERVICES PROVISION OF TREATMENT PUBLIC ADMINISTRATION PUBLIC HEALTH PUBLIC HEALTH CARE PULL FACTORS PUSH FACTORS REAL WAGE REMITTANCE REMITTANCES RESOURCE ALLOCATION RESPECT SERVICE CAPACITY SERVICE DELIVERY SICKNESS ABSENCE SKILL TYPE SKILLED HEALTH PERSONNEL SKILLED WORKERS SOCIAL CLASS SOCIAL SCIENCE SOCIAL WELFARE SUB-SAHARAN AFRICA SUPPLIERS TEMPORARY MIGRATION UNSKILLED LABOR UNSKILLED WORKERS WORK FORCE WORKER WORKERS WORKFORCE
Online Access:	http://documents.worldbank.org/curated/en/2008/04/9357363/medical-migration-can-learn-uks-perspective http://hdl.handle.net/10986/6722

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Summary:	This paper seeks to determine the macro-economic impacts of migration of skilled medical personnel from a receiving country's perspective. The resource allocation issues are explored in theory, by developing an extension of the Rybczynski theorem in a low-dimension Heckscher-Ohlin framework, and empirically, by developing a static computable general equilibrium model for the United Kingdom with an extended health sector component. Using simple diagrams, an expansion of the health sector by recruiting immigrant skilled workers in certain cases is shown to compare favorably to the (short-term) long-term alternative of using domestic (unskilled) workers. From a formal analysis, changes in non-health outputs are shown to depend on factor-bias and scale effects. The net effects generally are indeterminate. The main finding from the applied model is that importing foreign doctors and nurses into the United Kingdom yields higher overall welfare gains than a generic increase in the National Health Service budget. Welfare gains rise in case of wage protection.

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