PRACA ORYGINALNA
Migration and Healthcare Professionals in the Public Sector in Kosovo
 
Więcej
Ukryj
1
Institute for Sociological, Political and Juridical Research, University Ss Cyril and Methodius – Skopje, North Macedonia
 
 
Data nadesłania: 05-12-2023
 
 
Data ostatniej rewizji: 26-11-2024
 
 
Data akceptacji: 27-11-2024
 
 
Data publikacji online: 18-02-2025
 
 
Data publikacji: 18-02-2025
 
 
Autor do korespondencji
Fatime Lumi Qehaja   

Institute for Sociological, Political and Juridical Research, University Ss Cyril and Methodius – Skopje, Partisanski Odredi - Q. Box 68, 1000, Skopje, North Macedonia
 
 
 
SŁOWA KLUCZOWE
DZIEDZINY
STRESZCZENIE
This study examines the migration of healthcare professionals in Kosovo, emphasizing trends and motivations following the EU and Switzerland's visa liberalization in January 2024. A survey of 50 specialist doctors and 50 nurses from the University Clinical Center of Kosovo and General Hospitals reveals a high intent to emigrate, particularly among nurses (72%) compared to doctors (34%). Key drivers include inadequate salaries, poor working conditions, limited health insurance, career stagnation, and personal well-being. Younger professionals (18-30) show the highest inclination to migrate, with male nurses displaying stronger emigration tendencies. Social influences affect migration intentions, with 82% of nurses and 58% of doctors citing family encouragement. Preferred destinations like Germany and Switzerland offer supportive healthcare systems and competitive compensation. The study contextualizes these findings within Brain Drain Theory, Push-Pull Theory, and World Systems Theory, highlighting systemic deficiencies in Kosovo’s healthcare sector. Urgent policy reforms are needed to enhance financial incentives, working conditions, and career growth opportunities to retain healthcare talent and mitigate brain drain.
REFERENCJE (66)
1.
Abubakar, I., Aldridge, R.W., Devakumar, D., Orcutt, M., Burns, R., Barreto, M.L., Dhavan, P., et al. (2018). The UCL–Lancet Commission on Migration and Health: The health of a world on the move. The Lancet Commissions, 392(10164), 2606–2654. https:// doi.org/10.1016/S0140-6736(18)32114-7
 
2.
AGE. (2020). Kosovo program for gender equality 2020–2024. The Agency for Gender Equality (AGE) of the Republic of Kosovo. https://abgj.rks-gov.net/asset....
 
3.
BPRG. (2020a). Health sector in Kosovo: the emigration of doctors and healthcare workers. https://balkansgroup.org/wp-co....
 
4.
BPRG. (2020b). Kosovo: migration trends require a new policy response. https://balkansgroup.org/en/ko....
 
5.
Brettell, C.B. & Hollifield, J.F. (2000). Migration theory: Talking across disciplines. Routledge.
 
6.
Bunduchi, E., Vasile, V., Stefan, D., & Comes, C.A. (2024). Propensity for migration of healthcare professionals: Push-pull factors analysis. In V. Vasile and E. Bunduchi (eds.), Migration and healthcare professionals in the public sector in Kosovo 23 The economic and social impact of the COVID-19 pandemic. (237–254). https://doi.org/10.1007/978-3-....
 
7.
Constitutional Court. (2020). Judgment in case no. KO219/19 Applicant the Ombudsperson constitutional review of Law No. 06/L-111 on salaries in the public sector. Constitutional Court of the Republic of Kosovo. https://gjk-ks.org/wp-content/....
 
8.
Constitutional Court. (2024). Judgment in case no. KO79/23 Applicant the Ombudsperson constitutional review of Law No. 08/L-196 on salaries in the public sector. Constitutional Court of the Republic of Kosovo. https://gjk-ks.org/wp-content/....
 
9.
Constitutional Court-RKS. (2020). Judgment in case no. KO219/19 Applicant the Ombudsperson constitutional review of Law No. 06/L-111 on salaries in the public sector. The Constitutional Court of Kosovo. https://gjk-ks.org/wp-content/....
 
10.
Docquier, F. & Rapoport, H. (2012). Globalization, brain drain, and development. Journal of Economic Literature, 50(5), 681–730. https://www.aeaweb.org/article....
 
11.
Dodani, S. & LaPorte, R.E. (2005). Brain drain from developing countries: How can brain drain be converted into wisdom gain? Journal of the Royal Society of Medicine, 98(11), 487–491. https://pmc.ncbi.nlm.nih.gov/a....
 
12.
EU. (2023). Regulation (EU) 2023/850 of the European Parliament. European Union. https://eur-lex.europa.eu/eli/....
 
13.
European Commission. (2024). Commission staff working document: Kosovo 2024 report. https://neighbourhood-enlargem....
 
