Skip to main content
Top
Published in: International Journal of Health Economics and Management 1/2019

01-03-2019 | Research Article

Skilled migration and health outcomes in developing countries

Author: Dambar Uprety

Published in: International Journal of Health Economics and Management | Issue 1/2019

Login to get access

Abstract

Many studies have found that health outcomes decline when health professionals leave the country, but do such results remain consistent in gender- and income-disaggregated skilled migration? To help uncover explanations for such a pro-migration nature of health outcomes, the present study revisits this topic but allows for associations of skilled migration with mortality and life expectancy to differ between male and female, and between low- and high-income countries. Using a panel of 133 developing countries as source and 20 OECD countries as destination from 1980 to 2010 allowing the coefficient on emigration across different education levels to differ, the study finds the negative effect of high-skilled emigration on health outcomes. Such effect is more pronounced for high-skilled female migration than those for male and for low-income countries than for middle-and high-income countries. Results also show that such adverse effect is larger for African countries than non-African ones. However, the low-skilled migration appears to be insignificant to affect health outcomes in developing countries. Thus, skilled migration is detrimental to longevity in developing countries but unskilled migration is not.
Appendix
Available only for authorised users
Footnotes
1
See, for example, Chikanda (2006) and Grignon et al. (2013).
 
Literature
go back to reference Aschhoff, B., & Schmidt, T. (2008). Empirical evidence on the success of R&D cooperation—Happy together? Review of Industrial Organization, 33, 41–62.CrossRef Aschhoff, B., & Schmidt, T. (2008). Empirical evidence on the success of R&D cooperation—Happy together? Review of Industrial Organization, 33, 41–62.CrossRef
go back to reference Brinks, D., & Coppedge, M. (2006). Diffusion is no illusion: Neighbor emulation in the third wave of democracy. Comparative Political Studies, 39, 463–489.CrossRef Brinks, D., & Coppedge, M. (2006). Diffusion is no illusion: Neighbor emulation in the third wave of democracy. Comparative Political Studies, 39, 463–489.CrossRef
go back to reference Brock, G., & Blake, M. (2014). Debating brain drain: May governments restrict emigration?. Oxford: Oxford University Press. Brock, G., & Blake, M. (2014). Debating brain drain: May governments restrict emigration?. Oxford: Oxford University Press.
go back to reference Brunelli, B. (2007). Structural adjustment programs and the delivery of health care in the third world. Pell Scholars and Senior Theses, Paper 16. Salve Regina University. Brunelli, B. (2007). Structural adjustment programs and the delivery of health care in the third world. Pell Scholars and Senior Theses, Paper 16. Salve Regina University.
go back to reference Buch, C., Koch, C. T., & Koetter, M. (2013). Do banks benefit from internationalization? Revisiting the market power—risk nexus. Review of Finance, 17, 1401–1435.CrossRef Buch, C., Koch, C. T., & Koetter, M. (2013). Do banks benefit from internationalization? Revisiting the market power—risk nexus. Review of Finance, 17, 1401–1435.CrossRef
go back to reference Chikanda, A. (2006). Skilled health professionals’ migration and its impact on health delivery in Zimbabwe. Journal of Ethnic and Migration Studies, 32(04), 667–680.CrossRef Chikanda, A. (2006). Skilled health professionals’ migration and its impact on health delivery in Zimbabwe. Journal of Ethnic and Migration Studies, 32(04), 667–680.CrossRef
go back to reference de Cos, P. H., & Moral-Benito, E. (2014). Determinants of health-system efficiency: Evidence from OECD countries. International Journal of Health Care Finance and Economics, 14(1), 69–93.CrossRefPubMed de Cos, P. H., & Moral-Benito, E. (2014). Determinants of health-system efficiency: Evidence from OECD countries. International Journal of Health Care Finance and Economics, 14(1), 69–93.CrossRefPubMed
go back to reference Dodani, S., & LaPorte, R. E. (2005). Brain drain from developing countries: How can brain drain be converted into wisdom gain? Journal of the Royal Society of Medicine, 98(11), 487–491.CrossRefPubMedCentralPubMed Dodani, S., & LaPorte, R. E. (2005). Brain drain from developing countries: How can brain drain be converted into wisdom gain? Journal of the Royal Society of Medicine, 98(11), 487–491.CrossRefPubMedCentralPubMed
go back to reference Girard, D. Z. (2010). The distribution over time of costs and social net benefits for pertussis immunization programs. International Journal of Health Care Finance and Economics, 10(1), 1–27.CrossRefPubMed Girard, D. Z. (2010). The distribution over time of costs and social net benefits for pertussis immunization programs. International Journal of Health Care Finance and Economics, 10(1), 1–27.CrossRefPubMed
go back to reference Green, R. K., Malpezzi, S., & Mayo, S. K. (2005). Metropolitan-specific estimates of the price elasticity of supply of housing, and their sources. American Economic Review, 95, 334–339.CrossRef Green, R. K., Malpezzi, S., & Mayo, S. K. (2005). Metropolitan-specific estimates of the price elasticity of supply of housing, and their sources. American Economic Review, 95, 334–339.CrossRef
go back to reference Grignon, M., Owusu, Y., & Sweetman, A. (2013). The international migration of health professionals. International Handbook on the Economics of Migration, 1, 75–97. Grignon, M., Owusu, Y., & Sweetman, A. (2013). The international migration of health professionals. International Handbook on the Economics of Migration, 1, 75–97.
