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边缘地带:兼职女性和非负责人在全科医疗中的归属

On the margins: belonging in general practice for women part-timers and non-principals.

作者信息

Pinder R

机构信息

Centre for the Study of Health, Brunel University, Uxbridge, UK.

出版信息

Fam Pract. 1998 Aug;15(4):363-8. doi: 10.1093/fampra/15.4.363.

DOI:10.1093/fampra/15.4.363
PMID:9792352
Abstract

If flexible working options are 'a good thing', this paper asks why there are still some anxieties about the full integration of women part-timers and non-principals into the profession. Using in-depth exploratory interviews with 25 women GPs, it argues that part of the discomfort with women GPs who work part-time in general practice arises from the fact that they occupy a marginal status between the (public) world of work and the (private) world of the family. Ambiguity is unsettling. A key question is where do their loyalties lie? 'Commitment' is both a practical fact and a symbol of more potent anxieties: it is a mobilizing metaphor. This paper also argues that the flexibility issue cannot be understood in isolation from wider social, economic and political changes taking place, both in the fast-changing role of women (and men) in society, and in and around general practice itself. Women part-timers are actively challenging some of the more negative stereotypes which still surround flexible working options. Being on the margins has advantages: change and creativity tend to occur here more than at the centre.

摘要

如果灵活的工作选择是“一件好事”,那么本文就要问,为何对于女性兼职人员和非主任医师完全融入该职业仍存在一些担忧。通过对25名女性全科医生进行深入的探索性访谈,本文认为,对在全科医疗中兼职工作的女性全科医生感到不满的部分原因在于,她们处于(公共)工作领域和(私人)家庭领域之间的边缘地位。这种模糊性令人不安。一个关键问题是她们的忠诚所在?“承诺”既是一个实际情况,也是更强烈焦虑的一种象征:它是一个具有动员作用的隐喻。本文还认为,不能脱离正在发生的更广泛的社会、经济和政治变革来理解灵活性问题,这些变革既体现在女性(和男性)在社会中迅速变化的角色上,也体现在全科医疗本身及其周边。女性兼职人员正在积极挑战一些仍然围绕着灵活工作选择的更负面的刻板印象。处于边缘也有优势:变革和创造力往往在这里比在中心地带更容易出现。

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Br J Gen Pract. 2023 Jun 29;73(732):e545-e555. doi: 10.3399/BJGP.2022.0544. Print 2023 Jul.
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The present state and future direction of primary care: a qualitative study of GPs' views.基层医疗的现状与未来方向:全科医生观点的定性研究。
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