Characterizing the global context for cross-cultural healthcare work by regions of the world
Healthcare missionaries (n=393) from 18 different English-speaking countries, serving in 67 countries were surveyed. With an average of 11 years of field experience, and working primarily in the local language, participants in this study were able to report on the healthcare situations and the experience for expatriate healthcare missionaries in their countries of service. The healthcare institutions in most countries of the world are reported to be improving. Most countries remain hospitable to the presence of expatriate missionaries, but there also exists some resistance to expressions of Christian faith in the workplace. As mission organizations consider where to place healthcare professionals for medical service, consideration should be given to the trends and opportunities present in different regions of the world, so as to achieve the greatest outcomes, and to provide the best match between the missionary and the context they are going to work in. This paper provides assistance in this process.
Johnson T. Christianity in its Global Context, 1970-2020: Society, religion, and mission. Center for the Global Study of Christianity. Southhampton, MA; 2013.
Jaffarian M. The statistical state of the North American Protestant Missions Movement, from the Mission Handbook, 20th edition. Int Bull Missionary Research. 2008; 32:35-38.
Foyle M and Watson J. Expatriate mental health. Actu Psychiatr Scand. 1998;97:278-83.
Bikos L and Lewis Hall E. Psychological functioning of international missionaries: introducing to the special issue. Mental Health, Religion & Culture. 2009;12(7):605–09.
Eriksson C, Bjorck J, Larson L et al. Social support, organisational support, and religious support in relation to burnout in expatriate humanitarian aid workers. Mental Health, Religion & Culture. 2009;12(7):671-86.
Peppiatt R and Bypass P. A survey of the health of British missionaries. Br J Gen Pract. 1991;41(345):159-62.
Sweatman S. Marital satisfaction, cross-cultural adjustment stress, and the psychological sequelae. Journal of Psychology and Theology. 1999;27154-62.
Center C, Davis M, Detre T et al. Confronting depression and suicide among physicians: a consensus statement. JAMA. 2003;289(23):3161-6.
Grundmann C. The contribution of medical missions to medical education overseas. Mission Studies. 1992;9(17):79-99.
Koteskey R Psychology for missionaries. Wilmore, KY:GO International; 2011.
Hawley D. Research on missionary kids and families: A critical review. Dallas: Missions Resource Network, 2004:1-13.
Clark LA and Watson D. Tripartite model of anxiety and depression: Psychometric evidence and taxonomic implications. Journal of Abnormal Psychology, 1991; 100(3):316-36.
Fava M, Uelbacker L, Alpert J et al. Major depressive subtypes and treatment response. Biological Psychiatry. 1997;42:568-76.
Richards D. Prevalence and clinical course of depression: A review. Clinical Psychology Review. 2011;31(7):1117-25.
Lepine J and Briley M. The increasing burden of depression. Neuropsychiatr Dis Treat. 2011;7(Suppl 1):3-7.
Lerner D and Henke R. What does research tell us about depression, job performance and work productivity? Journal of Occupational & Environmental Medicine. 2008;50(4):401-10.
Rosik C, Ordway A, Tafoya J. Assessing the effectiveness of intensive outpatient care for Christian missionaries and clergy. Mental health, religion and culture. 2009;12:687-700.
Britt W. Pretraining variables in the prediction of missionary success overseas. Journal of Psychology and Theology. 1983;11:203-12.
Judge T, Thoreson C, Bono J et al. The job satisfaction-job performance relationship: A qualitative and quantitative review. Psychological Bulletin. 2001;127:376-407.
Cousineau A, Lewis Hall M, Rosik C et al. Predictors of Missionary Job Success: A Review of the Literature and Research Proposal. Journal of Psychology and Christianity. 2010;29(4):354-63.
American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders. Arlington, VA:American Psychiatric Association; 2013.
Carey M, Jones K, Yoong S et al. Comparison of a single self-assessment item with the PHQ-9 for detecting depression in general practice. Family Practice, 2014; 31(4):483-489. doi: doi: 10.1093/fampra/cmu018
Tan JY-K. A New Way of Being Church in Asia. Missiology. 2005;33(1):72-94.
Wood PB. The evolution of church/mission hospitals in Africa. EMQ. 2011;47(3):336-40.
Searle HG. Medical Missions Reappraised. Evangelical Missions Quarterly. 1982;18(4):242-55.
Christian Journal for Global Health applies the Creative Commons Attribution License to all articles that we publish. Under this license, authors retain ownership of copyright for their articles or they can transfer copyright to their institution, but authors allow anyone without permission to copy, distribute, transmit, and/or adapt articles, even for commercial purposes so long as the original authors and Christian Journal for Global Health are appropriately cited.
This work is licensed under a Creative Commons Attribution 4.0 International License.