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Sökning: WFRF:(Walter Lars) > (2020-2024) > Measuring the migra...

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FältnamnIndikatorerMetadata
00004903naa a2200409 4500
001oai:lup.lub.lu.se:042e2c6f-78d6-46d7-b827-c6d3f75c08de
003SwePub
008200720s2020 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:144752894
0247 a https://lup.lub.lu.se/record/042e2c6f-78d6-46d7-b827-c6d3f75c08de2 URI
0247 a https://doi.org/10.1016/j.surg.2020.04.0142 DOI
0247 a http://kipublications.ki.se/Default.aspx?queryparsed=id:1447528942 URI
040 a (SwePub)lud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a art2 swepub-publicationtype
072 7a ref2 swepub-contenttype
1001 a Lantz, Adamu Lund University,Lunds universitet,Kirurgi och folkhälsa,Forskargrupper vid Lunds universitet,Surgery and public health,Lund University Research Groups,Helsingborg Hospital4 aut0 (Swepub:lu)med-al17
2451 0a Measuring the migration of surgical specialists
264 1b Elsevier BV,c 2020
300 a 8 s.
520 a Background: The lack of access to essential surgical care in low-income countries is aggravated by emigration of locally-trained surgical specialists to more affluent regions. Yet, the global diaspora of surgeons, obstetricians, and anesthesiologists from low-income and middle-income countries has never been fully described and compared with those who have remained in their country of origin. It is also unclear whether the surgical workforce is more affected by international migration than other medical specialists. In this study, we aimed to quantify the proportion of surgical specialists originating from low-income and middle-income countries that currently work in high-income countries. Methods: We retrieved surgical workforce data from 48 high-income countries and 102 low-income and middle-income countries using the database of the World Health Organization Global Surgical Workforce. We then compared this domestic workforce with more granular data on the country of initial medical qualification of all surgeons, anesthesiologists, and obstetricians made available for 14 selected high-income countries to calculate the proportion of surgical specialists working abroad. Results: We identified 1,118,804 specialist surgeons, anesthesiologists, or obstetricians from 102 low-income and middle-income countries, of whom 33,021 (3.0%) worked in the 14 included high-income countries. The proportion of surgical specialists abroad was greatest for the African and South East Asian regions (12.8% and 12.1%). The proportion of specialists abroad was not greater for surgeons, anesthesiologists, or obstetricians than for physicians and other medical specialists (P = .465). Overall, the countries with the lowest remaining density of surgical specialists were also the countries from which the largest proportion of graduates were now working in high-income countries (P = .011). Conclusion: A substantial proportion of all surgeons, anesthesiologists, and obstetricians from low-income and middle-income countries currently work in high-income countries. In addition to decreasing migration from areas of surgical need, innovative strategies to retain and strengthen the surgical workforce could involve engaging this large international pool of surgical specialists and instructors.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi0 (SwePub)303012 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Health Care Service and Management, Health Policy and Services and Health Economy0 (SwePub)303012 hsv//eng
7001 a Holmer, Hampusu Karolinska Institute,Lund University,Lunds universitet,Kirurgi och folkhälsa,Forskargrupper vid Lunds universitet,Surgery and public health,Lund University Research Groups4 aut0 (Swepub:lu)med-hsh
7001 a Finlayson, Samuel R.G.u University of Utah4 aut
7001 a Ricketts, Thomas C.u University of North Carolina4 aut
7001 a Watters, David A.u Barwon Health,Deakin University4 aut
7001 a Gruen, Russell L.u Australian National University4 aut
7001 a Johnson, Walter D.u Loma Linda University4 aut
7001 a Hagander, Larsu Lund University,Lunds universitet,Kirurgi och folkhälsa,Forskargrupper vid Lunds universitet,Surgery and public health,Lund University Research Groups,Skåne University Hospital4 aut0 (Swepub:lu)med-lhd
7102 a Kirurgi och folkhälsab Forskargrupper vid Lunds universitet4 org
7730 t Surgery (United States)d : Elsevier BVg 168:3, s. 550-557q 168:3<550-557x 0039-6060x 1532-7361
8564 u http://dx.doi.org/10.1016/j.surg.2020.04.014y FULLTEXT
8564 8u https://lup.lub.lu.se/record/042e2c6f-78d6-46d7-b827-c6d3f75c08de
8564 8u https://doi.org/10.1016/j.surg.2020.04.014
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:144752894

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