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Figure III.1.5: Selected global institutions impacting on the social determinants of health Source: Lee et al., 2007, Figure 1 III.1.2 Globalization and Health: Results Collins (2003) asserts that one of the major impacts of globalization on health is related to the constraints imposed, particularly, by the Trade Related Aspects of Intellectual Property Rights (TRIPS) Agreement on the WTO member states, for the protection of the pharmaceutical patents. This limited access to patents of pharmaceuticals resulted in a consequent limited access to medicine (Collins, 2003). In an assessment of the impact of globalization on access to health in Georgia, Collins (2003) finds that globalization has been very challenging as the effect of globalization have been coupled with the effects of the transition from one economic system to another. Private ownership of the health apparatus has resulted in a rise of health inequalities. ! *'*!
However, Collins (203) does recognize some positive merits to globalization. Globalization has in fact made it possible for developing countries and countries in transition to have access to the HIV/AIDS Care and Treatment Initiative. The United Nations Population Fund, United Nations Children’s Education Fund, World Health Organization, World Bank and UNAIDS Secretariat and five companies teamed up to significantly subsidize the price of ARVs for a greater access in the developing countries. On the other hand, migration of health workers has also altered the ratio of health workers. All these factors are leading to a low health worker ratio. In Zimbabwe, “every 2,378 people needing ART, there is one doctor and 9 nurses”. In Tanzania, for every 2,162 HIV positive people needing treatment, there is only one doctor and 18 nurses. Zambia has one doctor and 16 nurses for every 1,215 HIV positive people needing treatment.” (Kachere, 2008). In a similar vein, Cornia (2001) corroborates that TRIPS are a major contributing factor in the population health status. TRIPS make it more expensive for poorer countries to buy medicine and, therefore, limit their access to essential drugs. Cornia (2001) identifies another way the globalization of the economy affects health, in this case structural adjustment. The deregulation of the economy and particularly, structural adjustment programs have generated a decrease in taxes on trade flows has diminished the money entries of the less favored countries, especially, those in transition, therefore generating a sharp decrease in the expenditures on public services, specifically those related to health. In the example of fast liberalizing economies, such as the Russian Federation and China, expenditures as a percentage of GDP have seen a major drop, therefore directly affecting peoples’ access to health. However, the author also points out to other examples where liberalization of the economy did not necessarily lead to less health resources, as in Latin America for example. A third and indirect way of establishing a link between globalization and health, following Cornia (2001) is via the increase in participation of women in the labor market. More labor supply, in general, means an additional income which might affect positively household health, especially that of children. ! *'"!
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F E M I S E R E S E A R C H P R O G
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What Can Be Learnt from the New Eco
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AMGA: American Medical Group Associ
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USA: United State of America WB: Wo
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medical doctors are then free to en
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elate to quality research and educa
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This may concern also EU countries
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discussed both in theory and practi
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EU are then described and discussed
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specialties. This study shows that
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with this trade. Special arrangemen
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into the developed countries; where
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them as follow: Cross-border delive
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In this regard, the EU is suggestin
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Given the importance of health care
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Serbia. Low wages, poor working con
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• How does tertiary education wit
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Driouchi & Kadiri (2010) are promis
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annual living costs per student. Th
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Lithuania 4.12 4.15 4.01 4.03 3.97
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Egypt 67.57 68.86 70.17 71.52 72.89
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observed externally from developing
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Relative Wages : MIN MENA / By comp
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No future, Heavy workload, to save
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one-year qualification apprenticesh
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Other European Countries Austria 4
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one medical university and studies
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includes a three-year vocational tr
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has 18 medical universities and stu
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général du Gouvernement to gradua
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of Medical Science, Bachelor of Med
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Egypt Iran 29463 31445 32134 25990
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major policies and strategies relat
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The aim of this sub-part is to prov
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• What is the role of mobility of
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Commonwealth of Independent states
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Dodani and LaPorte (2005) suggest t
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In regards to the mobility of Europ
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The general conclusions of these th
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Specific factors Impact of HIV/AIDS
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Portugal X X Romania X X X Russian
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Germany Italy Spain Lithuania Slova
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Italy (2%) and Russia (4) in 2008 (
