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The library is a searchable online bilingual database of peer-reviewed literature, grey literature, as well as data resources on all matters related to health human resources within and concerning Canada.

International mobility of health professionals and health workforce management in Canada: Myths and realities

Author
Dumont J C, Zurn P, Church J, Thi C L
Year
2008
Journal
OECD Health Working Papers
Volume
40
Geography
Hits
417
Language
English
Keywords
CONCEPT-HHR-INTERNATIONALLY EDUCATED, CONCEPT-HHR-JOB CHANGE, CONCEPT-HHR-LABOUR MARKETS, LOCATED-PDF,CAN CIRC, PROJECT-HEALTH CANADA 2010
This report examines the role played by immigrant health workers in the Canadian health workforce but also the interactions between migration policies and education and health workforce management policies. Migrant health worker makes a significant contribution to the Canadian health workforce. Around 2005-06, more than 22% of the doctors were foreign-trained and 37% were foreign-born. The corresponding figures for nurses are close to 7.7% and 20%, respectively. Foreign-trained doctors play an important role in rural areas as they contribute to filling the gaps. In most rural areas, on average, 30% of the physicians were foreign-trained in 2004. Over past decades the evolution of the health workforce in Canada has been characterised notably by a sharp decline in the density of nurses and a stable density of doctors, which is in contrast with the trends observed in other OECD countries. This evolution is largely the result of measures were adopted at the end of the 1980s and early 1990s in order to address a perceived health workforce surplus. During that time, substantial public spending cuts in the health sector, anticipated cuts in medical and nursing school enrolments, and large layoffs of nurses also took place. In addition more restrictive immigration policies were adopted for doctors and nurses between 1986 and 2002 and more stringent registration procedures were introduced for foreign-trained health professionals.