ArticleBMC health services research2019
The turnover intentions and intentions to leave the country of foreign-born physicians in Finland: a cross-sectional questionnaire study.
Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- Violence against healthcare professionals in intensive care units: a systematic review and meta-analysis of frequency, risk factors, interventions, and preventive measures.Critical care (London, England) · 2024Pooled it
- Dimensions of Burnout and Predictors of Physician Turnover in Clinical Practice.Journal of general internal medicine · 2026Article
- Physician turnover in China, 2011-2021: a nationwide longitudinal study.Human resources for health · 2025Article
- Challenges faced and coping strategies used by Malaysian International Medical Graduates surviving internships: A Qualitative Study.PloS one · 2025Article
- Self-reported mental health outcomes of International medical graduates in Australia: a cross-sectional survey.Frontiers in medicine · 2025Article
- Challenges affecting migrant healthcare workers while adjusting to new healthcare environments: a scoping review.Human resources for health · 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
- Inequitable treatment as perceived by international medical graduates (IMGs): a scoping review.BMJ open · 2023Article
- Individual perspectives and mental maps of working conditions and intention to stay of physicians in academic medicine.Frontiers in psychology · 2023Article
- Effects of individual and organizational factors on job tenure of primary care physicians: A multilevel analysis from Brazil.PloS one · 2023Observational
- To stay or not to stay: the role of sense of belonging in the retention of physicians in rural areas.International journal of circumpolar 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
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Authors and funding
4 authors.
Funding
Abstract
backgroundA physician shortage is a worldwide problem and foreign-born physicians fill in the shortage of physicians in many developed countries. One problem that is associated with the physician shortage is increased physician turnover. Also, regarding foreign-born physicians, migration can be costly. The present study aimed to examine the turnover intentions and intentions to leave the country of foreign-born physicians. We examined how demographics, discrimination, language problems, perceived employment barriers, satisfaction with living in Finland, team climate, job satisfaction and patient-related stress were associated with these factors.
methodsThe present study was a cross-sectional questionnaire study among 371 foreign-born physicians in Finland that were aged between 26 and 65 (65% women). Binary logistic regression analyses were conducted to examine the associations.
resultsHalf of the respondents had turnover intentions and 14.5% had considered leaving the country. High satisfaction with living in Finland was associated with a lower likelihood of both turnover intentions and intentions to leave the country. High levels of discrimination and employment barriers were associated with a high likelihood of turnover intentions whereas good team climate was associated with a low likelihood of turnover intentions. High levels of language problems were associated with a high likelihood of intentions to leave the country.
conclusionsThe present study showed the importance of satisfaction with living in the host country, the prevention of discrimination and employment barriers, language skills and a good team climate for the retention of foreign-born physicians in their current job and in the host country. Thus, to keep their foreign-born physicians, health care organisations should implement measures to tackle these challenges. Organisations could arrange, for example, diversity training, self-assessment, team reflections, leadership coaching and culturally-specific networks. Moreover, internships associated with the qualification process could be utilised better in order to give a thorough introduction to the host country's health care environment and the possibilities for learning the language.
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