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Source country perceptions, experiences, and recommendations regarding health workforce migration: a case study from
Kanchan Marcus1, Gabriella Quimson, Stephanie D Short
1Health Systems, Global Populations Faculty Research Group, Faculty of Health Sciences, The University of Sydney, Science Road, Sydney, NSW 2006, Australia. kanchan.marcus@sydney.edu.au.
Human Resources for Health
|November 2, 2014
Summary
Filipino nurse migration offers benefits but leads to a shortage of experienced nurses in the Philippines, impacting rural healthcare. Understanding these impacts is crucial for ethical international recruitment.
Area of Science:
- Health Policy
- Migration Studies
- Nursing Workforce Research
Background:
- The Philippines faces a surplus of nurses for export, with limited insight into source country perspectives on nurse migration.
- A research gap exists regarding the views of Filipino organizations on health workforce migration, particularly concerning migration to Australia.
Purpose of the Study:
- To explore the experiences and perceptions of key Filipino organizations regarding Filipino nurse migration.
- To provide a source country perspective on the phenomenon of Filipino nurse migration to Australia.
Main Methods:
- Qualitative thematic analysis of focus-group interviews with key informants from nine purposively selected Filipino organizations.
- Data collected by an Australian-Filipino research team using a coding framework.
Main Results:
- Health workforce migration is viewed as having dual consequences: individual benefits for nurses (economic, professional, social) versus a "brain drain" of experienced nurses.
- Nurse emigration results in maldistribution of health workers, negatively affecting rural health outcomes in the Philippines.
- Issues such as "volunteerism" were identified as a consequence of nurse migration.
Conclusions:
- Insights from Filipino organizations are vital for developing ethical international recruitment policies, aligning with the WHO Code of Practice.
- Future recruitment, orientation, and support programs for migrant nurses should be sensitive to the needs of the Philippines' education and health sectors.
- Addressing the negative consequences of nurse migration requires collaboration between governments, recruiters, and nursing leaders.
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