Practising medicine in two countries: South African physicians in Canada.
Practising medicine in two countries: South African physicians in Canada.
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在两个国家行医：南非医生在加拿大。
DOI：
10.1111/j.1467-9566.2009.01231.x
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发表时间：
2010
影响因子：
2.9
通讯作者：
Krista Robson
中科院分区：
文献类型：
--
作者：
R. Joudrey;Krista Robson
这项定性研究考察了73名在南非接受培训并移居加拿大的医生在移民前和移民后的执业经历。其目的是从内部角度探讨两种不同医疗保健系统的工作原理，并解决与国际医学毕业生(IMG)相关的医疗自主权辩论。尽管受访者表示在这两个国家都遭遇了执业挫折，但他们通常更喜欢在社会化的医疗保险环境中工作，这种环境提供了更广泛的可及性，而不是有利于少数特权阶层的双层制度。家庭安全和儿童机会等方面的关切也有助于提高对加拿大的满意度。我们结合更广泛的国际背景和有关医疗自主性的社会学文献来讨论我们的发现。我们认为，IMGs面临着不同于其他医生的自主性问题，并强调有必要通过调查自主性如何与医生工作和非工作生活中被忽视的其他方面相联系，来扩大对医疗工作的社会学调查。
This qualitative study examines the pre- and post-migration practice experiences of 73 physicians trained in South Africa who have relocated to Canada. The aims are to explore the workings of two different healthcare systems from an insider standpoint and to address the medical autonomy debate as it relates to international medical graduates (IMGs). While study respondents reported practice frustrations in both countries, they generally preferred working in a socialised health insurance environment that grants wider accessibility than a two-tiered system that favours a privileged few. Concerns such as family safety and opportunities for children also contributed to more satisfaction with Canada. We discuss our findings in relation to a broader international context and the sociological literature on medical autonomy. We argue that IMGs face different autonomy issues from other physicians and stress the need to broaden sociological inquiry of medical work by investigating how autonomy interfaces with other neglected aspects of physicians' work and non-work lives.