Magister Public Health - MPH / This secondary data study, framed in social constructionism theory, descibes and analyses the "pull" factors influencing migration of health professionals developing to developed countries. The literature review sets the context withing which international migration takes place and explores relevant aspects of the G8, globalisation, and the General Agreement on Trade in Services. The research demonstrates that temporary or permanent international migration occurs for employment or study purposes. It further confirms that, despite the lack of accurate data from African counties, the number of health professionals leaving the continent has increased significantly during the 1990's. / South Africa

Abstract This thesis set out to achieve the following objectives: (1) To identify the priorities and expectations that the Geelong community has of its public health care system. (2) To determine if there is a common view on the attributes of a just health system. (3) To consider a method of utilising the data in the determination of health care priority setting in Barwon Health. (4) To determine a model of community participation which enables ongoing input into the decision making processes of Barwon Health. The methodology involved a combination of qualitative and quantitative research. The qualitative work involved the use of focus groups that were conducted with 64 members of the Geelong community. The issues raised informed the development of the interview schedule that was the basis of the quantitative study, which surveyed a representative sample of 400 members of the Geelong community. Prior to reporting on this work, the areas of distributive justice, scarcity and community participation in health care were considered. The research found that timely access to public hospitals, emergency care and aged care services were the major priorities; for many people, the cost was less relevant than a quality service. Shorter waiting times and increased staffing levels were strongly supported. Increased taxes were nominated as the best means of financing the health system they sought. Community based services were less relevant than hospital services but health education was supported. An egalitarian approach to resource distribution was favoured although the community was prepared to discriminate in favour of younger people and against older people. There was strong support for the community to be involved in decision making in the public health care system through surveys or focus groups but very little support was given to priorities being determined by politicians, administrators and to a lesser extent, medical professionals.

<p>The study takes its point of departure in the notions of life story, narrativity and context. It is based on extensive life story interviews with well-educated professionals in Poland – academics, teachers, managers, physicians, artists – during the period of transformation (or transition) from ”real socialism” to democracy and a market economy. The aim is to analyse the multilayered process of constructing a personal identity, as the narrators interweave stories about their lives with images of history and society. The central approach is narrative analysis, focusing on the interview interaction as well as the wider cultural, societal and political context in which the self-presentation takes place, and which it simultaneously creates. Concepts of cultural and paradigmatic narratives are combined with a gender perspective and selected terms from Pierre Bourdieus theory of practice. The narrators’ life experiences are shaped and evaluated in an implicit dialogue with cultural narratives of ideal biographies, professional careers, gender roles and family models in Poland during socialism and the transformation. In family background stories, the ancestors’ gendered biographies are depicted in relation to the underlying paradigm of the romantic-patriotic tradition. In childhood stories, the evaluation models used are psychological, social and based on political correctedness. The interviewees often shape their nostalgic, bitter and ambivalent memories against a background of the power relations between the family and the state, using nostalgia, dark rhetorics and a well-established genre of coping strategies during the socialism. In narratives about formal school-education during the socialist period, two paradigms are seen as highly incongruous: the intellectual-elitistic tradition and the socialistic citizen-schooling. Also stories of being a part of both formal and oppositional organisations and networks are told. In narratives about careers and working life, the pride in doing a good work is prevalent, but the narrators also depict complications in the professional paradigm due to the proliferation of politicised and informal power relations; en influence still lasting during the transformation period. The troubled issues of legitimacy, status and economy are discussed. In stories about close relationships, there is an underlying paradigm of love, marrital happiness and being a good parent, even though the stories follow a variety of plots. The evaluations become complex and sometimes contradictory. By presenting their life-experience in a proud, ambivalent, defensive or ironic way, the narrators reproduce, deconstruct and challenge the dominant cultural narratives, shaping their unique personal paradigms.</p>

The study takes its point of departure in the notions of life story, narrativity and context. It is based on extensive life story interviews with well-educated professionals in Poland – academics, teachers, managers, physicians, artists – during the period of transformation (or transition) from ”real socialism” to democracy and a market economy. The aim is to analyse the multilayered process of constructing a personal identity, as the narrators interweave stories about their lives with images of history and society. The central approach is narrative analysis, focusing on the interview interaction as well as the wider cultural, societal and political context in which the self-presentation takes place, and which it simultaneously creates. Concepts of cultural and paradigmatic narratives are combined with a gender perspective and selected terms from Pierre Bourdieus theory of practice. The narrators’ life experiences are shaped and evaluated in an implicit dialogue with cultural narratives of ideal biographies, professional careers, gender roles and family models in Poland during socialism and the transformation. In family background stories, the ancestors’ gendered biographies are depicted in relation to the underlying paradigm of the romantic-patriotic tradition. In childhood stories, the evaluation models used are psychological, social and based on political correctedness. The interviewees often shape their nostalgic, bitter and ambivalent memories against a background of the power relations between the family and the state, using nostalgia, dark rhetorics and a well-established genre of coping strategies during the socialism. In narratives about formal school-education during the socialist period, two paradigms are seen as highly incongruous: the intellectual-elitistic tradition and the socialistic citizen-schooling. Also stories of being a part of both formal and oppositional organisations and networks are told. In narratives about careers and working life, the pride in doing a good work is prevalent, but the narrators also depict complications in the professional paradigm due to the proliferation of politicised and informal power relations; en influence still lasting during the transformation period. The troubled issues of legitimacy, status and economy are discussed. In stories about close relationships, there is an underlying paradigm of love, marrital happiness and being a good parent, even though the stories follow a variety of plots. The evaluations become complex and sometimes contradictory. By presenting their life-experience in a proud, ambivalent, defensive or ironic way, the narrators reproduce, deconstruct and challenge the dominant cultural narratives, shaping their unique personal paradigms.