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PubMed1990

International migration of health manpower in Sub-Saharan Africa.

This paper concerns itself with a few questions related to the impact of the emigration of health manpower on the health status of individuals and economic development of Sub-Saharan Africa (SSA). The paper evaluates the harmfulness of the migration from Sub-Saharan Africa. The analysis leads to some observations about the effect of the quality of the migration on Africa's health care system development and the appropriateness of some of Africa's policies for controlling the migration.

Africa↗
PubMed1996

Public health care provisions: access and equity.

Within the current exercise of reforming the health care system, underlying all issues, is the reassessment of the role of government. It is a government's responsibility and concern that the health sector be accessible and equitable to the population, and more important that the health sector be more efficient and affordable. Many governments in the world attempt to provide universal health care services to their population through public health care provisions. This paper reviews and analyses the experience of the Malaysian health system, focusing on the performance of the system in relation to access and equity. The performance of the Malaysian health system has been impressive. At minimum cost it has achieved virtually accessible and equitable health care to the entire population. This is evident by analysing almost all the commonly used indicators. These clearly show that when matched to comparable countries, health outcome is even better than predicted value.

Cost Control↗
PubMed1996

Health care reform and the labor market.

Reform is probably the most frequently used term when discussing health care systems. The literature is broad and general, with topics ranging from reasons for carrying out reform, through discussion and the meaning of the reform, to discussions of methods for reform in developing countries. Interest has been centered more on the definition of content and less on the processes of implementation. Implications in terms of changes in the requirements of health facilities and human resources have been only superficially addressed. This paper presents a conceptual framework to discuss the main issues involved in reform of the health care systems and the shifts in needs of human resources. Assessment of the ways in which reform affects the medical labor market require the application of a conceptual framework that enables us to focus more on process than content. In the organizational change literature, both in theory and practice, human resources have been found critical for the institutionalization of organizational change. They are also critical for assessing health care reform.

Developing Countries↗
PubMed1984

International migration, non-traded goods and economic welfare in the source country: a comment.

"Labor emigration redistributes income in a two factor, two good economy where one good is internationally non-traded. Labor's nominal wage rises as nominal capital payments fall. Recent research has shown that the prices of non-traded goods rise, causing society's welfare to decline. Here the induced change in the real income of each factor is considered separately. There is an ambiguity with regard to the real income of non-emigrating labor. If labor spends a relatively small fraction of income on the non-traded goods, its real income may rise, even though society suffers the loss of welfare."

Costs and Cost Analysis↗
PubMedDate not supplied

Redefining the nursing shortage: a rural perspective.

A number of researchers have suggested that nursing shortages are closely related to geographic maldistribution, specialty areas, and even individual shifts. As these findings have documented, the nursing shortage, as defined by the federal government, exists predominantly in rural areas of the country that are not adjacent to metropolitan areas. As a result, many of the economic, demographic, and health-related disparities that exist between rural and urban populations are mirrored in shortage and nonshortage counties. Higher unemployment rates and lower per capita incomes suggest an underlying relationship between economic vitality and the recruitment and retention of health care personnel. This suggests that a fundamental obstacle to staffing adequate numbers of qualified nurses in rural areas may not be a shortage of nurses, but economic barriers (domestic and health care related) deeply rooted in the rural settings themselves. In those states burdened with significant shortage areas, emphasis must be placed on easing the maldistribution of available nurses away from rural, often medically underserved settings. However, while the notion of producing appropriate "types" of nurses is well founded, the temptation to "solve" the problem simply by producing more providers should be resisted, since it will not markedly benefit those areas that are currently in greatest need. The time frame necessary for such "trickle down" approaches to affect rural areas could, when combined with other factors, render many health care delivery systems virtually unsalvageable. To address the persistent distribution problem, we could change how health professionals are educated.(ABSTRACT TRUNCATED AT 250 WORDS)

Health Workforce↗