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Record W4416147259 · doi:10.1186/s12982-025-01091-7

Geographic labour mobility and quality of life among healthcare workers in North America: a scoping review

2025· article· en· W4416147259 on OpenAlexaff
Behdin Nowrouzi‐Kia, Bao-Zhu Stephanie Long, Kishana Balakrishnar, Joyce Lo

Bibliographic record

VenueDiscover Public Health · 2025
Typearticle
Languageen
FieldHealth Professions
TopicGlobal Health Workforce Issues
Canadian institutionsLaurentian UniversityKrembil FoundationUniversity of TorontoCentre for Addiction and Mental HealthUniversity Health Network
Fundersnot available
KeywordsCINAHLPsycINFOWorkforceHealth careScopusMEDLINECredentialQuality of life (healthcare)

Abstract

fetched live from OpenAlex

To map the factors influencing labour mobility and the Quality of Life (QOL) domains among healthcare workers in North America. A scoping review was performed following the PRISMA-ScR guidelines. A literature search was conducted across eight databases: MEDLINE (Ovid), APA PsycINFO (Ovid), Embase (Ovid), Sociological Abstracts (ProQuest), Business Source Premier (EBSCO), International Bibliography of the Social Sciences (EBSCO), CINAHL (EBSCO), and Scopus (Elsevier), yielding 1,554 articles. Studies were included if they were empirical, focused on adults (18+) in North America who migrated for work, examined aspects of QOL or equivalent measures, and were published in English. The International Classification of Functioning, Disability, and Health (ICF) framework was used to structure the data synthesis. Nine studies met the eligibility criteria, revealing three overarching themes on how labour mobility influences QOL from different perspectives: (1) Social Perspectives, (2) Functional Perspectives, and (3) Individual Perspectives. The findings underscore the importance of social networks for health workers regarding job opportunities, emotional support, and career guidance. However, persistent discrimination, particularly regarding credential recognition and workplace integration, limits career advancement and mobility. Promoting inclusive work environments and equitable policies are crucial for enhancing workforce mobility and QOL among healthcare workers.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.006
metaresearch head score (Gemma)0.002
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.099
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0060.002
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0020.000
Bibliometrics0.0000.004
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.096
GPT teacher head0.473
Teacher spread0.377 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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