Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska Institutet, Stockholm, Sweden.
J Health Organ Manag. 2009;23(2):225-39. doi: 10.1108/14777260910960957.
The purpose of this paper is to examine the aspects of being a physician that such medical professionals mention in dialogue groups when given the opportunity to choose their own topics of discussion.
DESIGN/METHODOLOGY/APPROACH: Over a period of two years, 60 physicians participated in eight dialogue groups at one of the main hospitals in Stockholm, Sweden. Five focus group interviews were performed after the final dialogue group session.
Qualitative content analysis showed that three themes dominated in the physicians' perceptions of their role: hierarchy and subgroups; understanding of learning and knowledge; clinical work. Very little time in the dialogue groups was spent discussing the third theme, i.e. problems or issues related to patients or their families. The hierarchy among doctors seemed to influence many aspects of the role of these individuals, their healthcare organisation and their work environment. The methodology in the dialogue groups challenged the prevailing hierarchical structures and seemed to improve the relations between different groups of doctors in the hierarchy. For some of the physicians, this also resulted in a new way of perceiving and acting in their professional role.
RESEARCH LIMITATIONS/IMPLICATIONS: The results of this study represent only one hospital.
The findings may help healthcare managers understand physicians' conceptions of their role.
ORIGINALITY/VALUE: Few intervention studies have considered management programmes directed towards physicians. The present investigation is the first qualitative analysis of the use of dialogue groups within a healthcare setting.
本文旨在探讨医生在有机会选择自己的讨论话题时，在对话组中提到的作为医生的各个方面。
设计/方法/途径：在两年的时间里，60 名医生在瑞典斯德哥尔摩的一家主要医院参加了八个对话组。在最后一次对话组会议后进行了五次焦点小组访谈。
定性内容分析显示，医生对自己角色的看法主要有三个主题：等级和子群；对学习和知识的理解；临床工作。在对话组中，很少有时间讨论第三个主题，即与患者或其家属相关的问题或问题。医生之间的等级似乎影响了这些人角色的许多方面、他们的医疗保健组织和工作环境。对话组中的方法挑战了现有的等级结构，并似乎改善了等级中不同医生群体之间的关系。对一些医生来说，这也导致了他们以一种新的方式来感知和扮演他们的职业角色。
研究局限性/影响：本研究的结果仅代表一家医院。
研究结果可以帮助医疗保健管理人员了解医生对其角色的概念。
原创性/价值：很少有干预研究考虑针对医生的管理计划。本研究首次对医疗保健环境中使用对话组进行了定性分析。
