International nurse migration: lessons from the Philippines.

International nurse migration: lessons from the Philippines.
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DOI:
10.1177/1527154407301393
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发表时间:
2007-02-01
期刊:
Policy, politics & nursing practice
影响因子:
--
通讯作者:
Sochalski, Julie
Sochalski, Julie
中科院分区:
其他
文献类型:
--
作者:
Brush, Barbara L;Sochalski, Julie

文献摘要

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面临护士短缺的发达国家越来越多地转向积极招聘外国护士,主要来自发展中国家,以弥补其国内护士供应的不足,并满足日益增长的卫生保健需求。很少有捐助国准备好应对本国护士劳动力因移民而流失的问题。菲律宾是唯一有明确护士输出政策的国家,也是世界上护士劳动力的主要捐助国,但它本身也面临着严重的提供者分配不均和全国范围内的健康差距。考察菲律宾护士移民的历史根源可以为其他护士输出国提供借鉴。作者讨论了预测护士迁移的因素和缓解这种方式的政策。此外,作者分析了各种利益相关者如何影响移徙模式,移徙对护士和公众的影响,以及未来社会政策和政治制度在解决护士和其他卫生工作者不受限制的招聘所产生的全球卫生问题时所面临的挑战。
Developed countries facing nursing shortages have increasingly turned to aggressive foreign nurse recruitment, primarily from developing nations, to offset their lagging domestic nurse supplies and meet growing health care demands. Few donor nations are prepared to manage the loss of their nurse workforce to migration. The sole country with an explicit nurse export policy and the world's leading donor of nurse labor - the Philippines - is itself facing serious provider maldistribution and countrywide health disparities. Examining the historical roots of Philippines nurse migration provides lessons from which other nurse exporting countries may learn. The authors discuss factors that have predicated nurse migration and policies that have eased the way. Furthermore, the authors analyze how various stakeholders influence migratory patterns, the implications of migration for nurses and the public in their care, and the challenges that future social policy and political systems face in addressing global health issues engendered by unfettered recruitment of nurses and other health workers.