{"id":15428,"date":"2026-06-24T13:22:28","date_gmt":"2026-06-24T12:22:28","guid":{"rendered":"https:\/\/izvestiyakbncran.ru\/?page_id=15428"},"modified":"2026-06-30T12:40:24","modified_gmt":"2026-06-30T11:40:24","slug":"28-3-15-en","status":"publish","type":"page","link":"https:\/\/izvestiyakbncran.ru\/index.php\/en\/28-3-15-en\/","title":{"rendered":"28.3.15 En"},"content":{"rendered":"\n<h2 class=\"wp-block-heading has-lora-font-family\" style=\"font-size:22px\"><strong>Physician migration and regional sustainable development: a case study of the Kabardino-Balkarian Republic<\/strong><\/h2>\n\n\n\n<p class=\"has-foreground-color has-text-color has-link-color has-lora-font-family has-extra-small-font-size wp-elements-6e0d050a2fcdc5e5240535bc0700dce7 wp-block-paragraph\" style=\"margin-top:0;margin-bottom:0;padding-top:0;padding-bottom:0\"><strong>A.Kh. Dumanova, M.M. Kambiev<\/strong><\/p>\n\n\n\n<div class=\"wp-block-group is-vertical is-content-justification-left is-nowrap is-layout-flex wp-container-core-group-is-layout-20193d73 wp-block-group-is-layout-flex\" style=\"border-style:none;border-width:0px;margin-top:0;margin-bottom:0;padding-top:0;padding-bottom:0\">\n<p class=\"has-text-color has-link-color has-lora-font-family wp-elements-1934a6274ad67c2dd8d97ce7471e2bbb wp-block-paragraph\" style=\"color:#5b1919;font-size:12px;text-decoration:underline\"><\/p>\n\n\n\n<div class=\"wp-block-group is-horizontal is-layout-flex wp-container-core-group-is-layout-9076828a wp-block-group-is-layout-flex\" style=\"min-height:0px;margin-top:0;margin-bottom:0;padding-top:0;padding-bottom:0\">\n<div class=\"wp-block-buttons is-content-justification-left is-layout-flex wp-container-core-buttons-is-layout-856cf56e wp-block-buttons-is-layout-flex\" style=\"margin-top:0;margin-bottom:0;padding-top:0;padding-right:0;padding-bottom:0;padding-left:0\">\n<div class=\"wp-block-button has-custom-width wp-block-button__width-100 is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link has-background-background-color has-text-color has-background has-link-color has-border-color has-custom-font-size wp-element-button\" href=\"http:\/\/izvestiyakbncran.ru\/wp-content\/uploads\/2026\/06\/15.-dumanova-kambiev.pdf\" style=\"border-color:#5b1919;border-style:solid;border-width:2px;border-radius:8px;color:#5b1919;padding-top:0.4rem;padding-right:var(--wp--preset--spacing--40);padding-bottom:0.4rem;padding-left:var(--wp--preset--spacing--40);font-size:12px\">PDF<\/a><\/div>\n<\/div>\n\n\n\n<div style=\"height:0px;width:0px\" aria-hidden=\"true\" class=\"wp-block-spacer wp-container-content-273e683f\"><\/div>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button has-custom-width wp-block-button__width-100 is-style-outline is-style-outline--2\"><a class=\"wp-block-button__link has-background-background-color has-text-color has-background has-link-color has-border-color has-text-align-center has-custom-font-size wp-element-button\" href=\"http:\/\/izvestiyakbncran.ru\/wp-content\/uploads\/2026\/06\/15-physician.xml\" style=\"border-color:#5b1919;border-width:2px;border-top-left-radius:8px;border-top-right-radius:8px;border-bottom-left-radius:8px;border-bottom-right-radius:8px;color:#5b1919;padding-top:0.4rem;padding-right:var(--wp--preset--spacing--40);padding-bottom:0.4rem;padding-left:var(--wp--preset--spacing--40);font-size:12px\">JATS XML<\/a><\/div>\n<\/div>\n<\/div>\n\n\n\n<p class=\"has-text-color has-link-color has-lora-font-family has-extra-small-font-size wp-elements-41ee428b6a5740c7f514a7432ff786a3 wp-block-paragraph\" style=\"border-style:none;border-width:0px;border-top-left-radius:0px;border-top-right-radius:0px;border-bottom-left-radius:0px;border-bottom-right-radius:0px;color:#5b1919;margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;padding-top:0;padding-right:0;padding-bottom:0;padding-left:0\"><\/p>\n<\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-wide\" style=\"margin-top:var(--wp--preset--spacing--20);margin-bottom:var(--wp--preset--spacing--20)\"\/>\n\n\n\n<p