Trillion-dollar brain drain

Health Affairs A Trillion - Dollar Geography Lesson

Dartmouth researchers have demonstrated that there is tremendous geographic variation in the efficiency of health care delivery systems, fostered by perverse incentives that penalize integration, reward fragmentation, and encourage the use of technologies in the “gray areas” of medicine. This research suggests that it is possible to deliver higher-quality care at lower cost. We argue that integ...

Information technology: the trillion-dollar opportunity

The Trillion Dollar Conundrum: Complementarities and Health Information Technology

We examine the heterogeneous relationship between the adoption of electronic medical records (EMR) and hospital operating costs at thousands of U.S. hospitals between 1996 and 2009. Combining data from multiple sources, we first identify a puzzle that has been seen in prior studies: Adoption of EMR is generally associated with a slight increase in costs. We draw on the literature on information...

Brain drain

Professor Emeritus, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, UK, [email protected] In this issue, three papers discuss the issue of the brain drain: of psychiatrists from Egypt and Nigeria, and of nurses from East Africa. They explore the complexities of professional migration and its impact on the health of populations in source and recipient countries; they a...

BRAIN DRAIN, TALENT Brain Drain, Talent Mobility and Academic Networking