Sydney School of Public Health, University of Sydney, Sydney, Australia.
Hum Resour Health. 2013 Dec 31;11:69. doi: 10.1186/1478-4491-11-69.
Provide an up-to-date national picture of the medical, midwifery and nursing workforce distribution in Australia with a focus on overseas immigration and on production sustainability challenges.
Using 2006 and 2011 Australian census data, analysis was conducted on medical practitioners (doctors) and on midwifery and nursing professionals.
Of the 70,231 medical practitioners in Australia in 2011, 32,919 (47.3%) were Australian-born, with the next largest groups bring born in South Asia and Southeast Asia. In 2006, 51.9% of medical practitioners were born in Australia. Of the 239,924 midwifery and nursing professionals in Australia, 127,911 (66.8%) were born in Australia, with the next largest groups being born in the United Kingdom and Ireland and in Southeast Asia. In 2006, 69.8% of midwifery and nursing professionals were born in Australia. Western Australia has the highest percentage of foreign-born health workers. There is a higher percentage of Australia-born health workers in rural areas than in urban areas (82% of midwifery and nursing professional in rural areas are Australian-born versus 59% in urban areas). Of the 15,168 additional medical practitioners in Australia between the 2006 and 2011 censuses, 10,452 (68.9%) were foreign-born, including large increases from such countries as India, Nepal, Philippines, and Zimbabwe. We estimate that Australia has saved US$1.7 billion in medical education costs through the arrival of foreign-born medical practitioners over the past five years.
The Australian health system is increasingly reliant on foreign-born health workers. This raises questions of medical education sustainability in Australia and on Australia's recruitment from countries facing critical shortages of health workers.
提供澳大利亚医疗、助产和护理劳动力分布的最新全国情况，重点关注海外移民和可持续性生产挑战。
利用 2006 年和 2011 年澳大利亚人口普查数据，对医生以及助产士和护士专业人员进行了分析。
2011 年澳大利亚有 70231 名医生，其中 32919 名（47.3%）是澳大利亚出生的，其次是南亚和东南亚出生的医生。2006 年，51.9%的医生是澳大利亚出生的。澳大利亚有 239924 名助产士和护士，其中 127911 名（66.8%）是澳大利亚出生的，其次是英国和爱尔兰以及东南亚出生的。2006 年，69.8%的助产士和护士是澳大利亚出生的。西澳大利亚州拥有最高比例的外国出生的卫生工作者。农村地区澳大利亚出生的卫生工作者比例高于城市地区（农村地区 82%的助产士和护士是澳大利亚出生的，而城市地区为 59%）。在 2006 年至 2011 年期间，澳大利亚新增了 15168 名医生，其中 10452 名（68.9%）是外国出生的，其中包括印度、尼泊尔、菲律宾和津巴布韦等国的大量移民。我们估计，在过去五年中，澳大利亚通过外国出生的医生节省了 17 亿美元的医学教育成本。
澳大利亚卫生系统越来越依赖外国出生的卫生工作者。这引发了对澳大利亚医学教育可持续性以及澳大利亚从面临卫生工作者严重短缺的国家招聘的问题。
