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International Migration of Doctors, and Its Impact on Availability of Psychiatrists in Low and Middle Income Countries
PLoS ONE
  • Rachel Jenkins, King’s College London
  • Robert Kydd, University of Auckland
  • Paul Mullen, Monash University
  • Kenneth Thomson, University of Pittsburgh
  • James Sculley, South Carolina School of Medicine
  • Susan Kuper, American Psychiatric Association
  • Joanna Carroll, Royal College of Psychiatrists
  • Oye Gureje, University of Ibadan
  • Simon Hatcher, University of Auckland
  • Sharon Brownie, Aga Khan University
  • Christopher Carroll, US Department of Health and Human Science
  • Sheila Hollins, Royal College of Psychiatrists
  • Mai Luen Wong, King’s College London
Publication Date
2-4-2010
Document Type
Article
Disciplines
Abstract
Background: Migration of health professionals from low and middle income countries to rich countries is a large scale and long-standing phenomenon, which is detrimental to the health systems in the donor countries. We sought to explore the extent of psychiatric migration. Methods: In our study, we use the respective professional databases in each country to establish the numbers of psychiatrists currently registered in the UK, US, New Zealand, and Australia who originate from other countries. We also estimate the impact of this migration on the psychiatrist population ratios in the donor countries. Findings: We document large numbers of psychiatrists currently registered in the UK, US, New Zealand and Australia originating from India (4687 psychiatrists), Pakistan (1158), Bangladesh (149) , Nigeria (384) , Egypt (484), Sri Lanka (142), Philippines (1593). For some countries of origin, the numbers of psychiatrists currently registered within high-income countries’ professional databases are very small (e.g., 5 psychiatrists of Tanzanian origin registered in the 4 high-income countries we studied), but this number is very significant compared to the 15 psychiatrists currently registered in Tanzania). Without such emigration, many countries would have more than double the number of psychiatrists per 100, 000 population (e.g. Bangladesh, Myanmar, Afghanistan, Egypt, Syria, Lebanon); and some countries would have had five to eight times more psychiatrists per 100,000 (e.g. Philippines, Pakistan, Sri Lanka, Liberia, Nigeria and Zambia). Conclusions: Large numbers of psychiatrists originating from key low and middle income countries are currently registered in the UK, US, New Zealand and Australia, with concomitant impact on the psychiatrist/population ratio n the originating countries. We suggest that creative international policy approaches are needed to ensure the individual migration rights of health professionals do not compromise societal population rights to health, and that there are public and fair agreements between countries within an internationally agreed framework.
Comments

This work was published before the author joined Aga Khan University

Citation Information
Rachel Jenkins, Robert Kydd, Paul Mullen, Kenneth Thomson, et al.. "International Migration of Doctors, and Its Impact on Availability of Psychiatrists in Low and Middle Income Countries" PLoS ONE Vol. 5 Iss. 2 (2010) p. e9049
Available at: http://works.bepress.com/sharon_brownie/8/