Interventions to reduce emigration of health care professionals from low- and middle-income countries

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dc.article.numberCD007673
dc.catalogadoraba
dc.contributor.authorPeñaloza Hidalgo, Blanca Elvira
dc.contributor.authorPantoja Calderón, Tomás
dc.contributor.authorBastias, Gabriel
dc.contributor.authorHerrera Riquelme, Cristián Alberto
dc.contributor.authorRada G., Gabriel
dc.date.accessioned2023-08-11T22:05:40Z
dc.date.available2023-08-11T22:05:40Z
dc.date.issued2011
dc.description.abstractBackground The emigration of skilled professionals from low- and middle-income countries (LMICs) to high-income countries (HICs) is a general phenomenon but poses particular challenges in health care, where it contributes to human resource shortages in the health systems of poorer countries. However, little is known about the eHects of strategies to help regulate this movement. Objectives To assess the eHects of policy interventions to regulate emigration of health professionals from LMICs. Search methods We searched the Cochrane EHective Practice and Organisation of Care (EPOC) Group Specialised Register (searched 15 March 2011), the Cochrane Register of Controlled Trials (CENTRAL) (searched 2 March 2011), MEDLINE (searched 5 March 2011), EMBASE (searched 2 March 2011), CINAHL (searched 5 March 2011), LILACS (searched 7 March 2011), WHOLIS (searched 20 March 2011), SocINDEX (searched 11 March 2011), EconLit (searched 8 March 2011), Science and Social Science Citation Index (searched 8 March 2011), NLM Gateway (searched 31 March 2011) and ERIC (searched March 3 2011). We reviewed reference lists of included studies and selected reviews on the topic, contacted authors of included studies and experts on the field, and reviewed relevant websites. Selection criteria Randomised controlled trials (RCT), non-randomised controlled trials (NRCT), controlled before-and-aMer studies (CBA) and interrupted time series (ITS) studies assessing any intervention in_the source, the recipient or both countries that could have an impact on the number of professionals that emigrate from a LMIC. Health professionals, such as physicians, dentists, nurses or midwives, should be nationals of a LMIC whose graduate training was in a LMIC. Data collection and analysis One review author extracted data onto a standard form and a second review author checked data. Two review authors assessed risk of bias. Main results Only one study was included. This time series study assessed the migration of Philippine nurses to the United States of America (USA) from 1954 to 1990. We re-analysed it as an interrupted time series study. The intervention was a modification of migratory law in the US, called the 'Act of October 1965', which decreased the restrictions on Eastern hemisphere immigrants to the USA. The analysis showed a significant immediate increase of 807.6 (95% confidence interval (CI) 480.9 to 1134.3) in the number of nurses migrating to the USA annually aMer the intervention. This represents a relative increase of_5000% over the underlying pre-intervention trend. There were no significant diHerences in the slopes of the underlying trends for the number of nurses migrating between the pre- and postintervention periods. Authors' conclusions There is an important gap in knowledge about the eHectiveness of policy interventions in either HICs or LMICs that could regulate positively the movement of health professionals from LMICs. The only evidence found was from an intervention in a HIC that increased the movement of health professionals from a LMIC. New initiatives to improve records on the migration of health professionals from LMICs should be implemented, as a prerequisite to conducting more rigorous research in the field. This research should focus on whether the range of interventions outlined in the literatura could be eHective in retaining health professionals in LMICs. Such interventions include financial rewards, career development and continuing education,
dc.fechaingreso.objetodigital2023-07-06
dc.format.extent29 páginas
dc.fuente.origenORCID
dc.identifier.doi10.1002/14651858.CD007673.pub2
dc.identifier.eissn469-493X
dc.identifier.urihttps://doi.org/10.1002/14651858.CD007673.pub2
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/74394
dc.information.autorucEscuela de Medicina; Peñaloza Hidalgo, Blanca Elvira; S/I; 78909
dc.information.autorucEscuela de Medicina; Pantoja Calderón, Tomás; 0000-0002-5473-3053; 85916
dc.information.autorucEscuela de Medicina; Bastias, Gabriel; 0000-0001-8551-5844; 491
dc.information.autorucEscuela de Medicina; Herrera Riquelme, Cristián Alberto; 0000-0002-6219-7975; 142535
dc.information.autorucEscuela de Medicina; Rada G., Gabriel; 0000-0003-2435-0710; 11470
dc.issue.numero9
dc.language.isoen
dc.nota.accesoContenido parcial
dc.pagina.final27
dc.pagina.inicio1
dc.revistaCochrane Database of Systematic Reviews
dc.rightsacceso restringido
dc.subject.ddc300
dc.subject.deweyCiencias socialeses_ES
dc.titleInterventions to reduce emigration of health care professionals from low- and middle-income countrieses_ES
dc.typeartículo
sipa.codpersvinculados78909
sipa.codpersvinculados85916
sipa.codpersvinculados491
sipa.codpersvinculados142535
sipa.codpersvinculados11470
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