School of International Policy and Governance, Balsillie School of International Affairs, Wilfrid Laurier University, 67 Erb St Room 216, Waterloo, Ontario N2L 3C5, Canada.
Soc Sci Med. 2015 Jan;124:374-82. doi: 10.1016/j.socscimed.2014.10.004. Epub 2014 Oct 2.
Health worker migration theories have tended to focus on labour market conditions as principal push or pull factors. The role of education systems in producing internationally oriented health workers has been less explored. In place of the traditional conceptual approaches to understanding health worker, especially nurse, migration, I advocate global political economy (GPE) as a perspective that can highlight how educational investment and global migration tendencies are increasing interlinked. The Indian case illustrates the globally oriented nature of health care training, and informs a broader understanding of both the process of health worker migration, and how it reflects wider marketization tendencies evident in India's education and health systems. The Indian case also demonstrates how the global orientation of education systems in source regions is increasingly central to comprehending the place of health workers in the global and Asian rise in migration. The paper concludes that Indian corporate health care training systems are increasingly aligned with the production of professionals orientated to globally integrated health human resource labour markets, and our conceptual analysis of such processes must effectively reflect these tendencies.
卫生工作者迁移理论往往侧重于劳动力市场条件作为主要的推动或拉动因素。教育系统在培养具有国际导向的卫生工作者方面的作用尚未得到充分探讨。在理解卫生工作者（特别是护士）迁移的传统概念方法中，我主张全球政治经济（GPE）作为一种视角，可以突出教育投资和全球移民趋势如何日益相互关联。印度案例说明了医疗培训的全球性，并且更广泛地了解卫生工作者迁移的过程，以及它如何反映出印度教育和卫生系统中明显的市场化趋势。印度案例还表明，来源地区教育系统的全球化方向对于理解卫生工作者在全球和亚洲移民浪潮中的地位越来越重要。本文的结论是，印度企业医疗培训系统越来越符合培养面向全球一体化卫生人力资源劳动力市场的专业人员的方向，我们对这些过程的概念分析必须有效地反映这些趋势。
