Конструиране на лекарско призвание в доболничната медицинска грижа в контекста на здравната реформа: „лекари-чиновници“ и „лекари-грижовници“
Constructing Vocation in Pre-hospital Medical Care in the Context of Health Reform: „Clerk Doctors“ and „Caring Doctors“

Author(s): Mihaela Monova
Subject(s): Politics / Political Sciences, Politics, Social Sciences, Economy, Business Economy / Management, Sociology, Welfare systems, Health and medicine and law, Welfare services, Socio-Economic Research
Published by: Университет за национално и световно стопанство (УНСС)
Keywords: health reform; medical profession; general practitioner; professional autonomy; vocation
Summary/Abstract: The article presents the changes that occurred in the professional autonomy of physicians, in the context of the health reform of the late 1990s in Bulgaria, through the example of General Practitioners (GP). The analysis of autonomy itself is not the goal of the research, but a way to understand how GPs (as a new institutionally determined figure) construct their idea of vocation. The main claim is that the autonomy constructed by GPs affects the way they perceive the vocation in their profession. That claim is analyzed through two types of vocation that are successively presented – that of the physician-clerk and the physician resisting the limitations of autonomy. The analysis found that the reform produced non-homogenized practices and a different perception of vocation among GPs.

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