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Nursing Migration and the Global Health Care Economy Dr Mireille Kingma

Nursing Migration and the Global Health Care Economy Dr Mireille Kingma International Council of Nurses. International Migration. What do we know? 3% of the world’s population 191 million people 48% female Industrialised countries: One out of 10 International labour market.

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Nursing Migration and the Global Health Care Economy Dr Mireille Kingma

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  1. Nursing Migration and the Global Health Care Economy Dr Mireille Kingma International Council of Nurses

  2. International Migration What do we know? • 3% of the world’s population • 191 million people • 48% female • Industrialised countries: One out of 10 • International labour market

  3. Globalisation • Better communication – access to information • Better transport options • More bi-lateral/multi-lateral trade agreements • Mutual recognition agreements • Shortage  facilitated immigration • International recruitment practices

  4. Current Workforce • Industrialised countries • Australia, Canada, UK, US • Switzerland • Ireland • Developing countries • Cameroon • Ghana • South Africa

  5. Projected Nurse Shortfalls • 2010: Australia – 40,000 • 2012: USA – 1 million • 2016: Canada – 113,000 • 2017: • Netherlands: 7,000 • Norway: 3,300 • Switzerland: 3,000 (1%-5% of practicing registered workforce)

  6. Supply and Demand Types of migrant nurses • Economic migrant • Quality-of-life migrant • Career-move migrant • Partner migrant • Adventurer migrant • Survival migrant • Holiday workers • Student migrant • Return migrant

  7. Nurse AB Country A Country B

  8. Migration Pathway Services Goods Agencies Institutions Entrepreneurs Regulatory Bodies Businesses

  9. Education • Training for export • Foreign student • Fees • Language competence • Accommodation/travel/food • Satellite campuses • Distance learning • Employment provider • Private business investment • Perks: recruitment/retention

  10. Accreditation • Screening • Testing • Supervised clinical placement • Tutoring • Placement agencies • Supervisors

  11. The Right to Work • Visas • Temporary • Permanent residence • Employment • Journals • Internet • Diaspora • Individual initiatives • Recruitment agencies

  12. Spin-Off Services • Immigration lawyers • The move • Persons • Furniture/belongings • Housing • Phone services • Banking services • Securities

  13. Agency fees Accommodation Quality Charges Visa fraud Contracts False representation Deskilling Substitution Corruption Freedom of association Exploitation/Fraud

  14. Remittances • US$300 billion – 2006 • Reaching 10% world’s population • Consumption • Education • Investment • Drain? • Gain?

  15. Brain Circulation • Development opportunities • Employment opportunities • Business opportunities • Multicultural nursing-competitive edge • Positive practice environments • Innovation • Dissemination of good practice

  16. Global Health Care Economy • Direct impact on society and other sectors, incl commerce • Nurse migration is part of globalization initiatives • Recruitment and deployment must be regulated • Self-sustainable workforces • Human rights must be respected

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