Publication details
Lékaři a vyhoření: ožehavá každodennost medicíny pohledem sociologie
| Title in English | Physicians and burning out: burning everyday issues of the medical profession from the sociological perspective |
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| Year of publication | 2013 |
| Type | Chapter of a book |
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| Description | The chapter focuses on the medical professionals reflection of their everyday praxis on the background of broader social changes and the processes of transformation of medical care within two areas of reproductive medicine (obstetrics and assisted reproduction). It deals with the ways, how doctors themselves explicitly thematize their burnout, frustration or their decision to exit the system of providing medical care. The analysis is based on 30 in-depth interviews with doctors working in the field of reproductive medicine. It identified several key processes that can lead to burnout or even to the decision to leave the system or profession. The relationship between doctor and patient is significantly transformed and its contemporary state challenges the image of the doctor as an unquestioned infallible authority, being able to transform nature or do „miracles“. The process deprofessionalization and rutinization of the medical profession is associated with increasing patients choice and autonomy. Trust in the physician-patient relationship, supposed to be the core of the successful treatment, must be built on new foundations. Strong formal and informal hierarchical setup of the medical care environment, both inside clinics and hospitals and between different types of workplaces, maintains and reinforces the doctors perception of the health care system as badly organized and run. Clashes in the value systems between the (educated elite) physicians and their patients leads to the tendency of medical professionals to educate people. The conflict between the private (stereotypically associated with women and care) and the public spheres (with men and working careers) is reflected by generalizing gender specific expectations regarding both patients and medical professionals. |
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