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BMJ Open. 2022 Dec 6;12(12):e068522. doi: 10.1136/bmjopen-2022-068522.
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Nigeria in the COVID era: Health system strengthening for national security and prosperity.尼日利亚在新冠时代:加强卫生系统以保障国家安全和繁荣。
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The expanding movement of primary care physicians operating at the first line of healthcare delivery systems in sub-Saharan Africa: A scoping review.撒哈拉以南非洲初级保健医生在医疗保健提供系统第一线扩大活动:范围审查。
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Burnout and presenteeism among healthcare workers in Nigeria: Implications for patient care, occupational health and workforce productivity.尼日利亚医护人员的职业倦怠与出勤主义:对患者护理、职业健康和劳动力生产率的影响。
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9
Adequacy of resources for provision of maternal health services at the primary health care level in Nnewi, Nigeria.尼日利亚纽维初级卫生保健层面提供孕产妇保健服务的资源充足情况。
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Barriers to accessing health care in Nigeria: implications for child survival.尼日利亚获取医疗保健的障碍:对儿童生存的影响。
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应对人才流失:理解尼日利亚立法留住医疗专业人员的公众话语。

Navigating brain drain: understanding public discourse on legislation to retain medical professionals in Nigeria.

机构信息

Department of Sociology and Criminology & Law, University of Florida, Gainesville, USA.

Center for European Studies, University of Florida, Gainesville, USA.

出版信息

Global Health. 2024 Nov 14;20(1):80. doi: 10.1186/s12992-024-01077-1.

DOI:10.1186/s12992-024-01077-1
PMID:39543665
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11566287/
Abstract

Nigeria is witnessing a mass emigration of its active labor force to more advanced economies, just like other developing countries. Approximately half of licensed medical doctors in Nigeria have emigrated, contributing to a widening doctors-to-patients ratio. In response to this concerning trend, in 2023, a legislator introduced a bill to restrain doctors from leaving Nigeria upon completing their studies by withholding their full license for five years. The public, including health professionals, criticized the bill. This study investigates the public discourse on the bill by extracting and analyzing responses published in newspaper articles, blogs, tweets, and LinkedIn posts. The analysis revealed that, while a few politicians supported the bill, the general populace opposed it due to perceived inconsistencies, a lack of focus on the core causes of migration, allegations of political elite's hypocrisy, concerns about human rights violations and unemployment. By conducting this research, this article sheds light on the complexities of public opinion surrounding the proposed legislation, providing valuable insights into the multifaceted challenges associated with addressing the medical brain drain in Nigeria. The article contributes to the ongoing debate on the migratory trends of highly skilled workers from developing countries to advanced economies.

摘要

尼日利亚正像其他发展中国家一样,经历着大量的劳动力向更发达经济体的迁移。在尼日利亚,大约有一半的注册医生已经移民,这导致了医生与患者比例的进一步扩大。为了应对这一令人担忧的趋势,2023 年,一位立法者提出了一项法案,规定医生在完成学业后,通过扣留他们的完整执照五年,限制他们离开尼日利亚。公众,包括卫生专业人员,都对该法案提出了批评。本研究通过提取和分析报纸文章、博客、推文和领英帖子中发表的回应,调查了公众对该法案的看法。分析表明,尽管一些政治家支持该法案,但由于人们认为该法案存在不一致之处、缺乏对移民核心原因的关注、对政治精英虚伪的指控、对侵犯人权和失业的担忧,广大民众普遍反对该法案。通过进行这项研究,本文揭示了围绕拟议立法的公众意见的复杂性,为解决尼日利亚医疗人才流失问题所涉及的多方面挑战提供了有价值的见解。本文为关于发展中国家高技能工人向发达经济体移民趋势的持续辩论做出了贡献。