class=\"has-foreground-color has-text-color has-link-color has-lora-font-family has-extra-small-font-size wp-elements-f56761ca178031f154ebfc8e7c66ffeb wp-block-paragraph\" style=\"line-height:1.4\"><em><strong><strong>Abstract<\/strong><\/strong>. <\/em>The migration of highly qualified medical personnel from peripheral regions to federal centers poses a significant threat to the sustainable development of Russian regions. Focusing on the KabardinoBalkarian Republic (KBR), the article examines key theoretical migration frameworks: \u201cbrain drain\u201d, \u201cbrain circulation\u201d, human capital theory, push-pull factors, network theories, as well as theories of endogenous migration and regional resilience. Based on the analysis of Rosstat statistical data for 2015\u20132023, the scale and dynamics of the outflow of persons with higher education and academic degrees, as well as its impact on the demographic sustainability of the region, are identified. Based on an analysis of Rosstat data for 2015\u20132023, this paper reveals the scale and dynamics of the brain drain of highly educated individuals and degree holders, showing its negative impact on regional demographic sustainability. The findings show that if current trends continue, they will lead to population aging, increased mortality, and a significant decline in the future quality of human capital. The study substantiates the necessity of shifting from the \u201cbrain drain\u201d paradigm to the concept of managed \u201cbrain circulation\u201d.<br><strong>Aim<\/strong>. This paper aims to systematize key migration theories of highly qualified specialists within modern regional development models, adapting them to the KBR context; furthermore, it uses statistical data to evaluate the scale of this outflow and its long-term demographic impact on the republic.<br><strong>Scientific novelty<\/strong>. For the first time, this study comprehensively applies modern migration theories to analyze the healthcare workforce in a specific North Caucasus region, supplementing it with a quantitative analysis of long-term migration trends (2015\u20132023) and their impact on regional sustainable development. The study identifies how \u201cpush-pull\u201d factors operate specifically within a multi-ethnic, subsidized region of the Russian Federation, demonstrating a correlation between sharp spikes in migration loss and macroeconomic or geopolitical crises.<\/p>\n\n\n\n<p class=\"has-foreground-color has-text-color has-link-color has-lora-font-family has-extra-small-font-size wp-elements-9a47d4212cbfe1ba2995e52a7fa62acc wp-block-paragraph\" style=\"margin-top:var(--wp--preset--spacing--20);margin-bottom:var(--wp--preset--spacing--20);line-height:1.4\"><strong>Results<\/strong>. Medical graduate migration from the KBR aligns with national centripetal trends, yet it is aggravated by regional imbalances, including the hyper-concentration of resources in Nalchik, underfunded material and technical infrastructure, and restricted career pathways. Statistical analysis confirms a steady negative net migration among individuals with higher education (ranging from \u2013304 to \u2013984 people annually) and a record outflow of Candidates of Sciences in 2023 (\u201312 people). Sharp spikes in migration loss (2015, 2018, and 2022) closely correlate with periods of economic and geopolitical crisis. The study demonstrates the relevance of classical models (such as push-pull, human capital, and network theories) in explaining this outflow; however, it also substantiates the necessity of shifting from the \u201cbrain drain\u201d paradigm to the concept of managed \u201cbrain circulation\u201d driven by strong kinship and community ties.