Doctors on the move

This study explores the relationship between Medical Brain Drain (MBD) and the production of health workers, the educational choices and the health status of the population in sending countries. Using data collected by the World Bank, I find no evidence that higher emigration of physicians generates higher rates of enrolment to medical schools. With regard to the health outcomes instead there seems to be no significant effect of physicians' availability and emigration on mortality rates and basic health service coverage rates. On the other hand MBD seems to boost the incidence of deaths due to HIV/AIDS. A comparative case study of the experience of Botswana and Zimbabwe shows that what is more affected by MBD is the quality of health services provided rather than their quantity , thus the administration of basic care is only marginally affected while that of more complex treatments dramatically falls as a consequence of MBD. These findings therefore raise serious concern about the emigration of doctors from developing countries and its effects on human capital accumulation both from the point of view of education and from that of health.

Autorentext

Lucia Rizzica was born in 1983 in Catania, where she lived until 2002 when she moved to Milan to study Economics at Bocconi University. There she graduated in 2007 and since then she has been attending a PhD in Economics at University College of London where she is carrying out research on migration and human capital accumulation.