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澳大利亚和新西兰对太平洋岛国卫生工作者人才外流的影响。

Australia and New Zealand's contribution to Pacific Island health worker brain drain.

作者信息

Negin Joel

机构信息

Edward Ford Building, School of Public Health, University of Sydney, New South Wales, Australia.

出版信息

Aust N Z J Public Health. 2008 Dec;32(6):507-11. doi: 10.1111/j.1753-6405.2008.00300.x.

Abstract

OBJECTIVE

The paper aims to quantify Australia and New Zealand's contribution to the brain drain of Pacific Island health workers and to contribute firm evidence to the ongoing, highly-contested health professional migration issue.

METHODS

The study uses the Australian and New Zealand 2006 census data to examine the number of Pacific Island born health professionals living in Australia and New Zealand and uses World Health Organization data to compare it against the numbers of health workers in Pacific Island countries.

RESULTS

Six hundred and fifty-two Pacific Island born doctors and 3,467 Pacific Island born nurses and midwives are working in Australia and New Zealand, more than half of whom are from Fiji with significant numbers from Papua New Guinea, Samoa and Tonga as well. There are almost as many Fiji-born doctors in Australia and New Zealand as there are in Fiji. There are more Samoa, Tonga and Fiji-born nurses and midwives in Australia and New Zealand than in the domestic workforce.

CONCLUSIONS

Migration of Pacific Island health professionals to Australia and New Zealand is very high and contributes to the shortage of health workers in Pacific Island countries.

IMPLICATIONS

Australia and New Zealand are encouraged to actively address the issue in collaboration with Pacific Island partners with a number of solutions proposed.

摘要

目的

本文旨在量化澳大利亚和新西兰对太平洋岛国卫生工作者人才外流的影响,并为当前备受争议的卫生专业人员移民问题提供确凿证据。

方法

该研究利用澳大利亚和新西兰2006年的人口普查数据,调查居住在澳大利亚和新西兰的出生于太平洋岛国的卫生专业人员数量,并使用世界卫生组织的数据将其与太平洋岛国的卫生工作者数量进行比较。

结果

652名出生于太平洋岛国的医生以及3467名出生于太平洋岛国的护士和助产士在澳大利亚和新西兰工作,其中一半以上来自斐济,还有大量人员来自巴布亚新几内亚、萨摩亚和汤加。在澳大利亚和新西兰的斐济出生的医生数量几乎与斐济国内的数量相当。在澳大利亚和新西兰的萨摩亚、汤加和斐济出生的护士和助产士数量超过了这些国家本国劳动力中的数量。

结论

太平洋岛国卫生专业人员向澳大利亚和新西兰的移民率非常高,这导致了太平洋岛国卫生工作者的短缺。

启示

鼓励澳大利亚和新西兰与太平洋岛国伙伴合作,积极解决这一问题,并提出了一些解决方案。

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