Evidence map›Paper›PMID 35037590›Full record

ArticleGlobal health action2022

Governance systems for skilled health worker migration, their public value and competing priorities: an interpretive scoping review.

Kenneth Yakubu, Andrea Durbach, Alexandra van Waes, Sikhumbuzo A Mabunda, David Peiris, Janani Shanthosh, Rohina Joshi

Abstract readScoping Review
PubMed Full text at PMC Publisher
In one paragraph

Article in Global health action, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Migration Intent of Health Care Workers during the COVID-19 Pandemic in Kosovo.International journal of environmental research and public health · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Kenneth YakubuFaculty of Medicine, The George Institute for Global Health, Faculty of Medicine, University of New South Wales, Sydney, Australia.ORCID 0000-0002-5385-0143
Andrea DurbachAustralian Human Rights Institute, Faculty of Law and Justice, University of New South Wales, Sydney, Australia.ORCID 0000-0002-6759-0899
Alexandra van WaesDepartment of Health Sciences, Boston University, Boston, MA, USA.
Sikhumbuzo A MabundaFaculty of Medicine, The George Institute for Global Health, Faculty of Medicine, University of New South Wales, Sydney, Australia.ORCID 0000-0001-9458-3742
David PeirisFaculty of Medicine, The George Institute for Global Health, Faculty of Medicine, University of New South Wales, Sydney, Australia.ORCID 0000-0002-6898-3870
Janani ShanthoshFaculty of Medicine, The George Institute for Global Health, Faculty of Medicine, University of New South Wales, Sydney, Australia.ORCID 0000-0002-1297-2400
Rohina JoshiSchool of Population Health, Faculty of Medicine, University of New South Wales, Sydney, Australia.ORCID 0000-0002-3374-401X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGovernments worldwide participate in skilled health worker (SHW) migration agreements to protect access to health services in their countries. Previous studies have described the value offered by these agreements in separate source and destination country perspectives.

objectiveWe sought to identify and summarise existing literature on shared value creation for both source and destination countries.

methodWe conducted a systematic scoping review of health databases and grey literature. Using Mark Moore and Colin Talbot frameworks, we summarised the public value propositions in migration agreements and how state actors addressed competing priorities.

resultsMost articles (34/63, 53.9%) reported transnational SHW mobility as the public value proposition for source and destination countries. Fewer articles, 14 (22.2%) and 9 (14.3%) articles, respectively, referred to achieving health workforce sustainability and building capacity for SHW migration governance as shared public values. The most identified competing public value (CPV) was an overriding focus on addressing SHW shortages in destination countries (20/63, 37.7%). Efforts to address this CPV include mitigation of the adverse effects of migration (43/63, 68.3%) and promoting health workforce development in source countries (15, 23.8%). At the same time, state actors retained regulatory discretion for protecting their country's public health interest (34, 54%). Most articles reported the lack of funds (15/63, 23.8%) and implementation mechanisms (19/63, 30.2%) as constraints on the authorising environment and the operational capacity of SHW migration governance systems.

conclusionRegarding SHW migration governance, the literature reports shared public value propositions for source and destination countries. It also shows how the value-creating process in the management of SHW migration favours destination countries. Future studies will need to explore shared value creation models that ensure equity in the governance of SHW migration.

Indexed as

GovernmentHealth WorkforceHumansPublic HealthemigrationgovernanceHealth workforceImmigration

Identifiers

PMID35037590
PMCPMC8765257

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.