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• W4313308094 endingPage "012494" @default.
• W4313308094 startingPage "medhum" @default.
• W4313308094 abstract "The health ‘brain drain’ (HBD) is an issue of significant global bioethical concern, resulting in severe maldistribution of healthcare workers (HCWs) and gross inequities in health service provision. The ethics of the HBD and its possible mitigation strategies are, however, complex and areas of active ongoing bioethical debate. South Africa faces a dire and worsening HBD crisis, and use a mitigation strategy of compulsory community service, or ‘comserve’, for most HCWs. While there is some literature on HCWs’ comserve experiences and the various ‘push and pull’ factors affecting their migratory decisions, there is a notable gap regarding their personal values, beliefs and ethics regarding the HBD and comserve, which, as this research supports, play a prominent role in migratory decisions. This empirical bioethics research aims to explore this among a group of South African doctors who recently completed comserve, as well as how their experiences affected their situation on the individualist-collectivist continuum. This was done qualitatively using semistructured interviews with 11 participants and analysed using reflexive thematic analysis under a methodology of critical realism. Themes identified were ‘Special Duties’; ‘Freedom and Autonomy’; ‘Justice and Accountability’; and ‘The Individualist-Collectivist Continuum’. Participants use a variety of ethical theories to discuss the HBD and oppose or support comserve, which play a significant role in their migratory decisions. Most find the policy to be theoretically ethically justifiable but note that procedures undermine this. There are also several factors that appear to affect participants’ position on the individualist-collectivist continuum, with some paradoxical effects on the HBD." @default.
• W4313308094 created "2023-01-06" @default.
• W4313308094 creator A5088301291 @default.
• W4313308094 date "2022-12-30" @default.
• W4313308094 modified "2023-09-24" @default.
• W4313308094 title "Empirical Bioethics and the Health ‘Brain-Drain’: a qualitative study of the experiential and ethical landscape of compulsory community service for a group of South African doctors" @default.
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• W4313308094 doi "https://doi.org/10.1136/medhum-2022-012494" @default.
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