[Determinants of the choice of the first level of care in medicine

Atencion primaria · Feb 2022

[Determinants of the choice of the first level of care in medicine as a field of training and work: A qualitative study].

To explore the determinants of eligibility and the choice of the first level of care as a workplace and training environment for health professionals. ⋯ Little knowledge of PHC, its lack of prestige, and insufficient remuneration for first-level care professionals were identified as the main barriers to choosing PHC as a place of work and training. In contrast, social commitment, the possibility of having a better lifestyle, and the type of doctor-patient relationship appear as the main facilitators.

expand abstract…
- Ariel FrancoJuan VíctorJVServicio de Medicina Familiar y Comunitaria, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina; Escuela de Medicina, Instituto Universitario Hospital Italiano de Buenos Ai... more
- Servicio de Medicina Familiar y Comunitaria, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina; Escuela de Medicina, Instituto Universitario Hospital Italiano de Buenos Aires, Buenos Aires, Argent... more
- Aten Primaria. 2022 Feb 1; 54 (2): 102192.
ObjectiveTo explore the determinants of eligibility and the choice of the first level of care as a workplace and training environment for health professionals.DesignQualitative study.SettingFour universities in the Metropolitan Area of Buenos Aires, Argentina.ParticipantsRecently graduated doctors and medical students.MethodBased on the grounded constructivist theory, semi-structured interviews and focus groups were conducted for data collection and subsequent analysis.Results31 interviews and three focus groups were conducted during 2019-2020. Emerging concepts were organized in main axes for analysis. Positive and negative experiences were identified in relation to primary health care (PHC) in curricular spaces and practical rotations, and a significant lack of knowledge of its scope. For the choice of medical specialties, personal interests, future projections, social prestige, economic income and knowledge of a specific area of medicine are important. There is a devaluation in terms of the role and resolution capacity of PHC, and it is also associated with the assistance of populations with low socioeconomic resources.ConclusionsLittle knowledge of PHC, its lack of prestige, and insufficient remuneration for first-level care professionals were identified as the main barriers to choosing PHC as a place of work and training. In contrast, social commitment, the possibility of having a better lifestyle, and the type of doctor-patient relationship appear as the main facilitators.Copyright © 2021 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved.

Pubmed Free full text Copy Citation Plaintext

Add institutional full text...
Notes
Knowledge, pearl, summary or comment to share?

300 characters remaining

help

You can also include formatting, links, images and footnotes in your notes

Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.

Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.

Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.

Links can be included with: [my link to pubmed](http://pubmed.com)

Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")

For footnotes use [^1](This is a footnote.) inline.

Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..
hide…

[Determinants of the choice of the first level of care in medicine as a field of training and work: A qualitative study].

Notes

300 characters remaining

help

You can also include formatting, links, images and footnotes in your notes

Want more great medical articles?

Keep up to date with a free trial of metajournal, personalized for your practice.
1,704,841 articles already indexed!

[Determinants of the choice of the first level of care in medicine as a field of training and work: A qualitative study].

Notes

300 characters remaining

help

You can also include formatting, links, images and footnotes in your notes

Want more great medical articles?

Keep up to date with a free trial of metajournal, personalized for your practice.1,704,841 articles already indexed!

Keep up to date with a free trial of metajournal, personalized for your practice.
1,704,841 articles already indexed!