Title :

Is there a ‘pig cycle’ in the labour supply of doctors? How training and immigration policies respond to physician shortages

Author(s) :

Chojnicki, Xavier [Auteur]
Lille économie management - UMR 9221 [LEM]
Economie Quantitative, Intégration, Politiques Publiques et Econométrie [EQUIPPE]
Moullan, Yasser [Auteur]
Centre d'Économie et de Management de l'Océan Indien [CEMOI]
Institut de Recherche et Documentation en Economie de la Santé [IRDES]

Journal title :

Social Science & Medicine

Pages :

227-237

Publisher :

Elsevier

Publication date :

2018-03

ISSN :

0037-7856

English keyword(s) :

Physician shortages
International migration of doctors
Medical graduates
Foreign-trained physicians

HAL domain(s) :

Sciences de l'Homme et Société/Economies et finances

English abstract : [en]

Many OECD countries are faced with the considerable challenge of a physician shortage. This paper investigates the strategies that OECD governments adopt and determines whether these policies effectively address these ...
Show more >Many OECD countries are faced with the considerable challenge of a physician shortage. This paper investigates the strategies that OECD governments adopt and determines whether these policies effectively address these medical shortages. Due to the amount of time medical training requires, it takes longer for an expansion in medical school capacity to have an effect than the recruitment of foreign-trained physicians. Using data obtained from the OECD (2014) and Bhargava et al. (2011), we constructed a unique country-level panel dataset that includes annual data for 17 OECD countries on physician shortages, the number of medical school graduates and immigration and emigration rates from 1991 to 2004. By calculating panel fixed-effect estimates, we find that after a period of medical shortages, OECD governments produce more medical graduates in the long run but in the short term, they primarily recruit from abroad; however, at the same time, certain practising physicians choose to emigrate. Simulation results show the limits of recruiting only abroad in the long term but also highlight its appropriateness for the short term when there is a recurrent cycle of shortages/surpluses in the labour supply of physicians (pig cycle theory).Show less >

Language :

Anglais

Peer reviewed article :

Oui

Audience :

Internationale

Popular science :

Non

Collections :

• Lille Économie Management (LEM) - UMR 9221

Source :

Harvested from HAL