Will reputational incentives stimulate a reversal of the physician brain drain?
An increased supply of physicians in high income countries both from domestic production and from immigration from low and middle income countries has made medical employment increasingly competitive. This has been heightened by the introduction of reputational incentives, such as public reporting of physicians' outcomes, and the use of other health care professionals, such as nurses. An unanticipated consequence might be a reversal of the 'brain drain', with physicians migrating to low and middle income countries.
McLean
Thomas
T
Third Millennium Consultants LLC, Shawnee, Kansas 66216, USA. tmclean@dnamail.com
D004641:Emigration and Immigration; D006801:Humans; D009042:Motivation; D010821:Physicians, Family / Q000600:supply & distribution*; D011361:Professional Competence; D014481:United States