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What Can Be Learnt from the New Economics of Emigration of Medical Doctors to the European Union: The Cases of East and Central European, Middle Eastern and North African Economies? Team Leader & Editor: Ahmed Driouchi Institute of Economic Analysis & Prospective Studies (IEAPS) Al Akhawayn University Ifrane Morocco FEM 34-07 This research report is produced with the financial assistance of the European Union within the context of the FEMISE program. The contents of this document are the sole responsibilities of the authors and can under no circumstances be regarded as reflecting the position of the European Union. April 25th, 2012
What Can Be Learnt from the New Economics of Emigration of Medical Doctors to the European Union: The Cases of East and Central European, Middle Eastern and North African Economies? Authors Ahmed Driouchi Institute of Economic Analysis & Prospective Studies (IEAPS) Al Akhawayn University, Ifrane, Morocco & Cristina Boboc& Emilia Titan University of Bucarest, Romania Rodrigues Andrès Antonio Aarhus University, Denmark Ahlam Fakhar School of Business Administration Al Akhawayn University, Ifrane, Morocco With the contributions of: Nada Zouag & Amale Achehboune With: Molk Kadiri, Youssef Chetoui & Hajar Bousfiha Institute of Economic Analysis & Prospective Studies (IEAPS) Al Akhawayn University, Ifrane, Morocco With the collaboration of: Ahmad Baijou School of Business Administration Al Akhawayn University, Ifrane, Morocco & Jawad Kerdoudi, IMRI, Casablanca (*) (*): The contribution of Jawad Kerdoudi (IMRI) is through the distribution and gathering of questionnaires to and from medical doctors in different regions of Morocco and especially in Casablanca. The questionnaire is developed by Nada Zouag and Ahmed Driouchi (IEAPS). Further surveys are made by Dr. Bousfiha (Medical Doctor in Azrou) and Hajar Bousfiha (IEAPS). This latter exercise is focused on Azrou, Ifrane, Meknès and Fès. Direct surveys are realized also by Youssef Chetioui (IEAPS) for the regions of Khemisset, Tiflet and Rabat. The management of the survey database is realized by Hajar Bousfiha and Amale Achehboune (IEAPS). The analysis of the data from this survey is achieved by Youssef Chtioui (IEAPS). ! "!
Page 1: F E M I S E R E S E A R C H P R O G
Page 5 and 6: AMGA: American Medical Group Associ
Page 7 and 8: USA: United State of America WB: Wo
Page 9 and 10: medical doctors are then free to en
Page 11 and 12: elate to quality research and educa
Page 13 and 14: This may concern also EU countries
Page 15 and 16: discussed both in theory and practi
Page 17 and 18: EU are then described and discussed
Page 19 and 20: specialties. This study shows that
Page 21 and 22: with this trade. Special arrangemen
Page 23 and 24: into the developed countries; where
Page 25 and 26: them as follow: Cross-border delive
Page 27 and 28: In this regard, the EU is suggestin
Page 29 and 30: Given the importance of health care
Page 31 and 32: Serbia. Low wages, poor working con
Page 33 and 34: • How does tertiary education wit
Page 35 and 36: Driouchi & Kadiri (2010) are promis
Page 37 and 38: annual living costs per student. Th
Page 39 and 40: Lithuania 4.12 4.15 4.01 4.03 3.97
Page 41 and 42: Egypt 67.57 68.86 70.17 71.52 72.89
Page 43 and 44: observed externally from developing
Page 45 and 46: Relative Wages : MIN MENA / By comp
Page 47 and 48: No future, Heavy workload, to save
Page 49 and 50: one-year qualification apprenticesh
Page 51 and 52: Other European Countries Austria 4
Page 53 and 54:
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
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p-value 0.33 0.03 t test 0.99 2.25
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The following set of graphs are the
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The countries with higher number of
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Turkey (m*=0.41, m**=0.77) Yemen (m
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periods but should be concerned abo
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health report “Comptes Nationaux
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In accordance with the health insur
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95 adults >15 years old per 100000
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To achieve progress in the health s
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The external problems comprise (1)
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first four hospital universities ex
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monitoring trends and economic fact
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Other support staff 6300 2.11 2004
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areas, the case of doctors who reti
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areas of Morocco. It is computed ye
Page 151 and 152:
political instability, economic dep
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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
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These results suggest that the numb
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Finally, the questionnaire records
Page 163 and 164:
The past decades have witnessed an
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changed the notion of space, where
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implications on health, Huynen et a
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Figure III.1.3: Social stratificati
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Lee et al., (2007) primarily focus
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However, Collins (203) does recogni
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America. In Africa, where there are
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physicians from Liberia practice in
Page 179 and 180:
Figure III.1.7: Migrant care worker
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espectively. An interesting particu
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Table III.1.5: Supply of foreign (-
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Table III.1.6: Health care wages in
Page 187 and 188:
Figure II.1.11: Factors affecting h
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Figure III.1.12: Factors contributi
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Table III.1.10: International Quali
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health as integral to wellbeing thr
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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
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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).
Page 223 and 224:
World Bank Database, 2007. World Ba
Page 225 and 226:
http://gse.buffalo.edu/org/inthighe
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Berland, Y. (2002). Demographie des
Page 229 and 230:
Gericke, C.A. (2006). Finance healt
Page 231 and 232:
Salehi-Isfahani, D., Tunali, I., As
Page 233 and 234:
Beine, M., Docquier, F. & Rapoport,
Page 235 and 236:
Docquier, F., Lohest, O. & Marfouk,
Page 237 and 238:
Labdelaoui, H. (2010). Les dimensio
Page 239 and 240:
Stark, O. (1991), The Migration of
Page 241 and 242:
WHO - World Health Organization (20
Page 243 and 244:
Linacre, S. (2007). “Migration: p
Page 245 and 246:
Challenging Inequities in Health: F
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Mullan, F. (2007). Doctors and Socc
Page 249 and 250:
Vujicic M, Zurn P, Diallo K, Dal Po
Page 251 and 252:
Collins, T. (2003). Globalization,
Page 253 and 254:
Kana, M.A., (2009). From Brain Drai
Page 255 and 256:
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
Page 277 and 278:
Risk aversion model summary table C
Page 279 and 280:
Table II-2-1.2: Projections of the
Page 281 and 282:
Observations 5 Coefficients Erreur-
Page 283 and 284:
Figure 4: Age distribution within r
Page 285 and 286:
Figure 11: Migration conditions dis
Page 287 and 288:
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Page 289 and 290:
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Page 291 and 292:
! ")+!
Page 293 and 294:
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Page 295 and 296:
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Page 297:
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