<br><strong>Conclusions<\/strong>. The paper demonstrates that the persistence of ongoing trends risks triggering a \u201cdevelopment trap\u201d in the KBR, characterized by population aging, rising mortality rates, and the degradation of regional human capital. The solution to the healthcare workforce shortage lies not in isolation but in enhancing the republic&#8217;s competitiveness as a professional environment. The formulated conclusions serve as a methodological basis for empirical research into the migration intentions of medical graduates and for developing regional policies to transform this outflow into managed circulation through alumni associations, telemedicine hubs, and return grant programs.<\/p>\n\n\n\n<p class=\"has-foreground-color has-text-color has-link-color has-lora-font-family has-extra-small-font-size wp-elements-df03325adc83c022634de6b79d43432f wp-block-paragraph\" style=\"line-height:1.4\"><\/p>\n\n\n\n<p class=\"has-foreground-color has-text-color has-link-color has-lora-font-family has-extra-small-font-size wp-elements-b484d5372f42d5054bdf47d01cb0ca37 wp-block-paragraph\" style=\"line-height:1.4\"><strong><em><strong>Keywords<\/strong><\/em><\/strong><em>:<\/em> physician migration, brain drain, brain circulation, human capital, regional sustainable development, demography, Kabardino-Balkarian Republic, medical personnel<\/p>\n\n\n\n<p class=\"has-foreground-color has-text-color has-link-color has-lora-font-family has-extra-small-font-size wp-elements-df03325adc83c022634de6b79d43432f wp-block-paragraph\" style=\"line-height:1.4\"><\/p>\n\n\n\n<p class=\"has-foreground-color has-text-color has-link-color has-lora-font-family wp-elements-3ccb012a0e00fd795bf2e67d8ec1b1d1 wp-block-paragraph\" style=\"font-size:12px;line-height:1.4\"><strong><strong>For citation<\/strong>.<\/strong> Dumanova A.Kh., Kambiev M.M. Physician migration and regional sustainable development: a case study of the Kabardino-Balkarian Republic. <em>News of the Kabardino-Balkarian Scientific Center of RAS<\/em>. 2026. Vol. No. 3. Pp. 193\u2013204. DOI: 10.35330\/1991-6639-2026-28-3-193-204<\/p>\n\n\n\n<p class=\"has-foreground-color has-text-color has-link-color has-lora-font-family wp-elements-17c3333a0b1db39b7fa4a3e1a1572bc4 wp-block-paragraph\" style=\"font-size:12px;line-height:1.4\"><\/p>\n\n\n\n<p class=\"has-foreground-color has-text-color has-link-color has-lora-font-family wp-elements-184425daf6da6547013506f8372bd25f wp-block-paragraph\" style=\"font-size:12px;line-height:1.4\">\u00a9&nbsp;&nbsp; Dumanova A.Kh., Kambiev M.M., 2026<\/p>\n\n\n\n<div class=\"wp-block-group is-nowrap is-layout-flex wp-container-core-group-is-layout-8e2b6fff wp-block-group-is-layout-flex\" style=\"margin-top:var(--wp--preset--spacing--20);padding-top:0;padding-bottom:0\">\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"80\" height=\"28\" src=\"https:\/\/izvestiyakbncran.ru\/wp-content\/uploads\/2026\/03\/image.png\" alt=\"\" class=\"wp-image-7229\"\/><\/figure>\n\n\n\n<p class=\"has-foreground-color has-text-color has-link-color has-lora-font-family wp-elements-05a6ee62a5b706afe3764dcf35c80ac8 wp-block-paragraph\" style=\"margin-top:var(--wp--preset--spacing--20);margin-bottom:0;font-size:12px\">Content is available under license&nbsp;<a href=\"http:\/\/creativecommons.org\/licenses\/by\/4.0\/\" target=\"_blank\" rel=\"noreferrer noopener\">Creative Commons Attribution 4.0 License<\/a><\/p>\n<\/div>\n\n\n\n<p class=\"has-foreground-color has-text-color has-link-color has-lora-font-family wp-elements-17c3333a0b1db39b7fa4a3e1a1572bc4 wp-block-paragraph\" style=\"font-size:12px;line-height:1.4\"><\/p>\n\n\n\n<details class=\"wp-block-details has-foreground-color has-text-color has-link-color has-lora-font-family has-extra-small-font-size wp-elements-fddd9c420c58bcb4bfce26cb5ef7a242 is-layout-flow wp-container-core-details-is-layout-f488f964 wp-block-details-is-layout-flow\" style=\"font-style:normal;font-weight:700;line-height:1.5\"><summary><strong>R<\/strong>eferences<\/summary>\n<ol style=\"margin-top:0;margin-bottom:0\" class=\"wp-block-list\">\n<li style=\"font-style:normal;font-weight:400\">Sheiman I.M. Personnel shortage in healthcare: causes and ways to overcome it. Voprosy gosudarstvennogo i munitsipal&#8217;nogo upravleniya [Public Administration Issues]. 