Publication: Physician Emigration from Sub-Saharan Africa to the United States: Analysis of the 2011 AMA Physician Masterfile
Loading...
Files in English
401 downloads
Published
2013-09-17
ISSN
Date
2015-12-03
Author(s)
Editor(s)
Abstract
The large-scale emigration of physicians from sub-Saharan Africa (SSA) to high-income nations is a serious development concern. Our objective was to determine current emigration trends of SSA physicians found in the physician workforce of the United States. We analyzed physician data from the World Health Organization (WHO) Global Health Workforce Statistics along with graduation and residency data from the 2011 American Medical Association Physician Masterfile (AMA-PM) on physicians trained or born in SSA countries who currently practice in the US. We estimated emigration proportions, year of US entry, years of practice before emigration, and length of time in the US.
Link to Data Set
Digital Object Identifier
Associated content
Other publications in this report series
Journal
Journal Volume
Journal Issue
Collections
Related items
Showing items related by metadata.
Publication The Wage Effects of Immigration and Emigration(2011-02-01)Immigrants in Rome or Paris are more visible to the public eye than the Italian or French engineers in Silicon Valley, especially when it comes to the debate on the effects of immigration on the employment and wages of natives in high-income countries. This paper argues that such public fears, especially in European countries are misplaced; instead, more concern should be directed towards emigration. Using a new dataset on migration flows by education levels for the period 1990-2000, the results show the following: First, immigration had zero to small positive long-run effect on the average wages of natives, ranging from zero in Italy to +1.7 percent in Australia. Second, emigration had a mild to significant negative long-run effect ranging from zero for the US to -0.8 percent in the UK. Third, over the period 1990-2000, immigration generally improved the income distribution of European countries while emigration worsened it by increasing the wage gap between the high and low skilled natives. These patterns hold true using a range of parameters for the simulations, accounting for the estimates of undocumented immigrants, and correcting for the quality of schooling and/or labor-market downgrading of skills. All results go counter to the popular beliefs about migration, but they are due to the higher skill intensity of both emigration and immigration relative to non-migrants.Publication Leveraging Migration for Africa : Remittances, Skills, and Investments(World Bank, 2011-04-26)International migration has profound implications for human welfare, and African governments have had only a limited influence on welfare outcomes, for good or ill. Improved efforts to manage migration will require information on the nature and impact of migratory patterns. This book seeks to contribute toward this goal, by reviewing previous research and providing new analyses (including surveys and case studies) as well as by formulating policy recommendations that can improve the migration experience for migrants, origin countries, and destination countries. The book comprises this introduction and summary and four chapters. Chapter one reviews the data on African migration and considers the challenges African governments face in managing migration. Chapter two discusses the importance of remittances, the most tangible link between migration and development; it also identifies policies that can facilitate remittance flows to Africa and increase their development impact. Chapter three analyzes high-skilled emigration and analyzes policies that can limit adverse implications and maximize positive implications for development. Chapter four considers ways in which Africa can leverage its diaspora resources to increase trade, investment, and access to technology.Publication International Migration, Remittances, and the Brain Drain(Washington, DC: World Bank and Palgrave Macmillan, 2006)Knowledge of the economic effects of migration, especially its impact on economic development, is rather limited. In order to expand knowledge on migration, and identify policies and reforms that would lead to superior development outcomes, this volume presents the results of a first set of studies carried out on the subject. Current demographic trends in both developed and developing countries are pointing toward significant, potential economic gains from migration. The labor forces in many developed countries are expected to peak around 2010, and decline by around 5 percent in the following two decades, accompanied by a rapid increase in dependency ratios. Conversely, the labor forces in many developing countries are expanding rapidly, resulting in declines in dependency ratios. This imbalance is likely to create strong demand for workers in developed countries' labor markets, especially for numerous service sectors that can only be supplied locally. There are large north-south wage gaps, however, especially for unskilled and semiskilled labor. Part 1 of this book, Migration and Remittances, examines the determinants of migration, and the impact of migration and remittances on various development indicators, and measures of welfare. Among these are poverty and inequality; investments in education, health, housing and other productive activities; entrepreneurship; and child labor and education. It focuses on different source countries, use data collected via different methodologies, and employ different econometric tools. Their results, however, are surprisingly consistent. Part 2, Brain Drain, Brain Gain, Brain Waste, focuses on issues related to the migration of skilled workers, that is, the brain drain. It presents the most extensive database on bilateral skilled migration to date, and also examines a number of issues associated with the brain drain, that have not been emphasized in the