Petchey R
University of Nottingham.
Br J Gen Pract. 1994 Dec;44(389):551-5.
Research into general practitioners' responses to the changes in the health service has focused on the quantifiable dimensions of workload, stress, job satisfaction and mental health.
This study set out to investigate general practitioners' practice orientations and responses to change.
The study was undertaken in 1992. 'Young principals' who had attended MSD Foundation regional courses were invited by letter to reflect on recent change in general practice and to give their views on morale and recruitment.
Forty nine young principals responded (response rate 45%). Responses were found to cluster around four orientations to practice: collectivism, pragmatism, traditionalism, and alienation. These varied in terms of four underlying values: autonomy, individualism, external referent and optimism.
General practitioners' responses to change are more complex than is currently understood and are influenced by orientation to practice. In a relatively homogeneous 'enthusiastic' subgroup of general practitioners there is striking variation in practice orientation.
关于全科医生对医疗服务变化的反应的研究主要集中在工作量、压力、工作满意度和心理健康等可量化的方面。
本研究旨在调查全科医生的执业取向和对变化的反应。
该研究于1992年进行。通过信函邀请参加了MSD基金会地区课程的“年轻负责人”反思近期全科医疗的变化，并就士气和招聘发表他们的看法。
49位年轻负责人做出了回应（回应率为45%）。发现回应集中在四种执业取向周围：集体主义、实用主义、传统主义和疏离感。这些在四个潜在价值观方面有所不同：自主性、个人主义、外部参照和乐观主义。
全科医生对变化的反应比目前所理解的更为复杂，并且受到执业取向的影响。在一个相对同质化的“热情”全科医生亚组中，执业取向存在显著差异。