2025. No. 4. Pp. 110\u2013138. DOI: 10.17323\/1999-5431-2025-0-4-110-138. (In Russian)<\/li>\n\n\n\n<li style=\"font-style:normal;font-weight:400\">Bhagwati J. and Hamada K. The brain drain, international integration of markets for professionals and unemployment: a theoretical analysis. Journal of Development Economics. No. 1. Pp. 19\u201342. DOI: 10.1016\/0304-3878(74)90020-0<\/li>\n\n\n\n<li style=\"font-style:normal;font-weight:400\">Saxenian A. The new argonauts: regional advantage in a global economy. Cambridge: Harvard University Press, 2005. 424 p.<\/li>\n\n\n\n<li style=\"font-style:normal;font-weight:400\">Zweig D. Competing for talent: \u0421hina&#8217;s strategies to reverse the brain drain. International Migration Review. 2006. Vol. 40. No. 3. Pp. 654\u2013684. DOI: 10.1111\/j.1564-913X.2006.tb00010.x<\/li>\n\n\n\n<li style=\"font-style:normal;font-weight:400\">Lee E.S. A theory of migration. Demography. 1966. Vol. 3. No. 1. Pp. 47\u201357. DOI: 10.2307\/2060063<\/li>\n\n\n\n<li style=\"font-style:normal;font-weight:400\">Becker G.S. Human capital: a theoretical and empirical analysis, with special reference to education. New York: National Bureau of Economic Research, 1964. 187 p.<\/li>\n\n\n\n<li style=\"font-style:normal;font-weight:400\">Vertovets S.V. Transnatsionalizm i migratsionnyye protsessy v sovremennom mire [Transnationalism and migration processes in the modern world]. Moscow: ISPI RAS, 2009. 215 p. (In Russian)<\/li>\n\n\n\n<li style=\"font-style:normal;font-weight:400\">Br\u00fccker H. Education, unemployment and migration. Journal of Public Economics. 2010. Vol. 94. No. 5\u20136. Pp. 353\u2013366. DOI: 10.1016\/j.jpubeco.2010.01.005<\/li>\n\n\n\n<li style=\"font-style:normal;font-weight:400\">Slepenkova Yu.M. Dynamics and peculiarities of human capital formation in Asian Russia. Journal of the Siberian Federal University. Humanities. 2023. Vol. 16. No. 10. Pp. 1768\u20131774. DOI: 10.17516\/1997-1370-2023-16-10-1768-1774. (In Russian)<\/li>\n\n\n\n<li style=\"font-style:normal;font-weight:400\">Zhang Y. High-level talent flow and its influence on regional unbalanced development in China. Journal of Geographical Sciences. 2022. Vol. 32. No. 8. Pp. 1523\u20131543. DOI:<br>10.31992\/0869-3617-2024-33-11-149-168<\/li>\n\n\n\n<li style=\"font-style:normal;font-weight:400\">Richardson E. Small countries face specific challenges in health workforce sustainability. Health Policy. 2025. Vol. 165. Article 105545. DOI: 10.1016\/j.healthpol.2025.105545<\/li>\n\n\n\n<li style=\"font-style:normal;font-weight:400\">Kushkhabiev A.V. Migration problems in the socio-political life of Kabardino-Balkaria at the end of the 20th \u2013 beginning of the 21st century. Kavkazologiya. 2019. No. 2. Pp. 105\u2013126. DOI: 10.31143\/2542-212X-2019-2-105-126. (In Russian)<\/li>\n\n\n\n<li style=\"font-style:normal;font-weight:400\">Chudinovskikh O.S., Stepanova A.V. On the quality of the federal statistical observation of migration processes. Demographic Review. 2020. Vol. 7. No. 1. Pp. 54\u201382. DOI: 110.17323\/demreview.v7i1.10820. (In Russian)<\/li>\n\n\n\n<li style=\"font-style:normal;font-weight:400\">Khodakova O.V., Senotrusova Yu.E. Analysis of the provision of medical personnel in medical organizations providing primary health care in rural areas. Zdravookhraneniye Rossiyskoy Federatsii [Healthcare of the Russian Federation]. 2024. Vol. 68. No. 6. Pp. 464\u2013471. DOI: 10.47470\/0044-197X-2024-68-6-464-471. (In Russian)<\/li>\n\n\n\n<li style=\"font-style:normal;font-weight:400\">Armashevskaya O.V. Results of the decade: the Zemsky doctor program. Analytical review. Sotsial&#8217;nyye aspekty zdorov&#8217;ya naseleniya [Social Aspects of Population Health]. 