Health Professional Mobility in a Changing Europe

1 ISBN 92890502589789289050258 Health Professional Mobility IN A Changing EUROPENEW DYNAMICS, MOBILE INDIVIDUALS AND DIVERSE RESPONSESH ealth Professional Mobility in Europe has become a fast moving target for policy makers. It is evolving rapidly in direction and magnitude as a consequence of funda-mental change caused by EU enlargement and the financial and economic crisis. Health Professional Mobility changes the numbers of Health professionals in countriesand the skill-mix of the workforce, with consequences for Health system must factor-in Mobility if they are forecasting and planning their workforcerequirements.

2 To this end they need clarity on Mobility trends and the mobile workforce, and effective interventions for retaining domestic and integrating foreign-trained Health workers. Health Professional Mobility remains an unfinished agenda inEurope, at a time when the repercussions of the financial crisis continue to impact onthe European Health workforce and its patterns of book sheds new light on Health Professional Mobility in this Changing Europe . It is the second volume of the PROMeTHEUS project, following the previously publishedcountry case study volume.

3 The 14 thematic chapters in this book are grouped in three parts: The Changing dynamics of Health Professional Mobility The mobile individual Policy responses in a Changing EuropeThe book goes well beyond situation analysis as it presents practical tools such as ayardstick for registry methodology, a typology of mobile individuals, qualitative tools forstudying the motivation of the workforce and a set of concrete policy responses at EU-, national and organizational level including bi-lateral agreements, codes and workplace editorsJames Buchan, Professor, School of Health .

4 Queen Margaret University, Wismar, Senior Health Policy Analyst, European Observatory on HealthSystems and Policies, A. Glinos, Senior Researcher, European Observatory on Health Systems and Policies, Bremner, Director, European Health Management Association, dynamics, mobile individualsand diverse responsesEdited byJames BuchanMatthias WismarIrene A. GlinosJeni BremnerObservatory Studies Series No. 3232 Health ProfessionalMobility in a Changing Europe32 Observatory Studies SeriesEdited by James Buchan, Matthias Wismar,Irene A.

5 Glinos, Jeni BremnerCover_WHO_Health Professional Mobility_DRAFT_Mise en page 1 22/04/14 19:47 Page 1 Health Professional Mobility in a Changing EuropeThe European Observatory on Health Systems and Policies supports and promotes evidence-based Health policy-making through comprehensive and rigorous analysis of Health systems in Europe . It brings together a wide range of policy-makers, academics and practitioners to analyse trends in Health reform, drawing on experience from across Europe to illuminate policy European Observatory on Health Systems and Policies is a partnership between the World Health Organization Regional Office for Europe , the Governments of Austria, Belgium, Finland, Ireland, the Netherlands, Norway, Slovenia, Spain, Sweden and the United Kingdom.

6 And the Veneto Region of Italy, the European Commission, the European Investment Bank, the World Bank, UNCAM (French National Union of Health Insurance Funds), the London School of Economics and Political Science, and the London School of Hygiene & Tropical Professional Mobility in a Changing EuropeNew dynamics, mobile individuals and diverse responsesEdited byJames Buchan, Matthias Wismar, Irene A. Glinos, Jeni Bremneron Health Systems and PoliciesEuropeana partnership hosted by WHOK eywords:CAREER MOBILITYHEALTH PERSONNELHEALTH POLICYHEALTHCARE PROVIDERSPERSONNEL MANAGEMENTPUBLIC Health World Health Organization 2014 (acting as the host organization for, and secretariat of, the European Observatory on Health Systems and Policies)All rights reserved.

7 The European Observatory on Health Systems and Policies welcomes requests for permission to reproduce or translate its publications, in part or in designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the European Observatory on Health Systems and Policies concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries.

8 Dotted lines on maps represent approximate border lines for which there may not yet be full mention of specific companies or of certain manufacturers products does not imply that they are endorsed or recommended by the European Observatory on Health Systems and Policies in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital reasonable precautions have been taken by the European Observatory on Health Systems and Policies to verify the information contained in this publication.

9 However, the published material is being distributed without warranty of any kind, either express or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the European Observatory on Health Systems and Policies be liable for damages arising from its use. The views expressed by authors, editors, or expert groups do not necessarily represent the decisions or the stated policy of the European Observatory on Health Systems and Policies or any of its volume is part of the PROMeTHEUS research projecy which received funding from the European Community s Seventh Framework Programme (FP7/2007 2013) under grant agreement 978 92 890 5025 8 Printed in the United KingdomCover design by Dimitri CulotAddress requests about publications to.

10 Publications, WHO Regional Office for Europe , UN City, Marmorvej 51, DK-2100 Copenhagen , , complete an online request form for documentation, Health information, or for permission to quote or translate, on the Regional Office web site ( ).ContentsAcknowledgements viiList of tables, figures and boxes xiList of abbreviations xvList of contributors xviiPart I Setting the scene, key findings and lessons 1 Chapter 1 Introduction to Health Professional Mobility in a Changing Europe 3 James Buchan, Irene A.