Health policy
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Global public health is threatened by an imbalance in health worker migration from resource-poor countries to developed countries. This "brain drain" results in health workforce shortages, health system weakening, and economic loss and waste, threatening the well-being of vulnerable populations and effectiveness of global health interventions. ⋯ Instead, global solutions should focus on sustainable forms of equitable resource sharing. This can be accomplished by adoption of mandatory global resource and staff-sharing programs in conjunction with implementation of state-based health services corps.
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The Turkish health care system has been undergoing a significant transformation with the Health Transformation Program (HTP) since 2003. The HTP's overall objective is to improve governance, efficiency, user and provider satisfaction, and long-term fiscal sustainability of the health care system in Turkey. ⋯ There is a general agreement among stakeholders that the progress made thus far is the greatest in the national health information system and the slowest in strengthening the MoH capacity for stewardship. It appears that the HTP has the capacity to deliver cost-effective health care services and the implementation progress, so far, is in congruence with the overall economic development and growth in Turkey.
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In industrialized countries, female physicians have up to 10h lower labor supply a week than male physicians. At the same time, the number of female physicians is increasing. The question analyzed in this article is whether these differences in labor supply for female and male hospital physicians persist in a modern welfare society, such as Norway, where comprehensive welfare reforms aim to reduce gender inequality are implemented. ⋯ For instance, childbirth in a given year reduced the supply of working hours by women by approximately 80% but had no effects for men. After controlling for children and other factors, female physicians worked some 3-4% or 1-1.5 fewer hours than comparable male physicians. Although significant, variation in labor supply between female and male physicians is much lower in Norway then in other advanced industrialized countries.