The Migration of Doctors and Nurses from South Pacific Island Nations

Brown, RPC and Connell, J (2004) The Migration of Doctors and Nurses from South Pacific Island Nations. Social Science & Medicine, 58 11: 2193-2210. doi:10.1016/j.socscimed.2003.08.020

Author Brown, RPC
Connell, J
Title The Migration of Doctors and Nurses from South Pacific Island Nations
Journal name Social Science & Medicine   Check publisher's open access policy
ISSN 0277-9536
Publication date 2004-01-01
Sub-type Article (original research)
DOI 10.1016/j.socscimed.2003.08.020
Open Access Status Not yet assessed
Volume 58
Issue 11
Start page 2193
End page 2210
Total pages 18
Editor Macintyre
Place of publication UK
Publisher Pergamon
Language eng
Subject C1
340204 Health Economics
340210 Welfare Economics
729999 Economic issues not elsewhere classified
Abstract Little is known of the structure of the international migration of skilled health professionals. Accelerated migration of doctors and nurses from the Pacific island states of Fiji, Samoa and Tonga to the Pacific periphery is part of the globalization of health care. The findings from a recent survey of 251 doctors and nurses from the three island countries are reported here. Key determinants of both present migration status and future migration intentions were analyzed using econometric methods. Nurses' and doctors' propensities to migrate are influenced by both income and non-income factors, including ownership of businesses and houses. Migrants also tend to have more close relatives overseas, to have trained there, and so experienced superior working conditions. Migration propensities vary between countries, and between nurses and doctors within countries. Tongan nurses have a higher propensity to migrate, mainly because of greater relative earnings differentials, but are also more likely to return home. The role of kinship ties, relative income differentials and working conditions is evident in other developing country contexts. Remittances and return migration, alongside business investment, bring some benefits to compensate for the skill drain. National development policies should focus on encouraging return migration, alongside retention and recruitment, but are unlikely to prevent out migration. (C) 2003 Elsevier Ltd. All rights reserved.
Keyword Social Sciences, Biomedical
Skill Drain
Pacific Islands
Return Migration
Public, Environmental & Occupational Health
Q-Index Code C1
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
2005 Higher Education Research Data Collection
School of Economics Publications
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Citation counts: TR Web of Science Citation Count  Cited 59 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 76 times in Scopus Article | Citations
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Created: Wed, 15 Aug 2007, 13:37:21 EST