The Library
'These reforms killed me' : doctors' perceptions of family medicine during the transition from communism to capitalism
Tools
Tools
Tools
Czachowski, Sławomir and Pawlikowska, T. (2011) 'These reforms killed me' : doctors' perceptions of family medicine during the transition from communism to capitalism. Family Practice, Vol.28 (No.4). pp. 437-443. doi:10.1093/fampra/cmr003 ISSN 0263-2136.
Research output not available from this repository.
Request-a-Copy directly from author or use local Library Get it For Me service.
Official URL: http://dx.doi.org/10.1093/fampra/cmr003
Abstract
Objectives. To describe family doctors' (FD) experiences during the introduction of FM.
Methods. A qualitative study of 25 FDs in Poland, using thematic analysis of semi-structured interviews. Open-structured narrative-based interviews with five FDs were then used to deepen understanding of the major emergent themes. Fifteen of 25 had a different initial specialization to FM; 10 of 25 overseas work experience.
Results. Many doctors were driven by personal circumstances to engage with this new discipline, which provided a better fit with their life circumstances and a chance to escape from hierarchical structures characterizing the old regime. Personal experience of role models helped embrace FM, whereas adherence to ingrained biomedical approaches led to difficulty with exposure to common problems and could facilitate burnout. Shifting relationships in the reformed system caused tensions between primary and secondary care. While relationships with patients and specialists were being renegotiated, the concept of an independent FD practice surfaced. We observed that the most serious problems that the doctors encountered were circumstances related to the former health care system, in contrast to any lack of professional skills.
Conclusions. This is a rare qualitative study exploring Polish doctors' perspectives of the health care reform after the collapse of communism in Central and Eastern Europe. This analysis of newly qualified FDs has provided an insight into the authentic experiences, and motivation of grass roots FM pioneers in Poland.
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Subjects: | R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine |
||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||
| Library of Congress Subject Headings (LCSH): | Family medicine -- Poland, Health care reform -- Poland, Physicians (General practice) -- Poland, Qualitative research | ||||
| Journal or Publication Title: | Family Practice | ||||
| Publisher: | Oxford University Press | ||||
| ISSN: | 0263-2136 | ||||
| Official Date: | August 2011 | ||||
| Dates: |
|
||||
| Volume: | Vol.28 | ||||
| Number: | No.4 | ||||
| Page Range: | pp. 437-443 | ||||
| DOI: | 10.1093/fampra/cmr003 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published |
Data sourced from Thomson Reuters' Web of Knowledge
Request changes or add full text files to a record
Repository staff actions (login required)
 |
View Item |
