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受限选择:女性实习医生专业的选择与作用

Choice by constraint: the selection and function of specialties among women physicians-in-training.

作者信息

Davidson L R

出版信息

J Health Polit Policy Law. 1979 Summer;4(2):200-20. doi: 10.1215/03616878-4-2-200.

DOI:10.1215/03616878-4-2-200
PMID:489939
Abstract

This paper asserts that the selection of medical specialty by women physicians-in-training is a "choice by constraint." Comparative data on men and women interns and residents are provided in order to document parameters of constraint in three separate areas: 1) subjective reasons for selection of medical specialty and subspecialty; 2) the type of practice a physician intends to enter; and 3) the differential function served by high vs low interaction specialties. Findings suggest that severe constraints occur on the specific level of subspecialty, rather than on the more general level of specialty. Findings also show that high and low interaction specialties serve two distinctly separate socioeconomic functions for different types of women. Within the present medical system these functions are considerably restrictive.

摘要

本文认为,女性实习医生对医学专业的选择是一种“受限选择”。提供了关于男性和女性实习生及住院医生的对比数据,以记录在三个不同领域的受限参数:1)选择医学专业和亚专业的主观原因;2)医生打算进入的执业类型;3)高互动性专业与低互动性专业所发挥的不同功能。研究结果表明,严重的限制出现在亚专业的具体层面,而非专业的更一般层面。研究结果还表明,高互动性专业和低互动性专业为不同类型的女性发挥着两种截然不同的社会经济功能。在当前的医疗体系中,这些功能具有相当大的限制性。

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Practice characteristics of male and female physician assistants.男性和女性医师助理的执业特点。
Am J Public Health. 1984 Dec;74(12):1398-400. doi: 10.2105/ajph.74.12.1398.