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ORIGINAL RESEARCH ARTICLES |
The Discontent Doctor Physicians’ Experiences Of Medical Practice And Health Care In Sweden 1990-2002. A Qualitative Study
Carl-Magnus STOLT, MDa
aMedical Humanities, Karolinska Institut, 171 77 Stockholm, SWEDEN
During the last 10-15 years a discontent of the medical doctor is obvious in international literature. In a qualitative study using a phenomenological approach data were collected by interviews. I have interviewed 10 Swedish physicians about their clinical work. Half of them worked in general practice and the other half in different disciplines in hospital care. The purpose was to describe the experiences and self-assessed attitudes of medical practice among Swedish physicians the last decade.
The interviews were analysed by a phenomenological method. As a result I found that physicians have a feeling of frustration, control, misunderstanding but at the same time joy over clinical work. A common pattern was a lack of understanding for the new organisational demands, mainly economic and priority thinking. The implications for practice by understanding the mechanisms of this collective frustration are obvious. Physicians as well as the health care organisation must provide education in ethics, philosophy in science and medical sociology, concerning the new demands in health care. Together all parts must create better ways for communication between administrative levels and physicians. A true dialogue can result in a trustful relation.Keywords: Discontent physician, medical practice, health care, Sweden, medical sociologyTurkiye Klinikleri J Med Ethics 2005, 13:155-159
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