ArticleBMC health services research2018
Foreign-born physicians' perceptions of discrimination and stress in Finland: a cross-sectional questionnaire study.
Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Achieving equity for International Medical Graduates: a systematic review.Frontiers in medicine · 2025Pooled it
- Comparing civil legal actions among international and Canadian or American medical graduates in Canada: a retrospective cohort study.BMJ open · 2026Article
- Team climate, job satisfaction, cultural competence, and intention to stay among healthcare professionals: a descriptive cross-sectional survey study.BMC health services research · 2026Article
- Article
- The mental health of first- and second-generation migrant vs. native healthcare workers during the COVID-19 pandemic: The VOICE survey of 7,187 employees in the German healthcare sector.Transcultural psychiatry · 2024Article
- Turnover intention of foreign trained physicians in German rehabilitation facilities-a quantitative study.BMC health services research · 2024Article
- Quitting one's job or leaving one's profession: unexplored consequences of workplace violence and discrimination against health professionals.BMC health services research · 2023Article
- International medical graduates' experiences with caring for cross-cultural patient populations: Qualitative study in Alberta.Canadian family physician Medecin de famille canadien · 2023Article
- Inequitable treatment as perceived by international medical graduates (IMGs): a scoping review.BMJ open · 2023Article
- Racism in healthcare: a scoping review.BMC public health · 2022Article
- Prevalence and health correlates of workplace violence and discrimination against hospital employees - a cross-sectional study in German-speaking Switzerland.BMC health services research · 2022Article
- The association between cross-cultural competence and well-being among registered native and foreign-born nurses in Finland.PloS one · 2018Article
- Risky Business: Violence in Healthcare.Missouri medicineArticle
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
backgroundForeign-born physicians fill in the shortage of physicians in many developed countries. Labour market theory and previous studies suggest that foreign-born physicians may be a disadvantaged group with a higher likelihood of discrimination and less prestigious jobs. The present study examines foreign-born physicians' experiences of discrimination (coming from management, colleagues and patients separately) and patient-related stress and integration-related stress, and it examines how gender, age, employment sector, country of birth, years from getting a practicing license in Finland, language problems, cross-cultural training, cross-cultural empathy, team climate and skill discretion were associated with these factors.
methodsThe present study was a cross-sectional questionnaire study among 371 foreign-born physicians in Finland, aged between 26 and 65 (65% women). Analyses of covariance and logistic regression analyses were conducted to examine the associations.
resultsA good team climate and high cross-cultural empathy were associated with lower likelihoods of discrimination from all sources, patient-related stress and integration-related stress. Skill discretion was associated with lower levels of integration-related stress and discrimination from management and colleagues. Language problems were associated with higher levels of integration-related stress. The biggest sources of discrimination were patients and their relatives.
conclusionsThe present study showed the importance of a good team climate, cross-cultural empathy and patience, skill discretion and language skills in regard to the proper integration of foreign-born health care employees into the workplace. Good job resources, such as a good team climate and the possibility to use one's skills, may help foreign-born employees, for instance by giving them support when needed and offering flexibility. Health care organizations should invest in continuous language training for foreign-born employees and also offer support when there are language problems. Moreover, it seems that training increasing cross-cultural empathy and patience might be beneficial.
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