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Frank J. Lepreau, MD; Isabel-Tantuico Koh, MD, MPH; Richard Olds, MD

JAMA. 1990;263(12):1624-1625.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The Institute of Health Sciences at Palo on Leyte Gulf represents a bold initiative to counteract the perennial exodus of nurses and physicians, an exodus that leaves the Philippines with dangerously inadequate medical services. Organized within the University of the Philippines, the institute is separate from the university's traditional medical school, operating under its own dean. The institute's program clearly holds promise for the Philippines and may provide an example for other developing nations.

Statistics illustrate the problem. The ratio of nurses to the population is 1:5245. In 1986, 129 schools graduated 6270 nurses; at this writing there were 96 000 registered nurses abroad and 64 000 in the Philippines. Mothers often raise daughters to be nurses who will go abroad to work and send money home. The ratio of physicians to the population is 1:6423. Twenty-seven medical schools graduate 3500 physicians annually, and at least 65% of them emigrate . . . [Full Text PDF of this Article]

Author Affiliations
Department of Community Health and Surgery Brown University Providence, RI; Institute of Health Sciences University of the Philippines Palo; International Health Institute Brown University Providence, RI

Footnotes
Edited by Annette Flanagin, RN, MA, Assistant to the Editor.

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