14.
FEPS. (2024). Policy brief: Labour migration in the Western Balkans – consequences for the region’s democratic life. https://feps-europe.eu/wp-cont....
 
15.
Ferrie, J.P. & Hatton, T.J. (2013). Two centuries of international migration. IZA.
 
16.
GAMMM. (2023). Republic of Kosovo annual migration profile 2022. https://mpb.rks-gov.net/Upload....
 
17.
GAP. (2024a). Employment of Kosovars in Germany and Kosovo: Sectors and salaries based on purchasing power. https://www.institutigap.org/d....
 
18.
GAP. (2024b). Propensity to emigrate from Kosovo following visa liberalization: implications for the workforce. https://www.institutigap.org/d....
 
19.
GHWA & WHO. (2014). A universal truth: No health without a workforce. https://cdn.who.int/media/docs....
 
20.
Government of Kosovo. (2024a). Prime Minister Kurti’s address before the approval of the 2025 Budget. https://kryeministri.rks-gov.n....
 
21.
Government of Kosovo. (2024b). Employment strategy – Kosovo 2024–2028. https://kryeministri.rks-gov.n....
 
22.
Hansen, R. (2003). Migration to Europe since 1954: Its History and its Lessons. The Political Quarterly, 74(1). https://onlinelibrary.wiley.co....
 
23.
 
24.
Hughes, F. (2022). Nursing shortage and migration: The benefits and responsibilities. CGFNS International, Inc. https://www.cgfns.org/nursing-....
 
25.
Humphries, N., Connell, J., Negin, J., & Buchan, J. (2019). Tracking the leavers: Towards a better understanding of doctor migration from Ireland to Australia 2008–2018. Human Resources for Health, 17(1). https://doi.org/10.1186/s12960....
 
26.
IBRD. (2024). International mobility as a development strategy: Kosovo country report. https://openknowledge.worldban....
 
27.
IFMSA. (2021). IFMSA policy proposal global health workforce. https://ifmsa.org/wp-content/u....
 
28.
ILO. (2021). World employment and social outlook – Trends 2021. https://www.ilo.org/sites/defa....
 
29.
KAS. (2017). Kosovo population projection 2017–2061. Kosovo Agency of Statistics (KAS). https://askapi.rks-gov.net/Cus....
 
30.
Kingma, M. (2018). Nurses on the move: migration and the global health care economy. Cornell University Press.
 
31.
KOI. (2023). Press release – The Ombudsperson submits to the Constitutional Court the Law no. 08/L-196 on Salaries in the Public Sector with a request for review of compatibility of the same with the Constitution. https://oik-rks.org/en/2023/04....
 
32.
Lazarevik, V. (2016). Physicians migration from Western Balkan. European Journal of Public Health, 26(suppl_1), ckw167. 063. https://doi.org/10.1093/eurpub....
 
33.
Lee, E.S. (1966). A theory of migration. Demography, 3, 47–57. https://doi.org/10.2307/206006....
 
34.
Leitner, S.M. (2021). Net migration and its skill composition in the Western Balkan countries between 2010 and 2019: Results from a cohort approach. The Vienna Institute for International Economic Studies. https://wiiw.ac.at/net-migrati....
 
35.
Mara, I. (2023). Health professionals wanted: the case of health professionals from Western Balkan countries to Europe. Central and Eastern European Migration Review, 12(2), 33–52. https://doi.org/10.54667/ceemr....
 
36.
MIA-RKS. (2022). Strategy on migration 2021–2025. Ministry of Internal Affairs – Republic of Kosovo. https://kryeministri.rks-gov.n....
 
37.
MZ-MNG. (2023). Prosječna zarada izabranog dokrota preko 1,600 eura, pozivamo na vraćanje empatije prema pacijentima. https://www.gov.me/clanak/pros....
 
38.
OECD. (2021). 2021 annual international migration and forced displacement trends and policies report to the G20. https://doi.org/10.1787/47388f....
 
39.
OECD. (2020). Health workforce migration (Edition 2019). OECD Health Statistics (database). OECD iLibrary. https://doi.org/10.1787/3dc3ad....
 
40.
OECD. (2022). Labour migration in the Western Balkans: Mapping patterns, addressing challenges and reaping benefits. https://www.oecd.org/content/d....
 
41.
OG-RKS. (2013). Law No. 04/L-125 on Health. Official Gazette of the Republic of Kosovo. https://gzk.rks-gov.net/ActDet....
 
42.
OG-RKS. (2022). Law No. 08/L-193 on budget appropriations for the budget of the Republic of Kosovo for year 2023. Official Gazette of the Republic of Kosovo. https://gzk.rks-gov.net/ActDet....
 
