“Not Made Here”: Occupational Deprivation of Non-English Speaking Background Immigrant Health Professionals in New Zealand

Abstract

This study sought to understand the experiences of mainly medical doctors and selected immigrant health professionals, who attempt to enter practice in New Zealand. The study utilized a modified participatory methodology underpinned by social critical theory and occupational science concepts to present the views of the 18 participants. The goal was to produce practical knowledge with the potential to inform policy. Data were gathered through individual interviews and one focus group, transcribed verbatim, and analysed thematically. The key findings, presented from the perspective of the participants, are the lost potential, negative experiences and occupational constraints, emotional consequences, coping and survival strategies, and suggested solutions. The findings are considered in relation to the concepts of occupational deprivation and occupational apartheid, and as having implications beyond employment outcomes to settlement, health and occupational justice.

Keywords:

• Occupation
• Occupational deprivation
• Occupational apartheid

Acknowledgements

We owe a debt of gratitude to the participants, who openly shared their stories, and to Tony MacCulloch, the project supervisor.