一般医生的隐藏工作:一个民族学
Rachel Barnard1, Sharon Spooner2, Michaela Hubmann2
1Centre for Primary Care, Wolfson Institute of Population Health, Queen Mary University of London, Yvonne Carter Building, 58 Turner Street, London, E1 2AB, UK.
Social science & medicine (1982)
|May 7, 2024
概括
初级保健医生面临着未被认可的"隐藏护理工作"带来的工作负载压力. 这种基本的临床工作是患者护理的组成部分,往往超出工作时间,影响医生的效率和福祉.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 初级医疗保健医学 一级医疗保健医学
- 卫生社会学 卫生社会学
背景情况:
- 高质量的初级保健对有效的卫生系统至关重要.
- 在全球范围内,初级保健医生 (全科医生) 经历了相当大的工作负载压力.
- 导致这些压力的非患者面对的工作不太了解和低估.
研究的目的:
- 检查初级保健中非患者面对工作的性质和贡献.
- 了解这种"隐藏工作"如何影响医生的工作量和幸福感.
- 提出"隐蔽护理工作"一词,以更好地反映其性质.
主要方法:
- 在两个英语通用实践中进行了民族学观察 (104小时) 和深入访谈 (n=16).
- 这项研究涉及全科医生和其他初级保健工作人员.
- 分析得到了实践理论,听力指南和经验伦理的信息.
主要成果:
- "隐蔽工作",包括解释结果,制作转诊和管理中断,是直接患者护理的组成部分.
- 这种工作通常在预期的时间之外进行,导致效率低下和工作量增加.
- 一般医生在提供综合护理和维持可管理的工作日之间经历了紧张局势.
结论:
- 术语"隐藏的护理工作"更好地捕捉了这种必要劳动的谨慎,模糊和不确定的性质.
- 在工作时间之外将这项工作正常化,加剧了工作负载压力,并影响了医生的福祉.
- 解决隐藏的护理工作对于可持续的初级保健和医生保留至关重要.
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