Document Detail

Emigrant physicians evaluate the health care system of the former Soviet Union.
MedLine Citation:
PMID:  8302106     Owner:  NLM     Status:  MEDLINE    
This study is a retrospective evaluation of the Soviet health care system by 1,100 Jewish physicians who immigrated to Israel in 1990, but were professionally active in the former Soviet Union before and during the Gorbachev era. Medical education and the process of specialization; gender differences within the medical profession; sources of work satisfaction and dissatisfaction; self-evaluations of professional behavior; and assessments of patient behavior are included in this empirical study. Although high levels of dissatisfaction were found regarding instrumental aspects of work, the physicians reported high levels of satisfaction with their relationships with colleagues and patients. The recent emigrants assessed their own role behavior and that of their patients more critically than did physicians who left the Soviet Union in 1972, and who answered identical questions in 1975. Among the recent emigrants, men, older physicians, and those with higher status within the profession tended to be more satisfied with their work and less critical about their own and their patients' behavior than their female, younger and lower status colleagues. The subjective perceptions of former "insiders," which complement the reports that have appeared in recent years in the medical literature, are discussed in terms of the impact of glasnost and perestroika on reporting behavior and on the real deterioration that occurred in the health care system of the former Soviet Union.
J H Bernstein; J T Shuval
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Medical care     Volume:  32     ISSN:  0025-7079     ISO Abbreviation:  Med Care     Publication Date:  1994 Feb 
Date Detail:
Created Date:  1994-03-09     Completed Date:  1994-03-09     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  0230027     Medline TA:  Med Care     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  141-9     Citation Subset:  IM    
Program in Medical Sociology, Hebrew University-Hadassah School of Medicine, Jerusalem, Israel.
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MeSH Terms
Attitude of Health Personnel*
Educational Status
Emigration and Immigration*
Evaluation Studies as Topic
Job Satisfaction
Physician-Patient Relations
Physicians / psychology*
Physicians, Women / psychology
Retrospective Studies
Sex Factors
State Medicine / standards*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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