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首页> 外文期刊>Sociology of health & illness >Practising medicine in two countries: South African physicians in Canada.
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Practising medicine in two countries: South African physicians in Canada.

机译：在两个国家/地区从事医学工作：加拿大的南非医师。

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This qualitative study examines the pre- and post-migration practice experiences of 73 physicians trained in South Africa who have relocated to Canada. The aims are to explore the workings of two different healthcare systems from an insider standpoint and to address the medical autonomy debate as it relates to international medical graduates (IMGs). While study respondents reported practice frustrations in both countries, they generally preferred working in a socialised health insurance environment that grants wider accessibility than a two-tiered system that favours a privileged few. Concerns such as family safety and opportunities for children also contributed to more satisfaction with Canada. We discuss our findings in relation to a broader international context and the sociological literature on medical autonomy. We argue that IMGs face different autonomy issues from other physicians and stress the need to broaden sociological inquiry of medical work by investigating how autonomy interfaces with other neglected aspects of physicians' work and non-work lives.
机译：这项定性研究考察了73名在南非受过培训并已移居加拿大的医师在迁移前后的实践经验。目的是从内部人员的角度探讨两种不同医疗体系的工作原理，并解决涉及国际医学毕业生（IMG）的医疗自主性辩论。尽管研究受访者表示这两个国家的实践都令人沮丧，但他们通常更喜欢在社会化的健康保险环境中工作，该环境比那些只享有特权的两层系统更容易获得可及性。家庭安全和儿童机会等问题也使人们对加拿大更加满意。我们讨论有关更广泛的国际背景和医学自主性的社会学文献的发现。我们认为，IMG面临与其他医师不同的自主权问题，并强调有必要通过研究自主权如何与其他被忽视的医师工作和非工作生活方面相联系来扩大医学工作的社会学探究。

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