Abstract

BackgroundThe big problem in global public health, arising from the international migration of physicians from less-developed to more-developed countries, increases if this migration also affects scientists dedicated to health areas. This article analyzes critical variables in the processes of Spanish scientific mobility in Health Sciences to articulate effective management policies for the benefit of national public health services and the balance between local and global science.MethodsThis study develops a survey to measure and analyze the following crucial variables: research career, training, funding, working with a world-class team, institutional prestige, wages, facilities/infrastructure, working conditions in the organization of the destination country, fringe benefits in the organization of the destination country and social responsibility in the organization of the departure country. A total of 811 researchers have participated in the survey, of which 293 were from the health sector: Spanish scientists abroad (114), scientists that have returned to Spain (32) and young researchers in Spain (147).ResultsThe most crucial variables for Spanish scientists and young researchers in Spain in Health Sciences moving abroad are the cumulative advantages (research career, training, funding and institutional prestige) plus wages. On the other hand, the return of Spanish scientists in the Health Sciences is influenced by cumulative variables (working with a world-class team, research career and institutional prestige) and also by other variables related to social factors, such as working conditions and fringe benefits in the destination country. Permanent positions are rare for these groups and their decisions regarding mobility depend to a large extent on job opportunities.ConclusionsSpanish health organizations can influence researchers to return, since these decisions mainly depend on job opportunities. These organizations can complement the cumulative advantages offered by the wealthier countries with the intensification of social factors.

Highlights

  • Accelerated international migration, from less developed to more developed countries, has reduced the number of physicians in poor countries [1]

  • The return of Spanish scientists in the Health Sciences is influenced by cumulative variables and by other variables related to social factors, such as working conditions and fringe benefits in the destination country

  • Permanent positions are rare for these groups and their decisions regarding mobility depend to a large extent on job opportunities

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Summary

Introduction

Accelerated international migration, from less developed to more developed countries, has reduced the number of physicians in poor countries [1]. This one-sided migration is a big global public health problem that affects middle-income countries [2]. The incorporation of scientists to health services encourages medical research in health services [3,4], and improves researchersperformance in translational research [5]. The big problem in global public health, arising from the international migration of physicians from less-developed to more-developed countries, increases if this migration affects scientists dedicated to health areas. This article analyzes critical variables in the processes of Spanish scientific mobility in Health Sciences to articulate effective management policies for the benefit of national public health services and the balance between local and global science

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