Destination Country Studies
Multiple Case Study Evaluation of Postsecondary Bridging Programs for Internationally Educated Health Professionals Print E-mail

The objective of this research is to analyse pathways for internationally educated health professionals (IEHPs) who have formal educational backgrounds in their chosen professions, but do not have the required educational, professional, or language requirements to enter their professions in Canada.  To help bridge gaps identified through professional assessment processes and transition IEHPs into professional practice, postsecondary programs have been developed at several Canadian colleges and universities to meet the specific educational needs of professionals educated in other countries.  The project involves multiple case study evaluation of six postsecondary bridging programs in three professions with identified workforce shortages (Medical Radiation Technology, Physiotherapy, and Medical Laboratory Technology).

Ivy Lynn Bourgeault University of Ottawa
Victoria Esses University of Western Ontario
Elena Neiterman McMaster University
On the Move: The Migration of Health Professionals to Canada, the U.S., the U.K., and Australia Print E-mail

Although health care workers have long been nationally and internationally mobile, there has been little study of the global patterns of migration of healthcare workers and the factors influencing their success in securing work in their field. For this study, Canada will be compared with other high income 'destination' countries, including the United States, the United Kingdom and Australia. A specific focus will be on the effects of policy and decision-making processes and regulatory environments on the migration of physicians, nurses, and midwives into these four countries. Through interviews with key stakeholders and analysis of the social, political and economic forces shaping migration and health policy, important solutions to health human resource crises will be uncovered and key policy instruments identified that best meet health care needs and better use the health care skills of immigrants.

Ivy Lynn Bourgeault University of Ottawa, Canada
Stephen Bach King’s College London, U.K.
Robert Dingwall University of Nottingham, U.K.
Colleen Flood University of Toronto, Canada
Hugh Grant University of Manitoba, Canada
Dimitria Groutsis University of Sydney, Australia
Donald Light Princeton University, U.S.
B. Lindsay Lowell Georgetown University, U.S.
Kerreen Reiger La Trobe University, Australia
Richard Wanner University of Calgary, Canada
  • Country reports coming soon!

Brain Drain, Gain or Waste: The Experiences of Internationally Educated Health Professionals in Canada Print E-mail

Canada has both historically and more recently relied on internationally trained health care providers to help solve shortages in rural and remote underserviced areas and in urban subspecialties. At the same time, we hear of numerous accounts of internationally trained providers not being able to practice their profession. The difficulties this cause are not limited to the Canadian context – in terms of lost labour, and possible solutions to its human resource crises – there are important implications for the countries from which health care providers migrate to Canada. In this study, we will examine:

  • the policy, the decision-making processes and regulatory environments addressing the issue of the immigration of physicians, nurses and midwives into Canada;
  • the experiences of immigrant physicians, nurses and midwives who are included and excluded from practicing in Canada; and ;
  • the factors influencing immigrant health care providers relative successful at becoming integrated into the Canadian health care system.

For each of these three case studies, we will collect data through:

  1. the acquisition of key public domain policy documents from the various provider/stakeholder groups;
  2. interviews to be conducted with key informants involved in the policy decision-making process and
  3. experiential interviews with internationally trained physicians, nurses and midwives who have either successfully integrated into the Canadian health care system and those who have not.

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Ivy Lynn Bourgeault
Elena Neiterman
Jane LeBrun
Ken Viers
Judi Winkup
The Role of Immigrant Care Workers in Aging Societies Print E-mail

Although research has been conducted on the medical and social consequences of aging and on changing needs for and shortage of care providers, surprisingly little reference is made to the foreign born workers who often provide this care. Knowledge is also limited on the contributions that foreign workers make in institutional or home settings, and equally on the client-provider relationship and quality of care, in which the carer's immigration status, linguistic skills and cultural differences may have an influence. Indeed, the full extent of the roles immigrant care workers play in health care is relatively unknown, especially from a comparative perspective. These issues also need to be situated in the larger debate on the impact of the emigration of skilled health workers from developing countries, and in the policy levers for managing skilled and low skilled migration. Of particular interest are the unintended consequences of current policies and practices.

The aim of this study is to address some of these gaps by adding a Canadian component to an ongoing international comparative study examining the following issues in the U.K., Ireland and the U.S:

  • The factors determining the demand for foreign workers in the health care of older people;
  • The impact of foreign workers on the structure of care and independent living of older people;
  • The impact of foreign care workers on older people and their families and quality of care; and
  • The migration and work experiences of foreign care workers: the means and motivation for migration, role of recruitment agencies, choice of employment and working life.

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Ivy Lynn Bourgeault
Jelena Atanackovic
Rishma Parpia
Margaret Denton
John McHale
Judi Winkup
Rebecca Toombs
Jane LeBrun
Ahmed Rashid