Oladeji Bibilola D, Gureje Oye
Senior Lecturer, Department of Psychiatry, University of Ibadan, Nigeria, email
Professor of Psychiatry, Department of Psychiatry, University of Ibadan, Nigeria.
BJPsych Int. 2016 Aug 1;13(3):61-63. doi: 10.1192/s2056474000001240. eCollection 2016 Aug.
The brain drain of medical professionals from lower-income to higher-income countries contributes to the current inequity that characterises access to mental healthcare by those in need across the world and hinders efforts to scale up mental health services in resource-constrained settings, especially in Nigeria and other West African countries. The migration of skilled workers is driven by a combination of the globalisation of the labour market and the ability of highly resourced countries to attract and retain specialists from poorer countries. If we are to ameliorate the worldwide shortage of mental health professionals, we need to find innovative ways of attracting young doctors into psychiatric training in all countries. We must also introduce measures to improve health worker retention in low- and middle-income countries.
医疗专业人员从低收入国家流向高收入国家，加剧了目前全球范围内医疗保健获取方面的不公平现象，这一不公平现象在世界各地需要心理健康服务的人群中表现突出，而且还阻碍了在资源有限的地区，尤其是尼日利亚和其他西非国家扩大心理健康服务的努力。熟练工人的迁移是由劳动力市场全球化以及资源丰富的国家吸引和留住较贫穷国家专家的能力共同推动的。如果我们要缓解全球心理健康专业人员短缺的状况，就需要找到创新方法，吸引各国年轻医生接受精神科培训。我们还必须采取措施，提高低收入和中等收入国家卫生工作者的留用率。
