scholarly journals Models of Physician’s Behavior in the Situation of Assignment Paid Procedures

Inter ◽  
2021 ◽  
Vol 13 (1) ◽  
pp. 40-62
Author(s):  
Ekaterina Andreeva

The Russian healthcare system provides a set of free and paid diagnostic and therapeutic services. Although, when prescribing additional paid services, a specific doctor is provided with the situation of choice. The doctor is faced with a set of ethical and professional motivators, one of which is paid services as a source of additional medical income. What do doctors do in this situation, what strategies do they choose and what motivates their decision? Conducted and analyzed in-depth interviews (18 interviews, Tver, 2018) with doctors of different specialties revealed several patterns of doctor’s behavior when prescribing paid services. The data analyzed in the tactics of grounded theory allowed the author to build several models of doctor’s behavior, where such choices are associated with certain system of professional and personal values. The described models are conventionally named by author: “Making money”, “Polypragmasia”, “Collegiality”, “Man-System”, “One and a half rates”, “Out of the system”, “Avoidance”.The constructed models of behavior of doctors show that the appointment of additional optional procedures is associated not only with the doctor's desire to earn money, but also can be explained by a more complex combination of reasons, working conditions, formal and informal social norms, as well as the basic values of the doctors themselves.

Inter ◽  
2021 ◽  
Vol 13 (1) ◽  
pp. 40-62
Author(s):  
Ekaterina Andreeva

The Russian healthcare system provides a set of free and paid diagnostic and therapeutic services. Although, when prescribing additional paid services, a specific doctor is provided with the situation of choice. The doctor is faced with a set of ethical and professional motivators, one of which is paid services as a source of additional medical income. What do doctors do in this situation, what strategies do they choose and what motivates their decision? Conducted and analyzed in-depth interviews (18 interviews, Tver, 2018) with doctors of different specialties revealed several patterns of doctor’s behavior when prescribing paid services. The data analyzed in the tactics of grounded theory allowed the author to build several models of doctor’s behavior, where such choices are associated with certain system of professional and personal values. The described models are conventionally named by author: “Making money”, “Polypragmasia”, “Collegiality”, “Man-System”, “One and a half rates”, “Out of the system”, “Avoidance”.The constructed models of behavior of doctors show that the appointment of additional optional procedures is associated not only with the doctor's desire to earn money, but also can be explained by a more complex combination of reasons, working conditions, formal and informal social norms, as well as the basic values of the doctors themselves.


2016 ◽  
Vol 59 (6) ◽  
pp. 824-841
Author(s):  
Jennifer Loh ◽  
Alicia F. Estrellado

This study explored the day-to-day experiences of female Filipino domestic workers in Singapore, including their working conditions, employee–employer relationships, and psychological health. In-depth interviews were conducted with 18 women. Using grounded theory, the emergent themes revealed high levels of variation, both within and between women, suggesting that the quality of domestic workers’ lives depends largely on the personal characteristics of their employers or the workers themselves, rather than on any system of protection. More importantly, participants displayed positive and resilient coping strategies which enabled them to thrive despite restrictive circumstances. Implications pertaining to capabilities and empowerment development were discussed.


2021 ◽  
Author(s):  
Nora Winter ◽  
Morgaine Struve

This work is a case study analysis of the contemporary feminist academic pornography discourse. Based on two academic articles, two competing discourses are identified and examined using constructivist grounded theory and discourse analysis. This clash of discourses is traced back firstly to changing social norms on sexuality: Older generations, who still inhabit most positions of power within academia, are largely still representing restrictive attitudes on what constitutes “acceptable” sexualities. Secondly, research conventions within the humanities and social sciences have changed to defy easy explanations. Pornography researchers are therefore forced to choose between conforming to prevalent sexuality norms or research conventions.


2019 ◽  
Vol 44 (3) ◽  
Author(s):  
Marie-Eve Lang

Background Despite a growing number of studies on young people, the internet, and sexuality, not much is known on young women’s Web searches regarding sexuality, and even less so on the context of their queries.Analysis Based on an innovative “private” blog method combined with in-depth interviews, our study sought to determine what teenage girls and young women ages 17 to 21 are searching for on the Web—as well as their motivations. Conclusions and implications  Results show that the participants use the internet to gather information on a wide variety of sexual topics, often to calm their anxiety about social norms—especially when the nature of their worries is taboo.Contexte  Malgré l’effervescence des études portant sur les jeunes, le Web et la sexualité, nous ne connaissons encore que très peu ce que cherchent les jeunes femmes sur internet et, surtout, le contexte dans lequel s’inscrivent ces recherches. Analyse  Par une méthode originale misant sur l’écriture de blogues « privés » et sur des entretiens individuels, 30 participantes âgées de 17 à 21 ans ont témoigné de leurs recherches en lien avec la sexualité sur le Web et des motivations menant à ces recherches. Conclusions et implications  Les résultats montrent qu’elles utilisent le Web pour répondre à une multitude de questions, qui sont souvent motivées par des craintes liées à la norme, surtout lorsque le sujet de leurs inquiétudes est tabou.


