Monnickendam S M, Borkan J M, Matalon A, Zalewski S
Department of Family Medicine, Sackler Faculty of Medicine Tel Aviv University, Israel.
Isr J Med Sci. 1996 Mar-Apr;32(3-4):239-45; discussion 245-7.
Rural areas of Israel are organized into small villages that attract physicians by offering inexpensive accommodation and the promise of a high quality of life. However, conflicts often arise in the relationship between the village residents and the doctor, leading to dissatisfaction and physician turnover. In order to examine the issues, we conducted a qualitative study of rural physicians using a group interviewing technique, called focus groups. The sample consisted of 46 physicians, aged between 35 and 45, of whom 60% were male. In the focus groups, the physicians mainly discussed issues of unclear boundaries between private life and physician roles, exaggerated expectations on the part of community members, difficulties with teamwork, the impact of the physician's family, work satisfaction, and burnout. Recommendations for physicians considering rural practice include making a careful and studied choice of a village before making a final decision, setting both clear professional limits and an overall time limit for service, allowing for mistakes, and organizing Balint-type physician support groups.
以色列农村地区由小村庄组成，这些村庄通过提供廉价住宿和高品质生活的承诺来吸引医生。然而，村民与医生之间的关系经常出现冲突，导致不满情绪和医生流失。为了研究这些问题，我们采用焦点小组这种群体访谈技术，对农村医生进行了定性研究。样本包括46名年龄在35至45岁之间的医生，其中60%为男性。在焦点小组中，医生们主要讨论了私人生活与医生角色之间界限不清的问题、社区成员过高的期望、团队合作的困难、医生家庭的影响、工作满意度和职业倦怠。对于考虑在农村行医的医生的建议包括：在做出最终决定之前，仔细慎重地选择村庄；设定明确的专业界限和总体服务时限；允许犯错；组织巴林特式的医生支持小组。
