Abstract
Within global bioethics, global inequities in terms of life expectancy, morbidity, and the distribution of health resources have been identified as areas of serious ethical concern. These inequities are caused and compounded by a grossly unequal global distribution of health workers, both between and within countries. In many communities, there are insufficient health human resources to provide primary and preventative care, to distribute new interventions provided by external donors such as antiretroviral drugs to combat the spread of HIV, and, most pressingly, to train future generations of health workers. Thus, these inequities in human welfare are likely to persist or even worsen, if the problem of health human resource levels in these areas is not addressed. This problem is compounded by an ongoing pattern of migration of health workers from relatively low- to high-income countries and from countries with severe health human resource shortfalls to those countries with relatively many health workers. This chapter begins with a brief background on the effects and causes of health worker migration. The next section of this chapter consists of a survey of the range of arguments on the ethical terrain of health worker migration, noting that multiple forms of unethical behavior are likely taking place. The chapter concludes with a survey of policy responses to the problem of health worker migration with discussion of their chances of success and implementation and therefore their ability to address global inequities in health human resources.
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References
Anand, S., & Bärnighausen, T. (2004). Human resources and health outcomes: Cross-country econometric study. The Lancet, 364(9445), 1603–1609.
Benatar, S. R. (2007). An examination of ethical aspects of migration and recruitment of health care professionals from developing countries. Clinical Ethics, 2(1), 2–7.
Buchan, J. (2010). Challenges for WHO code on international recruitment. British Medical Journal, 340, c1486.
Canadian Nurses Association. (2000). International trade and labour mobility. Ottawa, ON: Author.
Commonwealth Secretariat. (2003). Commonwealth code of practice for the international recruitment of health workers. London: Commonwealth Secretariat.
Crozier, G. K. (2009). Agency and responsibility in health care worker migration. The American Journal of Bioethics, 9(3), 8–9.
Department of Health. (2004). Code of practice for the international recruitment of healthcare professionals. London: Department of Health.
Dwyer, J. (2007). What’s wrong with the global migration of health care professionals? Individual rights and international justice. The Hastings Center Report, 37(5), 36–43.
Eckenwiler, L. A. (2009). Care worker migration and transnational justice. Public Health Ethics, 2(2), 171–183.
Eyal, N., & Hurst, S. A. (2008). Physician brain drain: Can nothing be done? Public Health Ethics, 1(2), 180–192.
Heath, I. (2007). Exploitation and apology. British Medical Journal, 334(7601), 981.
Martineau, T., Decker, K., & Bundred, P. (2004). “Brain Drain” of health professionals: From rhetoric to responsible action. Health Policy, 70(1), 1–10.
Martínez, J., & Martineau, T. (1998). Rethinking human resources: An agenda for the millennium. Health Policy and Planning, 13(4), 345–358.
Rao, M., Rao, K. D., Kumar, A. K., Chatterjee, M., & Sundararaman, T. (2011). Human resources for health in India. The Lancet, 377(9765), 587–598.
Snyder, J. (2009). Is health worker migration a case of poaching? The American Journal of Bioethics, 9(3), 3–7.
Snyder, J. (2010). Conflicting obligations in the international migration of health workers. In R. S. Shah (Ed.), The international migration of health workers: Ethics, rights and justice. New York: Palgrave Macmillan.
Stilwell, B., Diallo, K., Zurn, P., Dal Poz, M. R., Adams, O., & Buchan, J. (2003). Developing evidence-based ethical policies on the migration of health workers: Conceptual and practical challenges. Human Resources for Health, 1, 8.
World Health Organization. (2006). The world health report 2006: Working together for health. Geneva: World Health Organization.
World Health Organization. (2010). WHO global code of practice on the international recruitment of health personnel. Retrieved from http://www.who.int/hrh/migration/code/code_en.pdf.
World Medical Association. (2005). WMA council resolution on the healthcare skills drain. Retrieved from http://www.wma.net/en/30publications/10policies/30council/cr_2/.
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Snyder, J. (2014). Migration of Health Personnel and Brain Drain. In: ten Have, H., Gordijn, B. (eds) Handbook of Global Bioethics. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-2512-6_119
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DOI: https://doi.org/10.1007/978-94-007-2512-6_119
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