go back to reference Gupta, N. (2005). Partial privatization and firm performance. Journal of Finance, 60, 987–1015.CrossRef Gupta, N. (2005). Partial privatization and firm performance. Journal of Finance, 60, 987–1015.CrossRef
go back to reference Husain, M. J. (2012). Alternative estimates of the effect of the increase of life expectancy on economic growth. Economics Bulletin, 32(4), 3025–3035. Husain, M. J. (2012). Alternative estimates of the effect of the increase of life expectancy on economic growth. Economics Bulletin, 32(4), 3025–3035.
go back to reference Kofman, E., & Raghuram, P. (2009). Skilled female labor migration. Hamburg Institute of International Economics, Hamburg. Middlesex University Research Repository. Kofman, E., & Raghuram, P. (2009). Skilled female labor migration. Hamburg Institute of International Economics, Hamburg. Middlesex University Research Repository.
go back to reference Kuningas, M., Altmäe, S., Uitterlinden, A. G., Hofman, A., van Duijn, C. M., & Tiemeier, H. (2011). The relationship between fertility and lifespan in humans. Age, 33(4), 615–622.CrossRefPubMedCentralPubMed Kuningas, M., Altmäe, S., Uitterlinden, A. G., Hofman, A., van Duijn, C. M., & Tiemeier, H. (2011). The relationship between fertility and lifespan in humans. Age, 33(4), 615–622.CrossRefPubMedCentralPubMed
go back to reference Lapeyre, F. (2004). Globalization and structural adjustment as a development tool. International Labour Office (ILO) Working Paper No. 31. Lapeyre, F. (2004). Globalization and structural adjustment as a development tool. International Labour Office (ILO) Working Paper No. 31.
go back to reference Laranjeira, E., & Szrek, H. (2016). Going beyond life expectancy in assessments of health systems’ performance: Life expectancy adjusted by perceived health status. International Journal of Health Economics and Management, 16(2), 133–161.CrossRefPubMed Laranjeira, E., & Szrek, H. (2016). Going beyond life expectancy in assessments of health systems’ performance: Life expectancy adjusted by perceived health status. International Journal of Health Economics and Management, 16(2), 133–161.CrossRefPubMed
go back to reference Li, H., Nie, W., & Li, J. (2014). The benefits and caveats of international nurse migration. International journal of nursing sciences, 1(3), 314–317.CrossRef Li, H., Nie, W., & Li, J. (2014). The benefits and caveats of international nurse migration. International journal of nursing sciences, 1(3), 314–317.CrossRef
go back to reference Mondal, M. N. I., & Shitan, M. (2013). Impact of socio-health factors on life expectancy in the low and lower middle income countries. Iranian Journal of Public Health, 42(12), 1354.PubMedCentralPubMed Mondal, M. N. I., & Shitan, M. (2013). Impact of socio-health factors on life expectancy in the low and lower middle income countries. Iranian Journal of Public Health, 42(12), 1354.PubMedCentralPubMed
go back to reference Niehaus, P. (2012). Education and knowledge spillovers. San Diego: UC San Diego. Niehaus, P. (2012). Education and knowledge spillovers. San Diego: UC San Diego.
go back to reference Ratha, D. (2005). Workers’ remittances: An important and stable source of external development finance. In Remittances: Development impact and future prospects (pp. 19–51). Ratha, D. (2005). Workers’ remittances: An important and stable source of external development finance. In Remittances: Development impact and future prospects (pp. 19–51).
go back to reference Sameem, S., & Sylwester, K. (2017). The business cycle and mortality: Urban versus rural countries. Social Science and Medicine, 175, 28–35.CrossRefPubMed Sameem, S., & Sylwester, K. (2017). The business cycle and mortality: Urban versus rural countries. Social Science and Medicine, 175, 28–35.CrossRefPubMed
go back to reference Spilimbergo, A. (2009). Democracy and foreign education. American Economic Review, 99, 528–543.CrossRef Spilimbergo, A. (2009). Democracy and foreign education. American Economic Review, 99, 528–543.CrossRef
go back to reference Stiebale, J. (2011). Do financial constraints matter for foreign market entry? A firm-level examination. World Economy, 34(123–153), 8. Stiebale, J. (2011). Do financial constraints matter for foreign market entry? A firm-level examination. World Economy, 34(123–153), 8.
go back to reference Uprety, D. (2017). The impact of remittances on economic growth in Nepal. Journal of Development Innovations, 1, 114–134. Uprety, D. (2017). The impact of remittances on economic growth in Nepal. Journal of Development Innovations, 1, 114–134.
go back to reference Vergara, R. (2010). Taxation and private investment: Evidence for Chile. Applied Economics, 42, 717–725.CrossRef Vergara, R. (2010). Taxation and private investment: Evidence for Chile. Applied Economics, 42, 717–725.CrossRef
go back to reference Zhang, J., & Lee, R. (2003). Rising longevity, education, savings, and growth. Journal of Development Economics, 70, 103–117.CrossRef Zhang, J., & Lee, R. (2003). Rising longevity, education, savings, and growth. Journal of Development Economics, 70, 103–117.CrossRef
Metadata
Title
Skilled migration and health outcomes in developing countries
Author
Dambar Uprety
Publication date
01-03-2019
Publisher
Springer US
Published in
International Journal of Health Economics and Management / Issue 1/2019
Print ISSN: 2199-9023
Electronic ISSN: 2199-9031
DOI
https://doi.org/10.1007/s10754-018-9242-3

Other articles of this Issue 1/2019

International Journal of Health Economics and Management 1/2019 Go to the issue