Quimbo, StellaCapones, JOanna Eileen M.Molina, Ana Kristel C.2025-01-162025-01-162006-04-05https://selib.upd.edu.ph/etdir/handle/123456789/4072This paper aims to characterize the patterns of migration of health personnel, by examining the number of migrants over time as well as the skill level of migrating doctors and nurses. it also attempts to determine how the migration of health personnel, a significant trend at present, impacts on the quality of health care and personnel wages. On a micro level, case studies on four hospitals are conducted and used to evaluate the current quality of health care. Data are collected from hospital administrators as well as patients. On a macro level, two sets of regression models are estimated to evaluate empirically the effect of migration on quality and wages. Micro data reveal that there is indeed a deterioration of quality of health care as manifested by the length of time patients have to wait for assistance and their length of stay in the hospital. The prolonged length of stay indicates that prices of health care are too high for the patients since they cannot he discharged without paying all hospital fees thus extending their confinement, and I or health personnel can not immediately treat their patients due to their lack of ability or lack of equipment. Waiting time indicates a shortage of supply due to migration or deterioration in the quality of health personnel that only a few end up being hired. For the macro level analysis, two regression equations are estimated. The first is a model of health outcomes, using three alternative dependent variables, namely mortality, infant mortality at1d life expectancy. Explanatory variables employed in the health outcome- regression model include the number of health personnel, health stations and hospitals. The second is a model of wages in the health care sectors, where explanatory variables include health personnel, number of graduates and the number or enrollees. In both models, the number of migrants serves as an explanatory variable. Regression results show that health personnel migration has indeed significant effects on health care quality and personnel wages. Increase in migration leads to increases in both mortality and infant mortality and a decrease in life expectancy. Worsening of the mentioned health outcomes, manifestations of health care quality, indicates that quality is in fact deteriorating due to migration. The researchers also found that health personnel leaving the country, at least in the hospitals included in this study, are those with adequate skills and are experts in their field. Wages, both nominal and real, increase together with the increase in the number of migrants. It is recommended that policies regarding opening and closing of medical colleges and universities be strictly applied. Wage and incentive policies should also be thoroughly reviewed immediately. For further studies, it is recommended that other measures of quality be obtained and that other areas of the health care field be empirically evaluated, in line with migration of health manpower, such as the price of health care.enHealthcare industryMigrationHealthcare workersOFWWagesLabor marketThe effects of health personnel migration on health care quality and personal wagesThesis