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Εγγραφή ή Είσοδος
Γιατροί όλων των ειδικοτήτων αλλά και μηχανικοί οι περισσότεροι ενδιαφερόμενοι. Από 35-45 χρόνων η πλειονότητα όσων κατέθεσαν αίτηση
Οι περισσότεροι από τους συμμετέχοντες στη διημερίδα ήταν ηλικίας 35-45, τα πιο παραγωγικά χρόνια δηλαδή που χάνει η Ελλάδα εξαιτίας της οικονομικής κρίσης. Εντύπωση έκανε ο μεγάλος αριθμός γιατρών του ΕΣΥ όλων των ειδικοτήτων αλλά και ιδιωτών, οι οποίοι έχουν απογοητευτεί από το σύστημα υγείας της Ελλάδας και ενδιαφέρονται να κάνουν νέα αρχή στην Αυστραλία. Επίσης, εκατοντάδες ήταν οι αιτήσεις από νοσηλευτές και νοσηλεύτριες και από μηχανικούς καθώς οι συγκεκριμένες δουλειές είναι περιζήτητες στην Αυστραλία.
«Αιμορραγία»
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Εγγραφή ή
ΕίσοδοςHealth Workforce Migration – The Global Context1.1
Global Demand for Migrant Health ProfessionalsEight key factors drive the global recruitment of migrant health professionals
1
.
„First, medical and allied health workforces are rapidly ageing in developed countries. As
early as 2003, for instance, 42% of Australia‟s surgeons were aged 55 years or more, with
the average age of nurses around 50
2
.
Second, health workforce migration is a panacea for short-term domestic shortages. In
2000, for example, the UK‟s National Health Service signed bilateral agreements with
India, the Philippines and Spain to contribute to the recruitment of 9,500 medical
consultants, 20,000 nurses and 6,500 allied health professionals, while domestic training
was being scaled up. By 2005, in consequence, 65% of staff grade doctors, 59% of
associate specialists and 43% of senior house officers were „third country trained‟
(derived from beyond the UK and the European Economic Area.)
3
.
Third, international health graduates are sought to compensate for sustained outmigration. In New Zealand, for example, recruitment of 2.3 million migrants in 50 years
translated to a net population gain of just 208,000 people. By 2010 1,100 international
medical graduates (IMG‟s) were being registered annually compared to just 300 domestic
graduates. Fewer than half these IMG‟s would remain for a year, dropping to 31% within
a 3 year period
4
. South Africa has developed a comparable level of dependence on
migrant health professionals, to compensate for sustained outflows to the United States,
the United Kingdom, Australia, Canada and New Zealand
5
.
Fourth, health workforce recruitment has evolved as a tool to address workforce
maldistribution and under-supply. The US, for instance, has a disproportionate reliance
on IMG‟s to fill inner-city public sector Medicaid posts
6
, while in Australia and Canada
thousands of IMG‟s and nurses each year are recruited to work in „areas of need‟ –
regional and remote sites where visas can be tied to specific locations
7
.
Fifth, countries with limited domestic capacity seek expatriates to provide primary and
specialist health care, constituting up to 80% or more of recent physicians in the Gulf
States and Botswana.
Sixth, vast numbers of health professionals from developing countries seek improved life
choices for their children – relocating to OECD nations through single or sequential
moves designed to secure better career opportunity, remuneration, and professional
conditions (migrating for example from India to the Gulf States to South Africa to
Australia within a decade).
Seventh, migrant health professionals relocate globally as part of family reunification or
refugee flows, a process covering the majority of migrant physicians reaching Germany
and the Netherlands for instance, in a context where their presence and workforce 13
contribution have not been sought
8
. (In the case of the Netherlands recent refugee flows
have included doctors from the former Yugoslavia, Iran, Iraq, Afghanistan and Somalia.)
Finally, what might be termed a „free trade‟ in physicians and allied health professionals
exists between OECD countries – major motivations for migration including improved
lifestyle, „adventure‟ medicine, and career development. An example is the thousands of
UK-trained doctors and nurses accepted by Australia and New Zealand each year,
including recently graduated „backpacker doctors‟. A second is the constant shifts south
by Canadian health professionals, for example with 8,990 Canadian IMG‟s working in
the US by 2005, along with 40,838 IMG‟s from India, 6,687 from China and 3,439 from
the UK
9
.‟
In the context of global maldistribution and undersupply, the majority of OECD countries are in
the process of:
1. Developing migration categories designed to attract and retain skilled workers;
2. Monitoring and replicating successful competitor models, including mechanisms for
selection and control;
3. Expanding temporary entry options, targeting international students and employersponsored workers;
4. Facilitating student and worker transition from temporary to extended or permanent
resident status, supported by priority processing and uncapped migration categories;
5. Combining government-driven with employer-driven strategies;
6. Creating regional settlement incentives designed to attract skilled migrants, supported
by lower entry requirements and policy input from local governments and/or
employers; and
7. Supporting the above strategies through sustained and increasingly innovative global
promotion strategies
10
.
Given this, Australia is certain to face escalating competition to attract and retain health migrants
in the future. (See Section 8.)