의사집단의 전문직 사회화 과정과 사회적 지위 만족도, 경제적 보상 만족도 그리고 주관적 계층인식과의 관련성

Job Satisfaction, Subjective Class Identification and Associated Factors of Professional Socialization in Korean Physicians

  • 윤형곤 (부산대학교 BK21 고급의료인력양성사업단) ;
  • 황인경 (부산대학교 의과대학 예방의학 및 산업의학교실) ;
  • 문영배 (고려대학교 대학원 보건학) ;
  • 이희영 (고려대학교 의과대학 예방의학교실) ;
  • 윤석준 (고려대학교 의과대학 예방의학교실)
  • Yoon, Hyung-Gon (BK21 Medical Science Education Center, Pusan National University) ;
  • Hwang, In-Kyoung (Department of Preventive Medicine and Occupational Medicine, School of Medicine, Pusan National University) ;
  • Mun, Yeong-Bae (Department of Public Health, The Graduate School of Korea University) ;
  • Lee, Hee-Young (Department of Preventive Medicine, College of Medicine, Korea University) ;
  • Yoon, Seok-Jun (Department of Preventive Medicine, College of Medicine, Korea University)
  • 발행 : 2008.01.31

초록

Objectives : The aim of this study was to determine the relationship between the core properties of professional socialization and social status satisfaction, economic reward satisfaction, and subjective class identification. Methods : Medical knowledge and skill, autonomy, and professional value factors were used as essential properties of professional socialization to determine the association with job satisfaction and subjective class identification. The authors used a self-administered questionnaire survey and collected nationwide data between July and August 2003, with 211 responses used for final analysis. Results : 'Age' and 'trust and respect' were positively associated with social status satisfaction, and 'occupation' was negatively associated. 'Income' and 'trust and respect' were positively related to economic reward satisfaction, and 'practicing for oneself', and 'a sense of duty and attendance' were negatively related. 'Practicing for oneself', 'not believing explanations', and 'a sense of duty and attendance' had a positive relationship with subjective class identification. 'Income', 'knowledge system', 'medical mistakes', 'treating like goods', 'meaning and joy', and 'trust and respect' had a negative relationship. Conclusions : The core property variables of professional socialization had a different relationship with social status satisfaction, economic reward satisfaction and subjective class identification. In particular, many core property variables were associated with subjective class identification positively or negatively. The development of professional socialization would help promote job satisfaction and subjective class identification.

