Lorenzo Fely Marilyn E, Galvez-Tan Jaime, Icamina Kriselle, Javier Lara
Institute of Health Policy and Development Studies, National Institutes of Health, University of the Philippines, Manila, Ermita, Manila, Philippines.
Health Serv Res. 2007 Jun;42(3 Pt 2):1406-18. doi: 10.1111/j.1475-6773.2007.00716.x.
To describe nurse migration patterns in the Philippines and their benefits and costs.
The Philippines is a job-scarce environment and, even for those with jobs in the health care sector, poor working conditions often motivate nurses to seek employment overseas. The country has also become dependent on labor migration to ease the tight domestic labor market. National opinion has generally focused on the improved quality of life for individual migrants and their families, and on the benefits of remittances to the nation. However, a shortage of highly skilled nurses and the massive retraining of physicians to become nurses elsewhere has created severe problems for the Filipino health system, including the closure of many hospitals. As a result, policy makers are debating the need for new policies to manage migration such that benefits are also returned to the educational institutions and hospitals that are producing the emigrant nurses.
There is new interest in the Philippines in identifying ways to mitigate the costs to the health system of nurse emigration. Many of the policy options being debated involve collaboration with those countries recruiting Filipino nurses. Bilateral agreements are essential for managing migration in such a way that both sending and receiving countries derive benefit from the exchange.
描述菲律宾护士的移民模式及其利弊。
菲律宾就业机会稀缺，即便对于医疗保健行业有工作的人来说，恶劣的工作条件也常常促使护士到海外寻找工作。该国还依赖劳务移民来缓解国内紧张的劳动力市场。国民舆论普遍关注个体移民及其家庭生活质量的改善，以及汇款给国家带来的益处。然而，高技能护士短缺以及大量医生在其他地方重新接受培训成为护士，给菲律宾医疗系统造成了严重问题，包括许多医院关闭。因此，政策制定者正在讨论是否需要制定新政策来管理移民，以便益处也能回馈给培养移民护士的教育机构和医院。
菲律宾对找出减轻护士移民给医疗系统带来成本的方法有了新兴趣。许多正在讨论的政策选择涉及与招募菲律宾护士的国家开展合作。双边协议对于以让输出国和接收国均能从这种交流中受益的方式管理移民至关重要。