2025. Vol. 71. No. 3S. P. 10. DOI: 10.21045\/2071-5021-2025-71-3S-10. (In Russian)<\/li>\n<\/ol>\n<\/details>\n\n\n\n<details class=\"wp-block-details has-foreground-color has-text-color has-link-color has-lora-font-family has-extra-small-font-size wp-elements-8ed6fd2bc46cd4e9f7991fb8ae72482e is-layout-flow wp-container-core-details-is-layout-9ff6af70 wp-block-details-is-layout-flow\" style=\"font-style:normal;font-weight:700;line-height:1.5\"><summary><strong>Information about the authors<\/strong><\/summary>\n<div class=\"wp-block-group is-vertical is-layout-flex wp-container-core-group-is-layout-1c18c512 wp-block-group-is-layout-flex\" style=\"min-height:0px;margin-top:0;margin-bottom:0;padding-top:var(--wp--preset--spacing--20);padding-right:var(--wp--preset--spacing--40);padding-bottom:var(--wp--preset--spacing--20);padding-left:var(--wp--preset--spacing--40)\">\n<p class=\"wp-block-paragraph\" style=\"font-style:normal;font-weight:400\"><strong>Aminat Kh. Dumanova<\/strong>, Candidate of Economic Sciences, Senior Researcher, Department of Modeling of Socio-Economic Processes, Institute of Computer Science and Problems of Regional Management \u2013 branch of the Kabardino-Balkarian Scientific Center of the Russian Academy of Sciences;<br>37-a, I. Armand street, Nalchik, 360000, Russia;<br>dumanovanata@list.ru, ORCID: https:\/\/orcid.org\/0000-0001-7365-9824, SPIN-code: 5464-8893<br><strong>Mukhtar M. Kambiev<\/strong>, 6th year Student, (Group 1.6.44), Institute of Clinical Medicine, N.I. Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation (Pirogov University);<br>1, Ostrovityanova street, building 6, Moscow, 117513, Russia;<br>kambiev007mm@gmail.com, ORCID: https:\/\/orcid.org\/0009-0005-9288-1363<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-style:normal;font-weight:400\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-style:normal;font-weight:400\"><\/p>\n<\/div>\n<\/details>\n\n\n\n<details class=\"wp-block-details has-foreground-color has-text-color has-link-color has-lora-font-family wp-elements-452cbc12bbc5feb9a1402dce7d5f0f2f is-layout-flow wp-block-details-is-layout-flow\" style=\"font-size:14px\"><summary><strong>Funding<\/strong><\/summary>\n<p class=\"wp-block-paragraph\" style=\"margin-top:var(--wp--preset--spacing--20);margin-bottom:var(--wp--preset--spacing--20)\">The study was performed without external funding.<\/p>\n<\/details>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Physician migration and regional sustainable development: a case study of the Kabardino-Balkarian Republic A.Kh. Dumanova, M.M. Kambiev Abstract. The migration of highly qualified medical personnel from peripheral regions to federal centers poses a significant threat to the sustainable development of Russian regions. Focusing on the KabardinoBalkarian Republic (KBR), the article examines key theoretical migration frameworks: [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"wp-custom-template-home","meta":{"footnotes":""},"class_list":["post-15428","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>28.3.15 En - \u0418\u0417\u0412\u0415\u0421\u0422\u0418\u042f \u041a\u0410\u0411\u0410\u0420\u0414\u0418\u041d\u041e-\u0411\u0410\u041b\u041a\u0410\u0420\u0421\u041a\u041e\u0413\u041e \u041d\u0410\u0423\u0427\u041d\u041e\u0413\u041e \u0426\u0415\u041d\u0422\u0420\u0410 \u0420\u0410\u041d\u00bb<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/izvestiyakbncran.ru\/index.php\/en\/28-3-15-en\/\" \/>\n<meta property=\"og:locale\" content=\"ru_RU\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"28.3.15 En - \u0418\u0417\u0412\u0415\u0421\u0422\u0418\u042f \u041a\u0410\u0411\u0410\u0420\u0414\u0418\u041d\u041e-\u0411\u0410\u041b\u041a\u0410\u0420\u0421\u041a\u041e\u0413\u041e \u041d\u0410\u0423\u0427\u041d\u041e\u0413\u041e \u0426\u0415\u041d\u0422\u0420\u0410 \u0420\u0410\u041d\u00bb\" \/>\n<meta property=\"og:description\" content=\"Physician migration and regional sustainable development: a case study of the Kabardino-Balkarian Republic A.Kh. Dumanova, M.M. Kambiev Abstract. The migration of highly qualified medical personnel from peripheral regions to federal centers poses a significant threat to the sustainable development of Russian regions. 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