Badania nad rola lekarza rodzinnego - aspekt silne ego w praktyce medycznej

Abstract

Family doctor's professional activity belongs to the most important fields of social medicine service. Professionalism of ,,first front line" medical treating is built on basis of social and psychological theory. An assumption was made that daily medical practice revealed the character of a heuristic way of performing duties because it is characterized by a considerable range of unpredictable phenomena which are contradictory in their assumption and complex in the interaction sphere between the patient and the doctor. The purpose of this research was to construct a measurement devise called “Family Doctor's Role Taking” and to find out the correlation between a factor of “strong ego” and independent variable: age and gender. Material and methods. Family doctors from all over Poland were examined by means of a special questionnaire. Statistical research was done with the help of a factor analysis packed in program STATISTICA 5.1, in Polish version. Results: The three-level, hierarchical structure of Family Doctor Role Taking" was constructed, which was empirically verified. On the highest level of generality, defined as level A, there were four factors: ,,interpersonal decentration", ,,sense of efficiency", ,,strong ego" and ,,empathy". The factor ,,strong ego" derived from the following seven notions (level B): ,,activity", ,,easy problem concentration", ,,lack of neurotic tendencies", ,,ability to solve conflicts", ,,readiness to resign one’s gratification", ,,being stress proof" and ,,the role of motivation". The categories were heterogeneous in relation to theories that created the lowest level of generality labeled with C. 73 positions which were of homogeneous character and whose content reflected a heuristic dimension of the family doctor's work were constructed on this level. There were no correlations measured by Spearman's ratio between ,,strong ego" and independent variables: age and gender. Conclusions: ,,The Role of the Family Doctor" model is a springboard for research in basic health service, which is to help family doctors to find a way to avoid conflicts, frustration, and professional burnout.