Dauphinee W Dale
Medical Council of Canada, Ottawa, Ontario, Canada.
J Contin Educ Health Prof. 2005 Winter;25(1):22-9. doi: 10.1002/chp.5.
Physician migration to and from countries results from many local causes and international influences. These factors operate in the context of an increasingly globalized economy. From an ethical point of view, selective and targeted "raiding" of developing countries' medical workforce by wealthier countries is not acceptable. However, within specific countries, additional factors need to be identified to moderate the situation. I discuss the context in which Canada, a developed country, has struggled with workforce planning, with troubling results. I identify challenges for Canada but emphasize that decisions based on sloppy assumptions or inadequate data can lead to invalid policies, and poorly coordinated implementation can lead to a waste of human capital. Myths and attitudes further complicate physician workforce planning. Implementing recommendations of the recently concluded Task Force on the Licensure of International Medical Graduates will hopefully ameliorate the situation.
医生在不同国家之间的流入和流出是由许多当地原因和国际影响造成的。这些因素在日益全球化的经济背景下发挥作用。从伦理角度来看，较富裕国家对发展中国家医疗劳动力进行选择性和针对性的“挖角”是不可接受的。然而，在特定国家内部，还需要找出其他因素来缓解这种情况。我将探讨发达国家加拿大在劳动力规划方面所面临的困境及令人不安的结果。我指出加拿大面临的挑战，但强调基于草率假设或不充分数据做出的决策可能导致无效政策，而协调不力的实施可能导致人力资本的浪费。错误观念和态度进一步使医生劳动力规划复杂化。希望实施最近结束的国际医学毕业生执照颁发问题特别工作组的建议能够改善这种状况。
