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Diaspora of Brain Drain in Malaysia: Preliminary View of the Social Support Networks’ Role in the Intention to Migrate Among Healthcare Workers

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The intention to migrate among healthcare workers has become a significant concern in many countries, as it challenges the stability and quality of healthcare systems. While earlier studies have primarily concentrated on individual-level factors influencing migration intentions, such as economic opportunities and job satisfaction, there is growing recognition of social support networks' role in influencing healthcare workers' migration decisions. This conceptual paper investigates the multifaceted connections between social support networks and the intention to migrate among healthcare workers, shedding light on the mechanisms underlying this phenomenon. By exploring the impact of social support networks, including professional networks, personal relationships, and community ties, this study seeks to provide insights into the complex interplay between individual and social determinants of migration intentions. This conceptual analysis will establish the groundwork for future empirical research, policy formulation, and interventions to mitigate the brain drain in the Malaysian healthcare sector, ultimately contributing to a more comprehensive understanding of the factors influencing healthcare workers' migration decisions and informing strategies to retain and attract skilled professionals.

Akinwale, O. E., & George, O. J. (2023). Personnel brain-drain syndrome and quality healthcare delivery among public healthcare workforce in Nigeria. Arab Gulf Journal of Scientific Research, 41(1), 18–39. https://doi.org/10.1108/AGJSR-04-2022-0022
Assfaw, A. K., & Minaye, A. (2022). Explaining migration intention from selected psycho-social variables in South Wollo, Ethiopia. Frontiers in sociology, 7, 960203. https://doi.org/10.3389/fsoc.2022.960203
Balouch, M. S., Balouch, M. M., Balouch, M. S., Qayyum, W., & Zeb, Z. (2022). Career Aspirations of Junior Doctors in Pakistan: Exploring Reasons Behind The Brain Drain. Journal of Ayub Medical College, Abbottabad: JAMC, 34(3), 501–506. https://doi.org/10.55519/JAMC-03-10549
Boo, Su-Lyn. (2023, February 24). More Contract Doctors Quit in 2022 than in Two Previous Years Combined. Retrieved September 18, 2023 from https://codeblue.galencentre.org/2023/02/24/more-contract-doctors-quit-in-2022-than-in-two-previous-years-combined/Botezat, A., & Ramos, R. (2020). Physicians’ brain drain - A gravity model of migration flows. Globalization and Health, 16(1). https://doi.org/10.1186/s12992-019-0536-0
Brennan, N., Langdon, N., Bryce, M., Burns, L., Humphries, N., Knapton, A., & Gale, T. (2023). Drivers and barriers of international migration of doctors to and from the United Kingdom: A scoping review.Human Resources for Health 21(1). https://doi.org/10.1186/s12960-022-00789-y
Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310–357.
Denis, J. L., Usher, S., & Préval, J. (2022). Health reforms and policy capacity: The Canadian experience. Policy & Society, 42(1), 64–89. https://doi.org/10.1093/polsoc/puac010
Emmanuel, N. D., Elo, M., & Piekkari, R. (2019). Human stickiness as a counterforce to brain drain: Purpose-driven behaviour among Tanzanian medical doctors and implications for policy. Journal of International Business Policy, 2(4), 314–332. https://doi.org/10.1057/s42214-019-00036-7
Fong, T., & Hassan, Z. (2017). Factors contributing brain drain in Malaysia. International Journal of Education, Learning and Training, 2(2), 14. www.ftms.edu.my/journals/index.php/journals/ijelt
French, K. A., Dumani, S., Allen, T. D., & Shockley, K. M. (2018). A meta-analysis of work-family conflict and social support. Psychological Bulletin, 144(3), 284–314. https://doi.org/10.1037/bul0000120
Fun, W. H., Tan, E. H., Sararaks, S., Sharif, S. M., Ab Rahim, I., Jawahir, S., Eow, V. H. Y., Sibert, R. M. Y., Fadzil, M. M., & Mahmud, S. H. (2021). Implications of dual practice on cataract surgery waiting time and rescheduling: The case of Malaysia. Healthcare, 9(6). https://doi.org/10.3390/healthcare9060653
Iqbal, K., Wang, Y., Khurshaid, K., Haroon Shah, M., & Sohaib, M. (2021). Current Trend and Determinants of Intentions to Migrate: Evidence from China. SAGE Open, 11(1). https://doi.org/10.1177/21582440211001371
Ismail, H. (2023). How Many Doctors Do We Need in the Public Sector? A Guide to Human Resource Planning and Specialist Training. Malaysian Journal of Medical Sciences 30(2) 1–7. https://doi.org/10.21315/mjms2023.30.2.1
Jin, C., Li, B., Jansen, S. J. T., Boumeester, H. J. F. M., & Boelhouwer, P. J. (2022). What attracts young talents? Understanding the migration intention of university students to first-tier cities in China. Cities, 128. https://doi.org/10.1016/j.cities.2022.103802
Kim, M., & Fernandez, R. M. (2017). Strength matters: Tie strength as a causal driver of networks' information benefits. Social science research, 65, 268–281. https://doi.org/10.1016/j.ssresearch.2016.11.003
Lanati, M., & Thiele, R. (2021). Aid for health, economic growth, and the emigration of medical workers. Journal of International Development, 33(7), 1112–1140. https://doi.org/10.1002/jid.3568
Liu, Goryakin, Y., Maeda, A., Bruckner, T., & Scheffler, R. (2017). Global Health Workforce Labor Market Projections for 2030. Human Resources for Health, 15(1). https://doi.org/10.1186/s12960-017-0187-2
Mail, M (2021, January 11). Structural reforms are needed to prevent brain drain in Malaysia. Malay Mail. Retrieved September 18, 2023 from https://www.malaymail.com/news/malaysia/2021/01/11/structural-reforms-needed-to-prevent-brain-drain-in-malaysia/1939252
Manchin, Miriam & Orazbayev, Sultan, 2018. "Social networks and the intention to migrate," World Development, Elsevier, 109(C), 360-374.
Mohammad Najib, Abdullah, S., Narresh, S., & Muhamad Hanafiah Juni. (2019). Brain-Drain Phenomenon Among Healthcare Workers. International Journal of Public Health and Clinical Sciences, 6(3). https://doi.org/10.32827/ijphcs.6.3.90
Mohd Ezanee, A. A. (2023, January 12). How Brain Drain Distorts the Future Economy. Malaysia Now. Retrieved September 18, 2023 from https://www.malaysianow.com/opinion/2023/01/12/how-brain-drain-distorts-the-future-economy
Muhammad Nur Amir, A., & Sharifa Ezat, W. (2020). Physician’s intention to leave from Malaysia government hospitals with existing retention strategy. Journal of Public Health Policy Plan, (Vol. 4). https://www.alliedacademies.org/public-health-policy-planning/
Nembhard, I.M. & Edmondson, Amy. (2012). Psychological Safety: A Foundation for Speaking Up, Collaboration, and Experimentation in Organizations. The Oxford Handbook of Positive Organizational Scholarship. 10.1093/oxfordhb/9780199734610.013.0037.
Stephens, C., Alpass, F., Towers, A., & Stevenson, B. (2011). The effects of types of social networks perceived social support, and loneliness on the health of older people: accounting for the social context. Journal of Aging and Health, 23(6), 887–911. https://doi.org/10.1177/0898264311400189
World Bank. (2019). Leveraging Economic Migration for Development: A Briefing for The World Bank Board.