Stilwell Barbara, Diallo Khassoum, Zurn Pascal, Vujicic Marko, Adams Orvill, Dal Poz Mario
Department of Health Service Provision, World Health Organization, Geneva, Switzerland.
Bull World Health Organ. 2004 Aug;82(8):595-600. Epub 2004 Sep 13.
Of the 175 million people (2.9% of the world's population) living outside their country of birth in 2000, 65 million were economically active. The rise in the number of people migrating is significant for many developing countries because they are losing their better-educated nationals to richer countries. Medical practitioners and nurses represent a small proportion of the highly skilled workers who migrate, but the loss for developing countries of human resources in the health sector may mean that the capacity of the health system to deliver health care equitably is significantly compromised. It is unlikely that migration will stop given the advances in global communications and the development of global labour markets in some fields, which now include nursing. The aim of this paper is to examine some key issues related to the international migration of health workers and to discuss strategic approaches to managing migration.
2000年，有1.75亿人（占世界人口的2.9%）生活在其出生国以外的地方，其中6500万人从事经济活动。移民人数的增加对许多发展中国家来说意义重大，因为它们正在将受过良好教育的国民流失到更富裕的国家。医生和护士在移民的高技能工人中占比很小，但发展中国家卫生部门人力资源的流失可能意味着卫生系统公平提供医疗服务的能力受到严重损害。鉴于全球通信的进步以及包括护理在内的某些领域全球劳动力市场的发展，移民不太可能停止。本文的目的是研究与卫生工作者国际移民相关的一些关键问题，并讨论管理移民的战略方法。
