MEDICAL CAREERS AND PATIENT RELATIONS FOLLOW-UP STUDY

医疗职业和患者关系后续研究

• 批准号: 2236313
• 负责人: TERRY MIZRAHI
• 金额: $ 14.43万
• 依托单位: HUNTER COLLEGE
• 依托单位国家: 美国
• 财政年份: 1993
• 资助国家: 美国
• 起止时间: 1993-09-30 至 1995-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2236313
• 关键词: health care cost /financing; health care professional practice; health care service evaluation; human subject; interview; job satisfaction; longitudinal human study; medical education; occupational stressor; patient care personnel attitude; postgraduate education; primary care physician; stress

The purpose of this longitudinal research is compare the factors that influence physicians' perspectives on their patients and medical practice at three critical periods in their professional development: ending residency, beginning career and established career. This continuing study will re-interview in person a cohort of twenty-six physicians who were first interviewed fifteen years ago at the end of their graduate training in internal medicine and then again five years later in their early career stage. It aims to examine how myriad changes in health care over the last decade have affected their practice style and setting, relationship with patients, and satisfactions and strains. This rare in-depth look at the professional lives and world of practicing physicians will provide some insight into the relationship between macro conditions and micro processes. There are almost no qualitative studies that have followed a group of physicians as they cross critical thresholds in order to scrutinize the acquisition of, and changes in, professional attitudes and behavior. Areas for exploration include: retrospective evaluation of their medical education, concurrent assessment of present circumstances, and prospective views of their own and the medical profession's future. Have their perspectives on their training and practice shifted as professional role, organizational setting and location, financial reimbursement, and patient demographics and diseases have changed? What are current and projected sources of stress and satisfaction? This work will contribute to sociological theory an increased understanding about the permanent and situational nature of professional socialization; it will contribute to health policy development a more realistic view of the impact on patient care of current and proposed programs to increase access to, and lower costs of, health care; and it will provide a better understanding of methodology appropriate to study physician attitudes and behavior. It addresses several priorities of the AHCPR since most of the physicians--both the generalists and specialists--are engaged in primary care and are located in small city, suburban and rural settings.

本纵向研究的目的是比较 影响医生对病人和医疗实践的看法 在职业发展的三个关键时期： 居住，开始职业生涯和建立职业生涯。 这项持续的研究 我将亲自重新采访一组26名医生， 第一次面试是在15年前， 在内科，五年后，在他们早期的职业生涯中， 阶段 它旨在研究过去一年来医疗保健的无数变化 影响了他们的实践风格和环境， 病人，满意度和压力。 这一罕见的深入研究 职业生活和执业医生的世界将提供一些 宏观条件与微观过程之间的关系。 几乎没有定性研究， 医生，因为他们跨越临界阈值，以审查 职业态度和行为的获得和改变。 地区 探索包括：回顾性评估他们的医疗 教育，同时评估目前的情况， 他们自己的观点和医疗行业的未来。 有他们 随着专业角色的转变， 组织设置和位置、财务报销和患者 人口统计学和疾病发生了变化 什么是当前和预计 压力和满足感的来源 这项工作将 有助于社会学理论，增加对 专业社会化的永久性和情境性;它将 有助于制定卫生政策，更现实地看待影响 目前和拟议的计划，以增加获得病人护理， 降低医疗保健的成本;它将提供更好的理解， 方法学适合研究医生的态度和行为。 它 解决了AHCPR的几个优先事项，因为大多数 医生-全科医生和专科医生-从事初级保健， 护理和位于小城市，郊区和农村环境。