literature so far, uncovers a number of interesting and unexpected patterns, and, provides answers to some of the debates. This volume deals essentially with economically motivated south-north migration, whose principal cause is, in most cases, the difference in (the present value of) expected real wages, adjusted for migration costs.Publication International Migration, Economic Development and Policy(Washington, DC: World Bank and Palgrave Macmillan, 2007)This volume reflects the expansion of the World Bank Research Program on International Migration and Development into new substantive and geographic areas. It presents a new global migration database and includes studies of the determinants and impact of return and circular migration, the impact of the flow of ideas on fertility, host country policies and their impact on immigrants, and the impact of international migration and remittances on poverty and other development indicators. The studies cover countries from Latin America, North Africa, South Asia, the South Pacific, and Western Europe, and show that the impact of migration on education and health tends to benefit girls more than boys, that its impact on labor force participation tends to be stronger for women than men, that return migrants tend to do better than non-migrants, and that fertility has tended to decline in countries whose migration has been to the West and has failed to do so in countries whose migration has been to the Gulf. The purpose of the case studies is to illustrate and clarify many theoretical mechanisms and to advance understanding of the impact of different migration policies, given that introducing policy variables in econometric regressions is generally difficult. Each study in this volume aims to answer a variety of development- and policy-related questions using the most appropriate of these three methodologies. These empirical studies and analyses include exploration of some novel hypotheses; they are also new in terms of the topics selected and the regions/ countries examinedPublication A Global Assessment of Human Capital Mobility : The Role of Non-OECD Destinations(World Bank, Washington, DC, 2014-05)Discussions of high-skilled mobility typically evoke migration patterns from poorer to wealthier countries, which ignore movements to and between developing countries. This paper presents, for the first time, a global overview of human capital mobility through bilateral migration stocks by gender and education in 1990 and 2000, and calculation of nuanced brain drain indicators. Building on newly collated data, the paper uses a novel estimation procedure based on a pseudo-gravity model, then identifies key determinants of international migration, and subsequently uses estimated parameters to impute missing data. Non-OECD destinations account for one-third of skilled-migration, while OECD destinations are declining in relative importance.
Users also downloaded
Showing related downloaded files
Publication Democracy, Market Economics and Development : An Asian Perspective(Washington, DC: World Bank, 2001-05)The book contains a selection of papers presented at the Conference on Democracy, Market Economy, and Development, whose objective was to examine the extent of which democracy is important to the achievement of sustainable development. While it is widely accepted that economic freedom, as ensured broadly by the operation of the economy according to market, or laissez-faire principles, is a critical determinant of development, the role of political freedom, as ensured broadly by the practice of democracy, is less well understood. The papers focus largely on the experience of East Asia in recent years, featuring: democracy and the market economy, emphasizing both politics, and economics as essential to improve the lives of citizens; democracy and social justice, as intrinsic to development, arguing that rights and liberties are best conveyed by the democratic system of governance; participation, as fundamental to democracy and development, for it is the practice of democracy that is most critical to the long-term sustainability of development; liberal participatory democracy, as instrumental to prod sustainable economic reforms, by ensuring the legitimacy of reform efforts. Notably, the preconditions that participatory democracy requires in order to fully support reforms, are discussed, with supporting evidence from experiences in Latin America, and Asia; and, political and economic institutions of Asia, and the West, as set to converge, despite inconclusive debates on Asian values.Publication Digital Africa(Washington, DC: World Bank, 2023-03-13)All African countries need better and more jobs for their growing populations. "Digital Africa: Technological Transformation for Jobs" shows that broader use of productivity-enhancing, digital technologies by enterprises and households is imperative to generate such jobs, including for lower-skilled people. At the same time, it can support not only countries’ short-term objective of postpandemic economic recovery but also their vision of economic transformation with more inclusive growth. These outcomes are not automatic, however. Mobile internet availability has increased throughout the continent in recent years, but Africa’s uptake gap is the highest in the world. Areas with at least 3G mobile internet service now cover 84 percent of Africa’s population, but only 22 percent uses such services. And the average African business lags in the use of smartphones and computers as well as more sophisticated digital technologies that catalyze further productivity gains. Two issues explain the usage gap: affordability of these new technologies and willingness to use them. For the 40 percent of Africans below the extreme poverty line, mobile data plans alone would cost one-third of their incomes—in addition to the price of access devices, apps, and electricity. Data plans for small- and medium-size businesses are also more expensive than