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Australia and Oceania, and o<strong>the</strong>r countries. In France, 36% of foreign medical doctors in<br />
2009 came from Algeria, Morocco, and Tunisia. Finland also receives a high proportion<br />
of medical doctors from <strong>the</strong> Russian Federation with about 70-80 new registrations per<br />
year over <strong>the</strong> period 2004-2008. Austria has a small share of foreign medical doctors<br />
coming from Iran, Syria and Egypt. In Belgium, some medical doctors from Congo (53)<br />
and Morocco (91) undertook part of <strong>the</strong>ir specialization in Belgium.<br />
In terms of stock, <strong>the</strong> WHO also <strong>report</strong>s that <strong>the</strong> number of foreign trained doctors in<br />
some Western European countries increased considerably over <strong>the</strong> last 30 years. In<br />
particular, between 1970 and 2005, for instance, <strong>the</strong> stock of such professionals rose from<br />
1% to 6% of <strong>the</strong> total in France, Ne<strong>the</strong>rlands, from 3 to 11 % in Denmark, from 1% to<br />
4% in Portugal, and from 26% to 33% in <strong>the</strong> United Kingdom. The proportion of foreign<br />
trained doctors in Germany and Sweden remained stable between 1970 and 2005<br />
reaching <strong>the</strong> level of 5% (WHO Europe, 2007). No register data on medical doctors were<br />
available for Romania, Serbia, and Lithuania. As proxy variable, data on working permits<br />
for foreign medical doctors in Lithuania indicates a small number of foreign health<br />
professionals.<br />
The OECD also <strong>report</strong>s <strong>the</strong> proportion of doctors that were working in OECD countries<br />
in 2000. Data suggests that 11.3 % British doctors were working in OECD countries.<br />
Luxembourg has <strong>the</strong> highest expatriation rate 69 with 31% doctors working in OECD<br />
countries. Ireland has also a high proportion of doctors working in OECD countries in<br />
particular with a expatriation rate of 27% (OECD, 2007). For instance, countries such as<br />
Italy, France has <strong>the</strong> lowest expatriation rate in European countries with 1.7 and 2%<br />
doctors working in OECD countries, respectively.<br />
Finally, <strong>the</strong>re are also specific flows between regions and countries in terms of flows of<br />
health workers. For instance, Latin America is one of <strong>the</strong> main providers of health<br />
professionals to some European countries, particularly, Spain (with 55% foreign born<br />
doctors in 2000) (OECD, 2007). In 2008, a total of 7706 of <strong>the</strong> 8282 foreign diplomas<br />
recognized were from outside <strong>the</strong> EU. Also, flows of health workers from North Africa<br />
(about half of foreign born doctors) are mainly to France.<br />
69 The expatriation rate is computed as follows: <strong>the</strong> number of foreign born doctors working in OECD<br />
countries born in country i; Yi = number of doctors working in country i; emigration rate = Xi/(Xi+Yi).<br />
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