Petchey R, Williams J, Baker M
University of Nottingham, Department of General Practice, Queen's Medical Centre, UK.
Fam Pract. 1997 Jun;14(3):194-8. doi: 10.1093/fampra/14.3.194.
This study aimed to investigate junior doctors' perception of general practice as a career.
In-depth interviews with a purposive sample of 54 junior doctors were carried out.
Three main criteria were identified: clinical content of practice, lifestyle, and organizational context of practice. Clinical content was most highly valued, but was recognized to conflict with lifestyle. Compared with hospital medicine, general practice was associated with inferior clinical content but superior lifestyle. Views on organizational context were more equivocal. Choice of general practice as a career was often based on negative judgements.
Junior doctors' perceptions of general practice are expressions of a hospital-centric culture. Criteria for career choice are diffuse and complex. There was no evidence that the 1990 GP Contract deterred recruitment. The compromise between intrinsic satisfaction and lifestyle may be significant for GP morale.
本研究旨在调查初级医生对全科医学作为一种职业的看法。
对54名初级医生进行了有目的抽样的深入访谈。
确定了三个主要标准：执业的临床内容、生活方式和执业的组织环境。临床内容最受重视，但被认为与生活方式相冲突。与医院医学相比，全科医学的临床内容较差，但生活方式较好。对组织环境的看法更为模糊。选择全科医学作为职业往往基于负面判断。
初级医生对全科医学的看法是医院中心文化的体现。职业选择标准分散且复杂。没有证据表明1990年的全科医生合同阻碍了招聘。内在满意度和生活方式之间的妥协可能对全科医生的士气有重大影响。
