TERRA ECONOMICUS, , Vol. 16 (no. 1),

the health sector, bringing not only resources for development but challenges as well. The increasing number and ethnic and religious diversity of immigrants in receiving countries of the global North contribute to the expansion and restructuring of the demand for medical services. Influenced by these processes transformation of the health sector, including the formation of a special segment of medical care adapted to the requests of migrants, in turn, increases the needs of the societiesrecipients for medical specialists, including those versed in socio-cultural features of illness and of treatment. The developed states actively attract health workers from developing countries to meet these needs. Emigration of medical personnel from the global South is associated with some positive effects for the donor countries caused by migrants’ monetary and social remittances, reduction of unemployment, development of medical education, etc. However, this process generates a much more serious detrimental impact on the provision of health services for the population left behind and the development prospects of the sending countries which are already affected by the acute shortage of such personnel. The massive inflow of asylum-seekers into less developed regions of the world poses a serious burden on the local health system, prompting humanitarian organizations to the formation of a parallel segment of health care for forced migrants. The presence of these problems, reinforced by the difficulties of employment of health professionals abroad, contradicts the widespread thesis that migration contributes to a more efficient use of resources on a global scale. To reduce the negative effects of the outflow of health workers from the South, the formation of the global governance of their movement is required.

Keywords: healthcare; health economics; demand for medical services; health workers; shortage of personnel; global migrations; economic and social impact; global migration governance


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Publisher: Southern Federal University
Founder: Southern Federal University
ISSN: 2073-6606