Abstract
The enlargement of the European Union in 2004 and 2007 and the marketisation of health care are increasing the mobility of workers and driving a scalar transformation of the sector across Europe. Drawing on questionnaires and interviews in 17 European Union countries, and focusing on two case study New Member States, we analyse inter- and intra-country drivers and impacts of health care labour mobility. The data are analysed from an open political-economy perspective underpinned by an understanding of scale as a socially constructed material entity mediated by national and supranational state institutions, and the collective agency of workers. We emphasise the contradictory and contested nature of rescaling health care and the complex micro-dynamics of mobility. Although absolute outward migration across borders is relatively small, the movement of health care specialists is having a disproportionate effect on sender countries and regions within them.
Highlights
The study of migration draws on multiple disciplines, blurring the boundaries between them and resulting in little consensus regarding the causes and impacts of the movement of workers
The emphasis has tended to be on labour mobility in sectors that are low skilled, poorly paid and ‘grease the wheels’ of flexible labour markets (Ruhs, 2006; Wills et al, 2009)
Within the European Union a number of economic, political and social developments are in the process of changing the labour market for health workers and the patterns and drivers of inter-country mobility
Summary
Citation for published version: Jane hardy, Steve Shelley, Moira Calveley, Julia Kubisa, and Rebecca Zahn, ‘Scaling the mobility of health workers in an enlarged Europe: An open political-economy perspective’, European Urban and Regional Studies, Vol 23 (4): 798-815, October 2016. Document Version: This is the Accepted Manuscript version. The version in the University of Hertfordshire Research Archive may differ from the final published version. The cross border mobility of health workers in an enlarged Europe: a multiscalar approach
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