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Health professional mobility and health

1.5 Structure of the book

This book is divided into four parts. Part I comprises this introduction, the results of the cross-country analysis and a conclusion. Based on the country case studies, the cross-country analysis starts by quantifying mobility in Europe.

This is followed by sections on the geographical patterns of mobility, the role of EU enlargement and the motivational factors that drive the mobile workforce.

The next section presents the impacts on health systems performance will be presented and is followed by an analysis of the workforce context and the relevance of health professional mobility. The chapter ends with policy and regulatory interventions and a summary of results.

The concluding chapter of Part I aims to address the needs of policy-makers by bringing together all the different threads of the research as a conclusion, beginning with some highlights of health professional mobility from the 17 countries included in the study. These are followed by key observations from the research. Then the changing context of health professional mobility and related risks and uncertainties are examined, followed by a discussion of policy implications and ending with some final reflections.

Parts II to IV contain the 17 country case studies on how health professional mobility impacts on health system performance. Each chapter follows the same structure. Part II includes eight country case studies from the EU countries before the 2004 enlargement (the EU-15): countries Austria, Belgium, Finland,

France, Germany, Italy, Spain and the United Kingdom. Part III comprises seven country case studies from the 2004 and 2007 accession countries:

Estonia, Hungary, Lithuania, Poland, Romania, Slovakia and Slovenia. Part IV comprises two country case studies: one from a candidate country (Turkey) and one from a country that has applied for EU membership (Serbia).

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Chapter 2

Cross-country analysis