Format

Send to

Choose Destination
Br J Health Psychol. 2013 Sep;18(3):663-79. doi: 10.1111/bjhp.12010. Epub 2012 Dec 6.

What happens to health professionals when the ill patient is the health care system? Understanding the experience of practising medicine in the Romanian socio-cultural context.

Author information

1
Babes-Bolyai University, Cluj-Napoca, Romania.

Abstract

OBJECTIVES:

Our aims were to investigate the sources of work strain and stress, and the way in which they are experienced by Romanian health professionals in a work context shaped by the ongoing 20 years long reform of the national health care system.

DESIGN:

An exploratory, qualitative design was used to investigate medical professionals' perceptions of stress and work strain.

METHODS:

Twenty eight interviews and two focus groups were conducted with 38 physicians, residents and nurses, between the age of 26 and 53. A semi-structured interview guide was used for data gathering and the major themes were identified using thematic analysis of the transcripts.

RESULTS:

Three themes emerged in the analysis: governance and health system management, scarcity of resources, and health system reputation. Health professionals described the image of a suffering health system, exhausted by an inconsistent management plan, underfunded and understaffed; a system that is a constant source of discontent, bitterness and doubts for them and their patients.

CONCLUSIONS:

Romanian health professionals' experiences reveal a health care system which after 20 years of reform managed to shape a learned helplessness culture within the medical community and drive a large proportion of its workforce across the borders.

PMID:
23216970
DOI:
10.1111/bjhp.12010
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Wiley
Loading ...
Support Center