The Global Health Care Chain
From the Pacific to the World
By John Connell
Routledge – 2009 – 198 pages
For more than a quarter of a century there has been significant international migration of skilled health workers, but in the last decades, with critical changes in both sending and receiving countries, few parts of the world are now unaffected by the consequences of the migration of health workers, either as sources, destinations or sometimes both. The book takes the understanding of health worker migration substantially beyond the more scattered and fragmented papers and anecdotes that largely existed before, into the first consolidated analysis. In doing so it reveals its exceptional significance for both sending and receiving countries (in economic, social and political terms), provides the only analysis of remittances of health workers, casts new light on gender, globalisation, transnational linkages, the trade in services (linked to GATS) and the overall relationship between migration and development, and reviews practical responses and solutions.
1. The Globalisation of Skilled Migration: A Pacific Perspective 2. The Pacific Islands and Health Care 3. The Rise of Pacific Migration 4. Becoming a Health Worker 5. Leaving Home? Movers and Stayers 6. The Impact of Health Worker Migration 7. A Policy Perspective 8. At the End of the Chain
John Connell is Professor of Human Geography at the University of Sydney. He has worked extensively in the South Pacific, and on the migration of health workers, and written various books about both, most recently The International Migration of Health Workers (Routledge, 2008).