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医学领域的社会学分析:运用布迪厄理论理解医生专科选择之前的过程,以及感知到的地位和其他形式的象征资本对他们选择的影响。

Sociological analysis of the medical field: using Bourdieu to understand the processes preceding medical doctors' specialty choice and the influence of perceived status and other forms of symbolic capital on their choices.

机构信息

Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Forskningscentrum, Sjukhusbacken 10, 118 46, Stockholm, Sweden.

Stockholm'S läns Landsting (Stockholm County Council), Stockholm, Sweden.

出版信息

Adv Health Sci Educ Theory Pract. 2019 Aug;24(3):443-457. doi: 10.1007/s10459-018-09872-3. Epub 2019 Jan 17.

Abstract

Several studies have demonstrated that medical students and doctors rank specialties differently in terms of perceived status and prestige. At the same time some of the specialties have problems with recruiting and retaining staff. This study aimed to understand what constitutes status and prestige in the medical field and how it influences medical doctors' choice of specialty. By using a sociological perspective and applying Bourdieu's theoretical concepts of field, symbolic capital and perceived status, we analysed young doctors' journeys towards their chosen specialty. We conducted 15 in-depth semi-structured interviews. The data was analysed using content analysis. The findings suggest that medical specialties carry different social status. In the field of power, surgery is seen as the most prestigious of all specialties. However, in the future it might be a less attractive choice when young doctors tend to view their profession less as an identity and more like a job. For specialties perceived as low status, the challenge is to raise popularity by better describing to young doctors the characteristics and advantages of these specialties.

摘要

多项研究表明,医学生和医生对不同专业的感知地位和声望评价存在差异。与此同时,一些专业在招聘和留住员工方面存在问题。本研究旨在了解医学领域的地位和声望的构成要素,以及它如何影响医生对专业的选择。通过使用社会学视角,并应用布尔迪厄的场域、象征性资本和感知地位的理论概念,我们分析了年轻医生选择专业的历程。我们进行了 15 次深入的半结构化访谈。使用内容分析法对数据进行分析。研究结果表明,医学专业具有不同的社会地位。在权力领域,外科被视为所有专业中最有声望的专业。然而,当年轻医生倾向于将自己的职业视为一种工作而非身份时,外科在未来可能不再是一个那么有吸引力的选择。对于那些被认为地位较低的专业来说,挑战在于通过更好地向年轻医生描述这些专业的特点和优势来提高知名度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a92/6647503/15a1fcd57a7a/10459_2018_9872_Fig1_HTML.jpg

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