瑞典医生对工作及医疗体系的看法：以地区全科医生为例。

Swedish physicians' perspectives on work and the medical care system: the case of district general practitioners.

作者信息

Twaddle A C

出版信息

Soc Sci Med. 1986;23(8):763-71. doi: 10.1016/0277-9536(86)90273-x.

Abstract

Interviews with district general practitioners in a large Swedish city in 1978-1979 solicited their perspectives on the frustrations and satisfactions they felt in their work, and on the successes and failures of the Swedish medical care system. With respect to work, four themes emerged: medical routine, patient centered care, overwork and isolation. Five themes emerged with respect to the system: financing, relationships with hospitals and specialists, involvement in political decision making, the size of districts and care centers. These themes are discussed with relation to the influence of the social situation of practice to the influence of the social situation of practice and the conditions for physician satisfaction.

摘要

1978年至1979年，在瑞典一个大城市对地区全科医生进行了访谈，以了解他们对工作中所感受到的挫折与满足，以及对瑞典医疗体系的成功与失败的看法。关于工作，出现了四个主题：医疗常规、以患者为中心的护理、过度劳累和孤立。关于体系，则出现了五个主题：融资、与医院和专科医生的关系、参与政治决策、地区和护理中心的规模。结合医疗实践的社会状况的影响以及医生满意度的条件，对这些主题进行了讨论。