43.
OG-RKS. (2023a). Law no. 08/L-196 on salaries in the public sector. Official Gazette of the Republic of Kosovo. https://gzk.rks-gov.net/ActDet....
 
44.
OG-RKS. (2023b). Law no. 08/L-260 on budget appropriations for the budget of the Republic of Kosovo for year 2024. Official Gazette of the Republic of Kosovo. https://gzk.rks-gov.net/ActDet....
 
45.
Omic, E. & Handeland, C. (2021). Social infrastructure in the Western Balkans: Increasing the region’s economic resilience, enhancing human capital and counteracting the effects of brain drain. Council of Europe Development Bank. https://coebank.org/media/docu....
 
46.
Pranghe, C.S., Oruč, N., Mielke, K., & Ibričević, A. (2020). Making sure that the emigration of healthcare personnel from Albania and BiH works for all: What Germany can do. BICC Policy Brief, 8(7). https://www.ssoar.info/ssoar/h....
 
47.
Rexhepi, B.R. & Murtezaj, I.M. (2024). Visa liberalization and labour migration: Legal and economic implications for Kosovo. Social & Legal Studios, 7(2), 19–27. https://doi.org/10.32518/sals2....
 
48.
Simoens, S., Villeneuve, M., & Hurst, J. (2005). Tackling nurse shortages in OECD countries. OECD Health Working Papers No. 19. Organisation for Economic Co-operation and Development. https://doi.org/10.1787/172102....
 
49.
Siyam, A. & Dal Poz, M.R. (2014). Migration of health workers: WHO code of practice and the global economic crisis. World Health Organization (WHO). https://iris.who.int/handle/10....
 
50.
Tushe, M. (2024). Reform in the healthcare system in Albania and salary increase for nurses: A perspective on integration into the European Union. http://dx.doi.org/10.2139/ssrn....
 
51.
UNDP. (2020). Correlation between labour market in Kosovo and out migration. UNDP Kosovo – Public Pulse Project. https://www.undp.org/sites/g/f....
 
52.
UNDP. (2024). Public Pulse Analysis: Effects of Visa Liberalization on Migration. UNDP Kosovo – Public Pulse Project. https://www.undp.org/sites/g/f....
 
53.
Vujicic, M., Zurn, P., Diallo, K., Adams, O., & Dal Poz, M.R. (2004). The role of wages in the migration of healthcare professionals from developing countries. Human Resources for Health, 2(3). https://www.ncbi.nlm.nih.gov/p....
 
54.
Wallerstein, I. (1974). The modern world-system: Capitalist agriculture and the origins of the European world-economy in the sixteenth century. Academic Press.
 
55.
WHO. (2016). High-level commission on health employment and economic growth. https://www.who.int/publicatio....
 
56.
WHO. (2021). The WHO global strategic directions for nursing and midwifery (2021–2025). https://www.who.int/publicatio....
 
57.
WHO. (2023). The health workforce crisis in Europe is no longer a looming threat – it is here and now. The Bucharest Declaration charts a way forward. https://www.who.int/europe/new....
 
58.
World Bank. (2021). The World Bank annual report 2021: From crisis to green, resilient, and inclusive recovery. https://documents1.worldbank.o....
 
59.
Law No. 04/L-125 on Health, approved on March 19, 2013 (Official Gazette of the Republic of Kosovo).
 
60.
Law No. 06/L-111 on Salaries in the Public Sector, approved on March 1, 2019 (Official Gazette of the Republic of Kosovo).
 
61.
Law No. 08/L-193 on Budget Appropriations for the Republic of Kosovo for Year 2023, approved on December 22, 2022 (Official Gazette of the Republic of Kosovo).
 
62.
Law No. 08/L-196 on Salaries in the Public Sector, approved on January 5, 2023 (Official Gazette of the Republic of Kosovo).
 
63.
Law No. 08/L-260 on Budget Appropriations for the Republic of Kosovo for Year 2024, approved on December 25, 2023 (Official Gazette of the Republic of Kosovo).
 
64.
Judgment of the Constitutional Court of the Republic of Kosovo, Case No. KO219/19 – Regarding the constitutionality of Law No. 06/L-111 on Salaries in the Public Sector, issued on July 9, 2020 (Constitutional Court of the Republic of Kosovo).
 
65.
Judgment of the Constitutional Court of the Republic of Kosovo, Case No. KO79/23 – Regarding the constitutionality of Law No. 08/L-196 on Salaries in the Public Sector, issued on January 23, 2024 (Constitutional Court of the Republic of Kosovo).
 
66.
Request EX OFF. 76/2023 for the Assessment of the Constitutionality of Law No. 08/L-196 on Salaries in the Public Sector, submitted by the Kosovo Ombudsperson Institution, dated April 7, 2023 (Constitutional Court of the Republic of Kosovo).
 
ISSN:1640-1808
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