ABSTRACT

This chapter assesses the literature on the global movement of highly-skilled migrants. It examines the various ways that ‘skilled’ are defined both locally and globally and summarises the main patterns of that movement, including linkages with other less-skilled groups. The impacts of the movements on societies and economies of both destination and origin are considered. In developed countries of destination, the contribution of the skilled is assessed including their integration into labour markets, issues of overqualification, and of retention and turnover of qualified personnel. In developing countries of origin, the ‘brain drain’ argument is examined and a more nuanced interpretation emerges from the literature. Place of training and who pays for the training need to be factored in to the discussion in the context of rising living standards among populations in the developing world and rising numbers of middle-income groups. The production of the skilled through the international student migration system is also examined within the context of rising demands for internationally recognised credentials but also a demand for the most appropriate types of training. Particular attention is given to the movement of health personnel who have profound implications for the development of both origins and destinations.