The flight of physicians from West Africa: Views of African physicians and implications for policy

被引:114
作者
Hagopian, A
Ofosu, A
Fatusi, A
Biritwum, R
Essel, A
Hart, LG
Watts, C
机构
[1] Univ Washington, Dept Family Med, Ctr Hlth Workforce Studies, Seattle, WA 98195 USA
[2] Minist Hlth, Beretum, Ghana
[3] Obafemi Awolowo Univ, Coll Hlth Sci, Dept Community Hlth, Ife, Nigeria
[4] Univ Ghana, Sch Med, Dept Community Hlth, Aeera, Ghana
[5] Univ Washington, Dept Hlth Serv, Seattle, WA 98195 USA
关键词
Africa; Ghana; Nigeria; medical education; physician migration; health policy;
D O I
10.1016/j.socscimed.2005.03.027
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
West African-trained physicians have been migrating from the sub-continent to rich countries, primarily the US and the UK, since medical education began in Nigeria and Ghana in the 1960s, In 2003. we visited six medical schools in West Africa to investigate the magnitude, causes and consequences of the migration. We conducted interviews and focus groups with faculty, administrators (deans and provosts). students and post-graduate residents in six medical schools in Ghana and Nigeria. In addition to the migration push and pull factors documented in previous literature, we learned that there is now a well-developed culture of medical migration. This Culture is firmly rooted and does not simply fail to discourage medical migration but actually encourages it. Medical school faculty are role models for the benefits of migration (and Subsequent return). and they are proud of their Students Who successfully emigrate. (c) 2005 Elsevier Ltd. All rights reserved.
引用
收藏
页码:1750 / 1760
页数:11
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