The migration of physicians from sub-Saharan Africa to the United States of America: measures of the African brain drain
Identifieur interne : 000F20 ( Main/Exploration ); précédent : 000F19; suivant : 000F21The migration of physicians from sub-Saharan Africa to the United States of America: measures of the African brain drain
Auteurs : Amy Hagopian [États-Unis] ; Matthew J. Thompson [Royaume-Uni] ; Meredith Fordyce [États-Unis] ; Karin E. Johnson [États-Unis] ; L Gary Hart [États-Unis]Source :
- Human Resources for Health [ 1478-4491 ] ; 2004.
Abstract
The objective of this paper is to describe the numbers, characteristics, and trends in the migration to the United States of physicians trained in sub-Saharan Africa.
We used the American Medical Association 2002 Masterfile to identify and describe physicians who received their medical training in sub-Saharan Africa and are currently practicing in the USA.
More than 23% of America's 771 491 physicians received their medical training outside the USA, the majority (64%) in low-income or lower middle-income countries. A total of 5334 physicians from sub-Saharan Africa are in that group, a number that represents more than 6% of the physicians practicing in sub-Saharan Africa now. Nearly 86% of these Africans practicing in the USA originate from only three countries: Nigeria, South Africa and Ghana. Furthermore, 79% were trained at only 10 medical schools.
Physician migration from poor countries to rich ones contributes to worldwide health workforce imbalances that may be detrimental to the health systems of source countries. The migration of over 5000 doctors from sub-Saharan Africa to the USA has had a significantly negative effect on the doctor-to-population ratio of Africa. The finding that the bulk of migration occurs from only a few countries and medical schools suggests policy interventions in only a few locations could be effective in stemming the brain drain.
Url:
DOI: 10.1186/1478-4491-2-17
PubMed: 15598344
PubMed Central: 544595
Affiliations:
- Royaume-Uni, États-Unis
- Angleterre, Oxfordshire, Washington (État)
- Oxford, Seattle
- Université d'Oxford, Université de Washington
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Thompson</name><affiliation wicri:level="4"><nlm:aff id="I2">Department of Primary Health Care, University of Oxford, Oxford, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Primary Health Care, University of Oxford, Oxford</wicri:regionArea><placeName><settlement type="city">Oxford</settlement><region type="country">Angleterre</region><region type="comté" nuts="2">Oxfordshire</region></placeName><orgName type="university">Université d'Oxford</orgName></affiliation></author><author><name sortKey="Fordyce, Meredith" sort="Fordyce, Meredith" uniqKey="Fordyce M" first="Meredith" last="Fordyce">Meredith Fordyce</name><affiliation wicri:level="4"><nlm:aff id="I1">WWAMI Center for Health Workforce Studies, Department of Family Medicine, University of Washington, Seattle, Washington, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>WWAMI Center for Health Workforce Studies, Department of Family Medicine, University of Washington, Seattle, Washington</wicri:regionArea><placeName><region type="state">Washington (État)</region><settlement type="city">Seattle</settlement></placeName><orgName type="university">Université de Washington</orgName></affiliation></author><author><name sortKey="Johnson, Karin E" sort="Johnson, Karin E" uniqKey="Johnson K" first="Karin E" last="Johnson">Karin E. 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A total of 5334 physicians from sub-Saharan Africa are in that group, a number that represents more than 6% of the physicians practicing in sub-Saharan Africa now. Nearly 86% of these Africans practicing in the USA originate from only three countries: Nigeria, South Africa and Ghana. Furthermore, 79% were trained at only 10 medical schools.</p></sec><sec><title>Conclusions</title><p>Physician migration from poor countries to rich ones contributes to worldwide health workforce imbalances that may be detrimental to the health systems of source countries. The migration of over 5000 doctors from sub-Saharan Africa to the USA has had a significantly negative effect on the doctor-to-population ratio of Africa. The finding that the bulk of migration occurs from only a few countries and medical schools suggests policy interventions in only a few locations could be effective in stemming the brain drain.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Royaume-Uni</li><li>États-Unis</li></country><region><li>Angleterre</li><li>Oxfordshire</li><li>Washington (État)</li></region><settlement><li>Oxford</li><li>Seattle</li></settlement><orgName><li>Université d'Oxford</li><li>Université de Washington</li></orgName></list><tree><country name="États-Unis"><region name="Washington (État)"><name sortKey="Hagopian, Amy" sort="Hagopian, Amy" uniqKey="Hagopian A" first="Amy" last="Hagopian">Amy Hagopian</name></region><name sortKey="Fordyce, Meredith" sort="Fordyce, Meredith" uniqKey="Fordyce M" first="Meredith" last="Fordyce">Meredith Fordyce</name><name sortKey="Hart, L Gary" sort="Hart, L Gary" uniqKey="Hart L" first="L Gary" last="Hart">L Gary Hart</name><name sortKey="Johnson, Karin E" sort="Johnson, Karin E" uniqKey="Johnson K" first="Karin E" last="Johnson">Karin E. Johnson</name></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Thompson, Matthew J" sort="Thompson, Matthew J" uniqKey="Thompson M" first="Matthew J" last="Thompson">Matthew J. Thompson</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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