ArticleSocial science & medicine (1982)2023
On leaving: Coloniality and physician migration in Puerto Rico.
Article in Social science & medicine (1982), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Diagnosis of Alzheimer's disease and related dementias and outmigration of older Puerto Rican Medicare Fee-for-Service beneficiaries, 2012-2019.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026Article
- Implementation Determinants of Scaling up and Disseminating HIV-Prevention and Treatment Services to Latino MSM in Three Ending the HIV Epidemic Priority Jurisdictions: A Rapid Qualitative Analysis.AIDS and behavior · 2026Article
- Article
- Double Bonuses Increased MA Spending In Puerto Rico By $865 Million But Did Not Achieve Plan Improvement Goals.Health affairs (Project Hope) · 2026Article
- Enhancing Healthcare Services for Vulnerable Aging Populations: A Comparative Analysis of Puerto Rico and International Case Studies.Healthcare (Basel, Switzerland) · 2026Review
- Preliminary Findings of a Chronic Disease Management Program in Medicare Advantage Enrollees with Mild to Moderate Kidney Disease.International journal of environmental research and public health · 2026Article
- Beyond financial incentives: a quantitative study on spatial stigma and Puerto Rican physician migration to the United States.Global public health · 2025Article
- A regional analysis of healthcare utilization trends during consecutive disasters in puerto rico using private claims data.Scientific reports · 2025Article
- Opportunities for physical activity research in Puerto Rico: a review of the literature.Discover public health · 2025Review
- Disaster governance, energy insecurity, and public health in rural Puerto Rico: how communities resist political abandonment.Frontiers in public health · 2025Article
- Puerto Rican physician's recommendations to mitigate medical migration from Puerto Rico to the mainland United States.Health policy OPEN · 2024Article
- How Physician-Insurance Contracting Contributes to the Medical Exodus and Access to Ophthalmic Care in Puerto Rico.Epidemiologia (Basel, Switzerland) · 2024Article
- Cancer Treatment Disruption by Residence Region in the Aftermath of Hurricanes Irma and María in Puerto Rico.International journal of environmental research and public health · 2024Article
- Social Justice Is Overdue for Puerto Rican Mothers.American journal of public health · 2024Article
- The Puerto Rico community engagement alliance (PR-CEAL) against COVID-19 disparities: outreach and research engagement efforts in disproportionately affected communities.Frontiers in public health · 2024Article
- Glioblastoma in Puerto Rico: A 21-year population-based study.Neuro-oncology advancesArticle
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Authors and funding
12 authors.
Funding
Abstract
Puerto Rico (PR) has a growing physician migration problem. As of 2009, the medical workforce was composed of 14,500 physicians and by 2020 the number had been reduced to 9,000. If this migration pattern continues, the Island will not be able to meet the recommended physicians per capita ratio proposed by the World Health Organization (WHO). Existing research has focused on the personal motivations for movement to, or permanence in, a particular setting, and social variables that encourage physicians to migrate (e.g., economic conditions). Few studies have addressed the role of coloniality in fostering physician migration. In this article we examine the role of coloniality and its impact on PR's physician migration problem. The data presented in this paper stem from an NIH-funded study (1R01MD014188) that aimed to document the factors associated with physician migration from PR to the US mainland and its impact on the Island's healthcare system. The research team used qualitative interviews, surveys, and ethnographic observations. This paper focuses on the data from the qualitative interviews with 26 physicians who had migrated to the USA and ethnographic observations, which were collected and analyzed between September 2020 and December 2022. The results evidence that participants understand physician migration as a consequence of three factors: 1) the historical and multidimensional deterioration of PR, 2) the idea that the current healthcare system is rigged by politicians and insurance companies, and 3) the specific challenges faced by physicians in training on the Island. We discuss the role of coloniality in fostering these factors and how it serves as the backdrop for the problem faced by the Island.
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