Migrant doctor, local education: How the place where a migrant doctor received their education affects patients’ evaluations and acceptance

Project info

Work package
  • Inclusion
Sustainability threat
  • External Shocks
  • Feedback Cycles
Challenge
  • Accommodating newcomers

Study info

Description of Study
Background. In prior work, we found that the place where medical students received their education impacted their professional identity formation (Groot et al., in prep.). In the current line of studies, we expand on this finding by investigating how receiving education in the destination country impacts the way in which migrant doctors are perceived by their social surroundings. Specifically, we ask: Will locally educated doctors be accepted to a higher degree than foreign-educated doctors? Method. Five vignette studies measured the response of majority group members (White, UK or NL-born participants), assuming the role of patients, to migrant doctors who were either educated abroad or in the country of destination (total N = 1181). Results. both a doctor’s birthplace and a doctor’s place of education impacted patients’ acceptance of that doctor. Changed perceptions about the doctor’s level of competence, not of their sociability or morality, explained this increase in acceptance. However, when presented with negative information about the doctor’s competence, sociability, and especially morality, patients’ acceptance plummeted. This is in line with a recent convergence of evidence within the field of social psychology about the importance of evaluations about competence, sociability, and morality (Abele et al., 2021). Conclusion. Concerning migrant doctors, not just where they were born, but also where they were educated determines acceptance by their social surroundings. Evaluations of competence, sociability, and morality may drive this effect.
Study research question
How do a doctor’s place of birth and place of education affect a patient’s social evaluations of that doctor (in terms of competence, sociability, and morality), and, consequently, how do interventions targeting these social evaluations lead to improved acceptance of migrant doctors?
Collection provenance
  • Collected during project
Collection methods
  • Experiment
  • Vignette survey
Personal data
Yes
External Source
Source description
File formats
Data types
  • Structured
Languages
Coverage start
Coverage end
Spatial coverage
Collection period start
01/02/2020
Collection period end
01/05/2020

Variables

Unit
Unit description
Sample size
Sampling method
Individuals
Adult (over 18) natives of the United Kingdom with "white" ethnicity.
184
Prolific, online random sample
Individuals
Adult (over 18) natives of the United Kingdom with "white" ethnicity.
182
Prolific, online random sample
Individuals
Adult (over 18) natives of the United Kingdom with "white" ethnicity.
240
Prolific, online random sample
Individuals
Adult (over 18) Dutch citizens
296
Prolific, online random sample
Individuals
Adult (over 18) participants of the United Kingdom nationality.
279
Prolific, online random sample
Hypothesis
Theory
Doctor place of birth affects acceptance of doctor by prospective patients
Doctor place of education affects acceptance of doctor by prospective patients
Beings shown a positive review of a doctor leads to higher acceptance by prospective patients
Beings shown a negative review of a doctor leads to lowered acceptance by prospective patients
Variable type
Variable name
Variable description
Independent variable
Doctor place of birth
Factitious birthplace of doctor presented in vignette
Independent variable
Doctor place of education
Factitious place where doctor received his education, presented in vignette
Independent variable
Doctor review - positive
Good sociability vs. good morality vs. good competence
Independent variable
Doctor review - negative
Poor sociability vs. poor morality vs. poor competence
Dependent variable
Social evaluations
Ratings on scales of competence, morality, sociability
Dependent variable
Acceptance
Ratings on scales of trust, cooperation intention, prefecence, second-opinion seeking, and a forced choice decision on which doctor to pick as one's new GP
Discipline-specific operationalizations
Conflict of interest

Data packages

Migrant doctor, local education

Data package DOI
10.17605/OSF.IO/2QZMB
Description
Data package
Accessibility
Open Access
Repository
User license
Retention period
10

Publications

Born abroad, studied here: a historical and psychological account of migrant doctors integrating (Doctoral dissertation, Utrecht University)

The paper has not yet been published, so I included a link to my doctoral dissertation where the study can be found under chapter 5

Documents

Filename
Description
Date

Ethics

Ethical assessment
Yes
Ethical committee
FETC