2011 ◽  
Vol 23 (1) ◽  
pp. 87-107 ◽  
Author(s):  
Jessen L. Hobson ◽  
Mark J. Mellon ◽  
Douglas E. Stevens

ABSTRACT: We study moral judgments regarding budgetary slack made by participants at the end of a participative budgeting experiment in which an expectation for a truthful budget was present. We find that participants who set budgets under a slack-inducing pay scheme, and therefore built relatively high levels of budgetary slack, judged significant budgetary slack to be unethical on average, whereas participants who set budgets under a truth-inducing pay scheme did not. This suggests that the slack-inducing pay scheme generated a moral frame by setting economic self-interest against common social norms such as honesty or responsibility. We also find that participants who scored high in traditional values and empathy on a pre-experiment personality questionnaire (JPI-R) were more likely to judge significant budgetary slack to be unethical. These results suggest that financial incentives play a role in determining the moral frame of the budgeting setting and that personal values play a role in determining how individuals respond to that moral frame.


2003 ◽  
Vol 13 (1) ◽  
pp. 47-60 ◽  
Author(s):  
M. Susan Baker ◽  
Carol L. McWilliam

Liver transplantation offers a lifesaving treatment for individuals with terminal disease. An extended waiting period may contribute to anxiety and undermine overall health status, jeopardizing the patient's opportunity for successful transplantation. The purpose of this grounded theory qualitative study was to discover how individuals experience life and health resources during the wait for a liver transplant. In-depth interviews, conducted with 12 adults who had awaited liver transplantation for more than a year, were transcribed verbatim and analyzed using grounded theory methods. The findings portrayed the transplant waiting period to be a process of experiencing confinement, disciplining the self, and ultimately letting go and surrendering one's self to accept available, accessible, and appropriate resources for health. Resources for life and health used by the participants included: following instructions, presenting self positively, seeking information and support, controlling symptoms, using distraction and denial, changing attitudes, setting and achieving new goals, isolating oneself and entrusting oneself to another. The findings suggest the importance of increasing supportive, health-oriented care aimed at promoting resources for everyday living and health during the transplant waiting period.


2018 ◽  
Vol 21 (4) ◽  
pp. 491-512 ◽  
Author(s):  
Yoo Jin Kwon ◽  
Kyoung-Nan Kwon

Purpose The purpose of this study is to understand the values consumers pursue and roles consumers partake in selfie practice. Design/methodology/approach A qualitative research method was adopted. In-depth interviews were conducted with selfie enthusiasts. Data were analyzed with grounded theory approach. Findings Diverse activities and reflections pertaining to selfies were analyzed, which uncovered three consumer roles departmentalized and the nine values that selfie practice generates for consumers. The three roles are subject, photographer and user of selfies, and the roles are orchestrated together or selectively performed if necessary. In consequence of the interplay of performances and expectations of the roles, consumers pursue and gain four collaboratively created values and five individually created values. Originality/value Findings of the study expand the understanding of values of selfie practice and consumer roles in Web 2.0.


Author(s):  
Elisabet Tiselius ◽  
Elisabet Hägglund ◽  
Pernilla Pergert

This chapter describes situations of distress and the working climate of healthcare interpreters in Sweden. A questionnaire focused on distressful situations was administered to interpreters with experience in healthcare interpreting. The results indicated that distress in healthcare interpreting could be traced back to ethically and emotionally challenging interpreting situations and working conditions, and a lack of respect for the interpreters' work. An interview study using Grounded Theory showed that interpreters' main concern was the threat to professional and private integrity. Despite the fact that in general the interpreting profession in Sweden may seem professionalized, interpreters struggle with dilemmas connected to less professionalized activities. Our study was conducted in Sweden, but we argue that the results can be generalized to other countries. Although differently organized in different countries, health care interpreters experience similar dilemmas. Equal access to equitable care can be effectively hindered by language barriers.


Author(s):  
Otuo Serebour Agyemang

This chapter examines the link between personal values and investment decisions among individual shareholders in a developing economy. It contributes to the knowledge on behavioral finance and decision sciences that individual shareholders' personal values have influence on their investment decisions and the choice of companies they invest in. It employs a grounded theory approach. The chapter highlights that individual shareholders hold value priorities and that honesty, a comfortable life and family security play a significant role in their lives and their investment decisions and the kind of companies they make investment in. In addition, to the individual shareholders, there is a clear distinction between a comfortable life and a prosperous life in the sense that they are not incentivized more by the latter but the former in their investment decisions.


2020 ◽  
Vol 17 (2) ◽  
pp. 373-391
Author(s):  
Youngjun Kim

This research aimed to explore the factors that contribute to burnout among Korean (American) youth workers. Twenty youth workers serving at Korean immigrant churches in California participated in in-depth interviews ( n = 20). The four key themes found, include multidimensional contributors to burnout, symptoms of burnout, impact of burnout, and the resolution of burnout. Based on the findings, this study discusses conclusions and implications for helping youth workers deal with a sense of burnout adequately and ways of thriving in their ministry.


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