in other regions. Moreover, shortcomings in the quality of internet services—and in the supply of attractive, skills-appropriate apps that promote entrepreneurship and raise earnings—dampen people’s willingness to use them. For those countries already using these technologies, the development payoffs are significant. New empirical studies for this report add to the rapidly growing evidence that mobile internet availability directly raises enterprise productivity, increases jobs, and reduces poverty throughout Africa. To realize these and other benefits more widely, Africa’s countries must implement complementary and mutually reinforcing policies to strengthen both consumers’ ability to pay and willingness to use digital technologies. These interventions must prioritize productive use to generate large numbers of inclusive jobs in a region poised to benefit from a massive, youthful workforce—one projected to become the world’s largest by the end of this century.Publication Disease and Mortality in Sub-Saharan Africa, Second Edition(Washington, DC: World Bank, 2006)Since the publication of the first edition of "Disease and Mortality in Sub-Saharan Africa" (report no. 9784 (1991)), many new sources of health and demographic information have become available, including data on trends in HIV infection from antenatal clinic surveillance sites, the first set of African life tables from a growing number of demographic surveillance sites, injury statistics from a small number of injury mortality surveillance registers, and cancer data from cancer registers. Improved methods for estimating the incidence of several other diseases, including tuberculosis, maternal mortality, and chronic diseases, have also improved the reliability of health statistics. Verbal autopsy studies have linked with demographic surveillance sites, adding to our knowledge on changes in the cause-of-death composition in several countries. Notwithstanding these advances in health statistics, a theme that emerges from all the chapters in this volume is that too little is known about trends in the diseases and conditions included here in order to monitor and evaluate the effectiveness of programs intended to produce better health outcomes. As we get closer to the 2015 end point of the Millennium Development Goals, reaching the goals will become increasingly challenging. The continued improvement of disease surveillance and other regularly published health information remains as important a priority for African health systems as it was for the first edition.Publication Democratic Jihad? Military Intervention and Democracy(World Bank, Washington, DC, 2007-06)Democracies rarely if ever fight one another, but they participate in wars as frequently as autocracies. They tend to win the wars in which they participate. Democracies frequently build large alliances in wartime, but not only with other democracies. From time to time democracies intervene militarily in ongoing conflicts. The democratic peace may contribute to a normative justification for such interventions, for the purpose of promoting democracy and eventually for the promotion of peace. This is reinforced by an emerging norm of humanitarian intervention. Democracies may have a motivation to intervene in non-democracies, even in the absence of ongoing conflict, for the purpose of regime change. The recent Iraq War may be interpreted in this perspective. A strong version of this type of foreign policy may be interpreted as a democratic crusade. The paper examines the normative and theoretical foundations of democratic interventionism. An empirical investigation of interventions in the period 1960-96 indicates that democracies intervene quite frequently, but rarely against other democracies. In the short term, democratic intervention appears to be successfully promoting democratization, but the target states tend to end up among the unstable semi-democracies. The most widely publicized recent interventions are targeted on poor or resource-dependent countries in non-democratic neighborhoods. Previous research has found these characteristics to reduce the prospects for stable democracy. Thus, forced democratization is unpredictable with regard to achieving long-term democracy and potentially harmful with regard to securing peace. But short-term military successes may stimulate more interventions until the negative consequences become more visible.Publication World Development Report 2012(World Bank, 2012)The main message of this year's World development report: gender equality and development is that these patterns of progress and persistence in gender equality matter, both for development outcomes and policy making. They matter because gender equality is a core development objective in its own right. But greater gender equality is also smart economics, enhancing productivity and improving other development outcomes, including prospects for the next generation and for the quality of societal policies and institutions. Economic development is not enough to shrink all gender disparities-corrective policies that focus on persisting gender gaps are essential. This report points to four priority areas for policy going forward. First, reducing gender gaps in human capital-specifically those that address female mortality and education. Second, closing gender gaps in access to economic opportunities, earnings, and productivity. Third, shrinking gender differences in voice and agency within society. Fourth, limiting the reproduction of gender inequality across generations. These are all areas where higher incomes by themselves do little to reduce gender gaps, but focused policies can have a real impact. Gender equality is at the heart of development. It's the right development objective, and it's smart economic policy. The World development report 2012 can help both countries and international partners think through and integrate a focus on gender equality into development policy making and programming.