循环移徙——克服卫生专业人员移徙带来的挑战的机会

Iliyana Georgieva
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摘要

保健专业人员的移徙是一个日益严重的世界现象,给各国带来了许多挑战。因此,为了为卫生系统找到适当的解决办法,正在开展更多关注移徙影响及其极性特征的研究。最近,有人提出循环迁移是增加迁移的积极影响和限制迁移的消极影响的最合适的工具之一。本研究的目的是分析作为一种有可能帮助克服移徙给各国卫生系统带来挑战的新工具的循环移徙。所使用的方法包括分析和综合各种国际和国家组织的科学文献和报告。大量研究结果表明,对于循环移民并没有一个统一的定义,学界和政界提出的定义也各不相同。它们之间的相似之处在于将循环移民解释为两国之间的临时和重复的人口流动,而差异在于东道国和派遣国确定的停留时间及其所采取的法律形式。有不同的原因导致这一现象在卫生专业人员中发展,个人动机被认为对个人的决定有最大的影响。鉴于循环移徙发展的动态速度,国际组织建议各国改进关于保健专业人员循环移徙的数据收集工作,这些数据可作为这一领域决策的证据基础。
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Circular migration – an opportunity to overcome the challenges with migration of health professionals
The migration of health professionals is a growing worldwide phenomenon which poses a number of challenges to countries. Therefore, in order to find appropriate solutions for health systems, more research that pays attention to the effects of migration and their polar characteristics is being carried out. Recently, it has been suggested that circular migration is one of the most suitable instruments to increase the positive and limit the negative consequences of migration. The aim of the present study is to analyze circular migration as a new instrument that has the potential to help overcome the challenges that migration poses to countries‘ health systems. The methods used include analysis and synthesis of scientific literature and reports of various international and national organizations. The results of a number of studies show that there isn’t a unified definition of circular migration and the proposed ones at an academic and political level vary in nature. The similarities among them are in the explanation of the circular migration as a temporary and repeating movement of people between two countries, and the differences come from the established duration of stay in the host and sending countries and the legal form it takes. There are different reasons that lead to the development of this phenomenon among health professionals, and it is considered that personal motives have the strongest influence on the decision of individuals. Given the dynamic pace at which circular migration is developing, international organizations recommend that countries improve the data collection on circular migration of health professionals, which can serve as an evidence base for policy-making in this area.
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