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揭示发展中国家医学教师中的性别差异:以巴基斯坦白沙瓦一家公立部门教学医院为例

Unveiling gender disparities among medical faculty in a developing country: A case study of a public sector teaching hospital, Peshawar, Pakistan.

作者信息

Khan Mudir, Jamil Brekhna, Mehboob Bushra, Bibi Uzma

机构信息

Mudir Khan, MBBS, FCPS, MHPE Assistant Professor, Department of Trauma & Orthopedics, Lady Reading Hospital, Peshawar, Pakistan.

Brekhna Jamil, BDS, MPH, MHPE Associate Professor, Institute of Health Professions Education & Research, Khyber Medical University Peshawar, Pakistan.

出版信息

Pak J Med Sci. 2025 Feb;41(2):548-553. doi: 10.12669/pjms.41.2.9616.

DOI:10.12669/pjms.41.2.9616
PMID:39926692
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11803772/
Abstract

OBJECTIVE

To explore the gendered experiences of medical faculty in tertiary care hospitals in Pakistan.

METHOD

A qualitative exploratory study was conducted using a semi-structured interview guide in Lady Reading Hospital, Peshawar from 1st April to 30th September 2023. A purposive sampling technique was employed, and data was interpreted using Ackers's theory of Gendered Organization. Two Focus Group Discussions (FGDs) and six interviews were conducted and transcribed for data analysis. Braun and Clark's thematic analysis was used for data analysis.

RESULTS

Five themes and twelve sub-themes emerged after data analysis. Most male faculty accepted that gender disparity exists in medical institutions and found an element of ignorance in their responses. On the other hand, most females declared the existence of gender bias in administration, career opportunities, working environment, and basic facilities. Findings revealed the dependency of females on males. A huge gap was also found in policy regarding gender disparity.

CONCLUSION

Gender disparity exists everywhere because of patriarchal structures. Study unmasked the workplace realities of both genders within medical institutes. Mainly found that females become more victims of this issue. Women lag behind due to the disparity prevalent among both genders.

摘要

目的

探讨巴基斯坦三级医疗医院中医务人员的性别化经历。

方法

2023年4月1日至9月30日,在白沙瓦的莱迪·雷丁医院使用半结构化访谈指南进行了一项定性探索性研究。采用了目的抽样技术,并运用阿克斯的性别化组织理论对数据进行解读。开展了两次焦点小组讨论(FGD)和六次访谈,并对访谈内容进行转录以进行数据分析。数据分析采用了布劳恩和克拉克的主题分析法。

结果

数据分析后出现了五个主题和十二个次主题。大多数男性教员承认医疗机构中存在性别差异,并在他们的回答中发现了一些无知的因素。另一方面,大多数女性宣称在行政管理、职业机会、工作环境和基本设施方面存在性别偏见。研究结果揭示了女性对男性的依赖。在性别差异政策方面也发现了巨大差距。

结论

由于父权制结构,性别差异无处不在。该研究揭示了医疗机构中男女两性的职场现实。主要发现女性受这个问题的影响更大。由于两性之间普遍存在的差异,女性处于落后地位。

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本文引用的文献

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Saturation in qualitative research: An evolutionary concept analysis.定性研究中的饱和度:一项概念的演进分析
Int J Nurs Stud Adv. 2024 Jan 5;6:100174. doi: 10.1016/j.ijnsa.2024.100174. eCollection 2024 Jun.
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Unveiling the obstacles encountered by women doctors in the Pakistani healthcare system: A qualitative investigation.揭示巴基斯坦医疗体系中女医生所面临的障碍:一项定性研究。
PLoS One. 2023 Oct 5;18(10):e0288527. doi: 10.1371/journal.pone.0288527. eCollection 2023.
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Women physicians, their social issues & Barriers to their success in Academic Medicine.
女医生、她们的社会问题以及她们在学术医学领域取得成功的障碍。
Pak J Med Sci. 2022 Nov-Dec;38(8):2049-2052. doi: 10.12669/pjms.38.8.7047.
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Impediment to Leadership Opportunities for Female Doctors - Gender Disparity in Pakistani Healthcare System -SHORT REPORT.巴基斯坦医疗系统中女性医生领导机会的障碍——性别差异——简短报告
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Does gender influence leadership roles in academic surgery in the United States of America? A cross-sectional study.性别是否会影响美国学术外科领域的领导角色?一项横断面研究。
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Gender discrimination against female surgeons: A cross-sectional study in a lower-middle-income country.对女外科医生的性别歧视:一项在中低收入国家开展的横断面研究。
Ann Med Surg (Lond). 2020 Jul 24;57:157-162. doi: 10.1016/j.amsu.2020.07.033. eCollection 2020 Sep.
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BMJ Open. 2020 Jan 15;10(1):e032232. doi: 10.1136/bmjopen-2019-032232.
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The perceived organizational impact of the gender gap across a Canadian department of medicine and proposed strategies to combat it: a qualitative study.加拿大医学系中性别差距的感知组织影响及应对策略:一项定性研究。
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