• 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].

    • 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 Aires, Buenos Aires, Argentina. Electronic address: , Mariano Granero, Nadia Silvina Musarella, Carina Andrea Fernández, María Victoria Weisbrot, and María Dolores Arceo.
    • 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, Argentina. Electronic address: juan.franco@hospitalitaliano.org.ar.
    • 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…

What will the 'Medical Journal of You' look like?

Start your free 21 day trial now.

We guarantee your privacy. Your email address will not be shared.