Negotiating Professionalism, Economics and Moral Obligation: An Appeal for Ethnographic Approaches to African Medical Migration

Negotiating Professionalism, Economics and Moral Obligation: An Appeal for Ethnographic Approaches to African Medical Migration
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谈判专业精神、经济和道德义务:呼吁对非洲医疗移民采取民族志方法

DOI:
10.1163/187254610x526931
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发表时间:
2010
期刊:
影响因子:
0.6
通讯作者:
David Garcia
David Garcia
中科院分区:
--
文献类型:
--
作者:
Noelle Sullivan;Hansjörg Dilger;David Garcia

文献摘要

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本文为未来从非洲到北美的医学移民的人种学研究提供了一个有用的方法和主题的初步框架。我们认为,医疗专业人员的移民必须从他们为意义而进行的多重斗争的角度来理解,因为他们根据自己帮助在原籍国重建境况不佳的医疗体系的愿望来谈判自己的职业和个人偏好。我们的人种学访谈表明,网络和家庭对医疗流动至关重要,并提供了在其原籍国继续参与慈善投资的潜在手段。最终,我们认为,从经济角度来看,医疗移民是不够的,并忽略了平衡专业精神、个人目标和对原籍国的道德义务的复杂性。
This article provides a preliminary framework of useful methodologies and topics for future ethnographic research on medical migration from Africa to North America. We argue that medical professionals’ migrations must be understood in terms of their multiple struggles for meaning as they negotiate their professional and personal preferences in light of their desires to help rebuild ailing medical systems in their countries of origin. Our ethnographic interviews suggest that networks and family have been of critical importance to medical mobility, as well as providing a potential means of continued involvement in philanthropic investments in their countries of origin. Ultimately, we argue that economic perspectives on medical migration are insufficient, and leave out the complexities of balancing professionalism, personal goals and moral obligation to the country of origin.