키워드

참고문헌

  1. Park CY. Changing phase of the medical professionalism in the social perception and attitude toward physicians. Korean Sociol 1993; 27(winter): 219-244. (Korean)
  2. Stoddard JJ, Hargraves JL, Reed M, Vratil A. Managed care, professional autonomy, and income: Effects on physician career satisfaction. J Gen Intern Med 2001; 16(10): 675-684 https://doi.org/10.1111/j.1525-1497.2001.01206.x
  3. Kim HJ, Park CJ, Sohn MS. Current transition of the physician's professionalism and doctorpatient relationship. Yonsei Med J 1993; 34(1): 22-34 https://doi.org/10.3349/ymj.1993.34.1.22
  4. Cho BH. A study on professionalism and job satisfaction of physicians. Korean Sociol 1994; 28(summer): 37-64. (Korean)
  5. Kang YS, Kam S, Yeh MH. Interns' and residents' professional job perception and its effect to their job satisfaction. Korean J Prev Med 1997; 30(1): 209-228. (Korean)
  6. Han DS, Cho BH, Bae SS, Kim CY, Lee SI, Lee YJ. Professional socialization of medical student. Korean J Prev Med 1996; 29(2): 265-271. (Korean)
  7. Freidson E. Profession of Medicine. New York: Dodd, Mead & Co.; 1972. p. 71-84
  8. Jeon UT. Seong MH. Cheon BC. Cultural Sociology of Physician in Korea. Seoul: Mongwamaeum Co.; 2002. p. 97-132. (Korean)
  9. MacDonald KM. The Sociology of the Professions. London: Sage Publications; 1995. p. 1-35
  10. Sohn IK, Lee JH, Cho IH, Nam BW, Park KU, Lee KH, et al. Patient-centeredness in faculties, residents and medical students. J Korean Neuropsychiatr Assoc 2002; 42(2): 290-297. (Korean)
  11. Sagong J. Review on the health care reform. Korean Soc Secur Stud 1996; 12(1): 125-143. (Korean)
  12. Ham C. Health Care Reform: Learning from International Experience. Buckingham: Open University Press; 1997. p. 1-20
  13. Torstendahl R. Essential properties, strategic aims and historical development: Three approaches to theories of professionalism. In: Burrage M, Torstendahl R, editors. Professions in Theory and History. London: Sage Publications; 1990. p. 44-61
  14. Swisher LL, Page CG. Professionalism in Physical Therapy: History, Practice & Development. St. Louis: Elsevier Saunders; 2005. p. 1-21
  15. Arnold L, Stern DT. What is medical professionalism? In: Stern DT, editor. Measuring Medical Professionalism. New York: Oxford University Press; 2006. p.15-37
  16. Jeon BJ, Ahn GC, Park JY. A Study on the Professionalism in Korea Society. Seoul : Sahoebipyeongsa; 1995. p. 31-74. (Korean)
  17. Freidson E. Professionalism, the Third Logic: On the Practice of Knowledge. Chicago: University of Chicago Press; 2001. p. 17-126
  18. Macdonald KM. The Sociology of the Professions. London: Sage Publications; 1995. p. 157-186
  19. Nettleton S. The Sociology of Health and Illness. Malden: Polity Press; 2006. p. 169-202
  20. Freidson E. Professionalism, the Third Logic: On the Practice of Knowledge. Chicago: University of Chicago Press; 2001. p. 152-178
  21. Light D. Countervailing powers: A framework for professions. In: Johnson T, Larkin G, Saks M, editors. Health Professions and the State in Europe. New York: Routedge; 1995. p. 25-41
  22. Cho BH. Sociology of Medical Issue. Daegu: Teailsa co.; 1999. p. 195-271. (Korean)
  23. Kim MJ. Professionalism of physician in Korea. Phenomenon Cogn 1989; 46: 26-52. (Korean)
  24. Jin DG, Gam S, Kang US, Jo YG, Lee SW, Kim JY, et al. Professional job perception, job stress and job satisfaction of doctors practicing in local clinic in Daegu city. Korean J Prev Med 2003; 36(2): 153-162. (Korean)
  25. Snizek WE. Hall's professionalism scale: An empirical reassessment. Am Sociol Rev 1972; 37(Feb): 109-114 https://doi.org/10.2307/2093498
  26. Hampton GM, Hampton DL. Relationship of professionalism, rewards, market orientation and job satisfaction among medical professionals: The case of Certified Nurse-Midwives. J Bus Res 2004; 57(9): 1042-1053 https://doi.org/10.1016/S0148-2963(02)00356-9
  27. Jang SS. Projective stratum position in Korea society. Soc Hist 1996: 49; 180-212. (Korean)
  28. Kim SK, Jung WO. A study on welfare consciousness of the Korean in the 90's. Korean J Soc Welf 1995; 25: 1-33. (Korean)
  29. Cho BH. Sociology of a Disease & Medical. Paju: Jipmundang Co.; 2006. p. 277-305. (Korean)
  30. Globerman J. Free enterprise, professional ideology, and self-interest: An analysis of resistance by canadian physicians to universal health insurance. J Health Soc Behav 1990: 31(1): 11-27 https://doi.org/10.2307/2137042
  31. Kang MG, Kang YS, Kim JR, Jung BG, Park GS, Gam S, et al. The levels of psychosocial stress, job stress and related factors of medical doctors practicing at local clinics. J Prev Med Pub Health 2007; 40(2): 177-184. (Korean) https://doi.org/10.3961/jpmph.2007.40.2.177
  32. Kim JH. The relationships between hospitals' internal structures and physicians jobsatisfaction. Wonkwang Univ Theses Collection 1996; 32: 275-298. (Korean)
  33. Dunstone DC, Reames HR Jr. Physician satisfaction revisited. Soc Sci Med 2001 ; 52(6): 825-837 https://doi.org/10.1016/S0277-9536(00)00186-6
  34. Stoddard JJ, Hargraves JL, Reed M, Vratil A. Managed care, professional autonomy, and income. J Gen Intern Med 2001; 16(10): 675-684 https://doi.org/10.1111/j.1525-1497.2001.01206.x
  35. Timmermans S, Angell A. Evidence-based medicine, clinical uncertainty, and learning to doctor. J Health Soc Behav 2001; 42(4): 342-359 https://doi.org/10.2307/3090183
  36. Cockerham W. Medical Sociology. 9th ed. New Jersey: Prentice Hall Inc.; 2004. p. 182-200
  37. Salter B. Who rules? The new politics of medical regulation. Soc Sci Med 2001; 52(6): 871-883 https://doi.org/10.1016/S0277-9536(00)00190-8
  38. Fox R. Training for uncertainty. In: Merton RK, Reader G, Kendall PL, editors, The Student-physician. Cambridge: Harvard University Press; 1957. p. 207-241