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theory assumes perfect transferabil
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The data available suggest potentia
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This chapter deals with the migrati
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networks and on the major channels
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assumed here that emigration decisi
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Increases (respectively decreases)
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Figure II.1.2: The shape of H as a
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The optimal emigration rate that ca
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Figure II.1.4: Effects of the Level
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empirical investigation focuses on
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Table II.1.3.1: Country annual tren
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Table II.1.3.2: Country annual tren
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! ! C/D>)! 01::! 0103! 5881::7! E#%
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"#$%&'!()*)+!Eurostat Database Abou
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Using these parameter estimates, co
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different websites for different co
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the theoretical values of the relat
Page 121 and 122: p-value 0.33 0.03 t test 0.99 2.25
Page 123 and 124: The following set of graphs are the
Page 125 and 126: The countries with higher number of
Page 127 and 128: Turkey (m*=0.41, m**=0.77) Yemen (m
Page 129 and 130: periods but should be concerned abo
Page 131 and 132: health report “Comptes Nationaux
Page 133 and 134: In accordance with the health insur
Page 135 and 136: 95 adults >15 years old per 100000
Page 137 and 138: To achieve progress in the health s
Page 139 and 140: The external problems comprise (1)
Page 141 and 142: first four hospital universities ex
Page 143 and 144: monitoring trends and economic fact
Page 145 and 146: Other support staff 6300 2.11 2004
Page 147 and 148: areas, the case of doctors who reti
Page 149 and 150: areas of Morocco. It is computed ye
Page 151 and 152: political instability, economic dep
Page 153 and 154: 1. Gender VS Intention to Migrate A
Page 155 and 156: salaries differs according to the w
Page 157 and 158: Results The results are given below
Page 159 and 160: These results suggest that the numb
Page 161 and 162: Finally, the questionnaire records
Page 163 and 164: The past decades have witnessed an
Page 165 and 166: changed the notion of space, where
Page 167 and 168: implications on health, Huynen et a
Page 169 and 170: Figure III.1.3: Social stratificati
Page 171: Lee et al., (2007) primarily focus
Page 175 and 176: America. In Africa, where there are
Page 177 and 178: physicians from Liberia practice in
Page 179 and 180: Figure III.1.7: Migrant care worker
Page 181 and 182: espectively. An interesting particu
Page 183 and 184: Table III.1.5: Supply of foreign (-
Page 185 and 186: Table III.1.6: Health care wages in
Page 187 and 188: Figure II.1.11: Factors affecting h
Page 189 and 190: Figure III.1.12: Factors contributi
Page 191 and 192: Table III.1.10: International Quali
Page 193 and 194: health as integral to wellbeing thr
Page 195 and 196: III.2.1 Need for A cooperative Fram
Page 197 and 198: graduate spends of certain number o
Page 199 and 200: III.2.2 Migration of Medical Doctor
Page 201 and 202: The convexity condition is simply a
Page 203 and 204: • A payoff vector (ai)i S is said
Page 205 and 206: III.2.2.2 Discussion and Public Pol
Page 207 and 208: Europe. Second, in the North Africa
Page 209 and 210: In the short run, the country of or
Page 211 and 212: great incentive for medical student
Page 213 and 214: system, and therefore to the rest o
Page 215 and 216: MENA countries could be moving to p
Page 217 and 218: of their medical school. The other
Page 219 and 220: Beine, M., Docquier, F. & Rapoport,
Page 221 and 222: German Medical Association.(2011).
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World Bank Database, 2007. World Ba
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http://gse.buffalo.edu/org/inthighe
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Berland, Y. (2002). Demographie des
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Gericke, C.A. (2006). Finance healt
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Salehi-Isfahani, D., Tunali, I., As
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Beine, M., Docquier, F. & Rapoport,
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Docquier, F., Lohest, O. & Marfouk,
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Labdelaoui, H. (2010). Les dimensio
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Stark, O. (1991), The Migration of
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WHO - World Health Organization (20
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Linacre, S. (2007). “Migration: p
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Challenging Inequities in Health: F
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Mullan, F. (2007). Doctors and Socc
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Vujicic M, Zurn P, Diallo K, Dal Po
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Collins, T. (2003). Globalization,
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Kana, M.A., (2009). From Brain Drai
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Sagoe, K. (2004). Using the Diaspor
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Sub-part II.1: Appendix I Appendice
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means that So if , then: > which is
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A, B,C>0 and , , Then Demo 5: Sign
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t test 3.21788138 1.86856175 3.1713
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Lithuania Years m Relative wage H/H
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Romania Years m Relative wage H/H0
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MENA Countries Risk Neutral Model C
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Tunisia Turkey 1993 0.1781 2.50 1.9
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Syria Tunisia Turkey Yemen Stand.de
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Morocco Syria Tunisia t-stat (theor
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Risk aversion model summary table C
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Table II-2-1.2: Projections of the
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Observations 5 Coefficients Erreur-
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Figure 4: Age distribution within r
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Figure 11: Migration conditions dis
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