Physician-nurse migration to the United States: regional and health status origins in relation to legislation and policy.

作者: I.R.H. ROCKETT , S.L. PUTNAM

DOI: 10.1111/J.1468-2435.1989.TB00354.X

关键词: Developing countryPoison controlNursingDemographyImmigration ActSocial policyPopulationPolitical scienceNaturalizationDeveloped countryImmigration

摘要: This article examines the origins of physicians and nurses who were admitted as permanent immigrants to US from 1962-1979. Data are mainly Immigration Naturalization Service. Countries used in developmental analysis only those whose population was estimated at 1 million or more mid-1979 encompassing 99% 97% nurses. Life expectancy birth is criterion differentiate origin countries by dimension health status. During study period workers constituted about 30% US; these 72-82% throughout period. The 1962-1979 has 4 distinct phases marked important legislative and/or policy changes; 1) 1962-1965 when McCarran-Walter Act prevailed; 2) ending 1968 2nd phase covers transition mandated under 1965 which encouraged physician immigration; 3) 3rd 1969-1976 1976 Nationality amendments; 4) 4th stage 1977-1979. Results show that North America became dominant source; 1966-1968 Asia attained dominance source even predominant after 1968; produced relatively few early 1970s; Europe substantially fewer 1970s than 1960s; 5) South Africa Oceania lowest contributors physicians; 6) during years almost 90% into 7) its aftermath resulted becoming nurses; 8) prior Canada generated 20% aggregate number 9) Philippines surpassed India led transition; 10) supplied up through with lead 1969-1979. Low status a minor nurse source. Health far less significant determinant immigration English language high low country groups their corresponding non-English counterparts. attracted developed 1968.

参考文章(25)
Ian R.H. Rockett, American Immigration Policy and Ethnic Selection: An Overview. The Journal of ethnic studies. ,vol. 10, pp. 1- 26 ,(1983)
Vern L. Bullough, Bonnie Bullough, Sex discrimination in health care Nursing Outlook. ,vol. 23, pp. 40- 45 ,(1975)
John K. Iglehart, The Future Supply of Physicians New England Journal of Medicine. ,vol. 314, pp. 860- 864 ,(1986) , 10.1056/NEJM198603273141327
Judith A. Fortney, International migration of professionals. Population Studies-a Journal of Demography. ,vol. 24, pp. 217- 232 ,(1970) , 10.1080/00324728.1970.10406125
M J Lanska, D J Lanska, A A Rimm, Effect of rising percentage of female physicians on projections of physician supply. Academic Medicine. ,vol. 59, pp. 849- 855 ,(1984) , 10.1097/00001888-198411000-00002
Richard E. Joyce, Chester L. Hunt, Philippine nurses and the brain drain. Social Science & Medicine. ,vol. 16, pp. 1223- 1233 ,(1982) , 10.1016/0277-9536(82)90147-2
THOMAS L. BERNARD, United States Immigration Laws and the Brain Drain International Migration. ,vol. 8, pp. 31- 38 ,(1970) , 10.1111/J.1468-2435.1970.TB01069.X
C. B. Keely, Immigration composition and population policy. Science. ,vol. 185, pp. 587- 593 ,(1974) , 10.1126/SCIENCE.185.4151.587
William B. Schwartz, Frank A. Sloan, Daniel N. Mendelson, Why There Will Be Little or No Physician Surplus between Now and the Year 2000 The New England Journal of Medicine. ,vol. 318, pp. 892- 897 ,(1988) , 10.1056/NEJM198804073181405