移民医生对在瑞典农村和偏远地区工作的看法：一项定性研究。
Migrant physicians' conceptions of working in rural and remote areas in Sweden: A qualitative study.
机构信息
Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden.
Department of Ethnology, History of Religions and Gender Studies, Stockholm University, Stockholm, Sweden.
出版信息
PLoS One. 2019 Jan 14;14(1):e0210598. doi: 10.1371/journal.pone.0210598. eCollection 2019.
OBJECTIVE
To explore migrant physicians' conceptions about working in rural and remote areas in Sweden to understand what influences their motivation to work in these areas.
METHOD AND MATERIAL
The study employed a qualitative approach with semi-structured interviews with 24 migrant physicians. Transcripts were thematically analysed.
RESULTS
Conceptions were identified about foremost work content and tasks, and about living in rural and remote areas. Work content and tasks related to the health care systems, type of health care facility, duties, specialty, resources, patient population, colleagues, and professional development. Conceptions about living concerned geographical characteristics, people living in rural and remote areas, opportunities for travelling, family, leisure activities, social life, and language skills. Conceptions seemed to be influenced by individual, professional and societal aspects from both previous countries and Sweden. Conceptions and biographical aspects both appeared to affect motivation.
DISCUSSION
Motivation regarding working in rural and remote areas appeared to be influenced by conceptions of these areas. A specific type of place could be understood as being able to provide (or not) the external conditions needed for fulfilling needs and reaching goals, whether professional or personal, and as a tool for reaching or facilitating the achievement of these. Conceptions of an area can hence affect motivation and choices for where to work and live. However, biographical aspects also impact motivation. Our results indicate that positive rural experience in the recipient country might be a predictor for motivation.
CONCLUSION
Professional and personal life and are intertwined. Conceptions about an area influence willingness to work there. Willingness is also affected by, and intertwined with, other aspects such as previous experiences, age, marital status and family circumstances.
目的
探讨移民医生在瑞典农村和偏远地区工作的观念，以了解影响他们在这些地区工作动机的因素。
方法和材料
本研究采用定性方法，对 24 名移民医生进行半结构化访谈。对转录本进行主题分析。
结果
确定了有关首要工作内容和任务以及居住在农村和偏远地区的观念。工作内容和任务与医疗保健系统、医疗保健设施类型、职责、专业、资源、患者人群、同事和职业发展有关。关于生活的观念涉及地理特征、居住在农村和偏远地区的人、旅行机会、家庭、休闲活动、社交生活和语言技能。观念似乎受到来自前国家和瑞典的个人、专业和社会方面的影响。观念和传记方面似乎都影响动机。
讨论
在农村和偏远地区工作的动机似乎受到对这些地区的观念的影响。一个特定类型的地方可以被理解为能够提供（或不提供）满足需求和实现目标所需的外部条件，无论是专业的还是个人的，并且可以作为实现这些目标的工具。因此，对一个地区的观念会影响动机和选择工作和生活的地点。然而，传记方面也会影响动机。我们的结果表明，在接收国的农村积极体验可能是动机的一个预测因素。
结论
专业和个人生活是交织在一起的。对一个地区的观念影响在那里工作的意愿。意愿也受到其他方面的影响，如以前的经验、年龄、婚姻状况和家庭情况等，并且与其他方面交织在一起。
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