| Popis: |
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. |
