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Journal of Health Services Research & Policy

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J Health Serv Res Policy 2008;13:50-52
doi:10.1258/jhsrp.2007.007094
© 2008 Royal Society of Medicine Press

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Perspective

Will reputational incentives stimulate a reversal of the physician brain drain?

Thomas McLean 


Third Millennium Consultants LLC, Shawnee, Kansas, USA


Correspondence to: tmclean{at}dnamail.com


An increased supply of physicians in high income countries both from domestic production and from immigration from low and middle income countries has made medical employment increasingly competitive. This has been heightened by the introduction of reputational incentives, such as public reporting of physicians' outcomes, and the use of other health care professionals, such as nurses. An unanticipated consequence might be a reversal of the ‘brain drain’, with physicians migrating to low and middle income countries.


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