Abstract：
OBJECTIVES:In order to increase the knowledge about the impacts of neoliberal market forces on physician's labour, this article's objectives are to analyse how and why the labour of physicians is transformed by neoliberalism, and the implications of these transformations for patient care. METHODS:Ethnographic investigation is carried out through semi-structured interviews with 20 general practitioners at public and private facilities in Colombia. The interviews were contrasted with national studies of physician's labour since the 1960s. A "mock" job search was also simulated. The analysis was guided by Marxian frameworks. The study was approved by a Human Research Ethics Committee, and informed consent was obtained from all participants. RESULTS:The overpowering for-profit administration of the Colombian healthcare system imposes productivity mechanisms on physicians as a result of a deregulated labour market characterized by low salaries, reduced and self-funded social security benefits, and job insecurity. Overworked physicians with reduced autonomy become frustrated for not being able to provide the care their patients need according to clinical standards. CONCLUSIONS:Under neoliberal conditions, medical labour becomes exploitable and directly productive through its formal and real subsumption to Capital. The negative consequences of a progressive loss in physician's autonomy unveil the incompatibility between neoliberal health systems and people's health.
journal_name
Int J Public Healthjournal_title
International journal of public healthauthors
Ardila-Sierra A,Abadía-Barrero Cdoi
10.1007/s00038-020-01420-4subject
Has Abstractpub_date
2020-09-01 00:00:00pages
1011-1017issue
7eissn
1661-8556issn
1661-8564pii
10.1007/s00038-020-01420-4journal_volume
65pub_type
杂志文章abstract：OBJECTIVES:To examine self-reported psychological distress (K-6 scale) and mental health treatment among persons with and without active duty U.S. military experience (ADME) currently residing in private residences in the U.S. METHODS:Analysis of 2007 Behavioral Risk Factor Surveillance System data from 35 states, Dis...
journal_title：International journal of public health
pub_type： 杂志文章
doi：10.1007/s00038-009-0008-z
更新日期：2009-06-01 00:00:00
abstract：OBJECTIVES:The aim of this study was to identify stressors in seafaring aboard merchant and passenger vessels. Furthermore, their dependence on occupational and non-occupational factors was assessed. METHODS:A total of 134 male seafarers sailing under German-flagged vessels were interviewed (response 81.3 %). The seam...
journal_title：International journal of public health
pub_type： 杂志文章
doi：10.1007/s00038-009-7067-z
更新日期：2009-01-01 00:00:00
abstract：OBJECTIVES:We aim to describe the relationships between climate variables and climate-sensitive diseases (CSDs) in semi-arid regions, highlighting the different main groups of CSDs and their climate patterns. METHODS:This systematic review considered Medline, Science Direct, Scopus and Web of Science. The data collect...
journal_title：International journal of public health
pub_type： 杂志文章,评审
doi：10.1007/s00038-020-01464-6
更新日期：2020-12-01 00:00:00
abstract：OBJECTIVES:We investigate relative mortality inequalities by education for detailed cancer sites and provide estimates of deaths which could have been avoided through the elimination of these inequalities. METHODS:A census-linked dataset based on a follow-up of all residents registered in the 2001 census was used for ...
journal_title：International journal of public health
pub_type： 杂志文章
doi：10.1007/s00038-015-0745-0
更新日期：2015-12-01 00:00:00
abstract：OBJECTIVES:Based on the theoretical and empirical approach of Pierre Bourdieu, a multivariate non-linear method is introduced as an alternative way to analyse the complex relationships between social determinants and health. METHODS:The analysis is based on face-to-face interviews with 695 randomly selected respondent...
journal_title：International journal of public health
pub_type： 杂志文章
doi：10.1007/s00038-009-8017-5
更新日期：2009-01-01 00:00:00
abstract：OBJECTIVES:Planning and conducting preventive measures against obesity for school children is beset with ethical issues which should be known to make well-informed decisions. The goal of this study was to provide a comprehensive spectrum of these ethical issues by means of a systematic review. In this context, the stud...
journal_title：International journal of public health
pub_type： 杂志文章,评审
doi：10.1007/s00038-017-1027-9
更新日期：2017-12-01 00:00:00
abstract：OBJECTIVES:The life expectancy and mortality rate always exhibit remarkable spatial variations. Their spatial distribution patterns and economic determinants in China were explored. METHODS:Four indexes including lifespan expectancy at birth (LEB), infant mortality rate (IMR), under-5 mortality rate (U5MR) and crude m...
journal_title：International journal of public health
pub_type： 杂志文章
doi：10.1007/s00038-019-01251-y
更新日期：2019-06-01 00:00:00
abstract：OBJECTIVES:To investigate whether mental health services utilization in Switzerland is equitably distributed (i.e., predicted only by the need of a person). METHODS:Data on 17,789 participants of the Swiss Health Survey 2012 (≥15 years) was analysed. Logistic regression analyses were conducted to predict: having been ...
journal_title：International journal of public health
pub_type： 杂志文章
doi：10.1007/s00038-016-0898-5
更新日期：2017-01-01 00:00:00
abstract：OBJECTIVES:This study assesses the effects of a comprehensive empowerment intervention on barriers to health care access for single mothers in coastal Kenya. METHODS:We surveyed 41 single mothers who completed a pilot empowerment program and 60 single mothers who had not yet initiated the program. Comparisons were mad...
journal_title：International journal of public health
pub_type： 杂志文章
doi：10.1007/s00038-013-0511-0
更新日期：2014-02-01 00:00:00
abstract：OBJECTIVES:Houses designed for one climate and cultural group may not be appropriate for other places and people. Our aim is to find cost-effective ways to improve the characteristics of older homes, ill-fitted for New Zealand's climate, in order to improve the occupants' health. METHOD:We have carried out two communi...
journal_title：International journal of public health
pub_type： 杂志文章
doi：10.1007/s00038-011-0287-z
更新日期：2011-12-01 00:00:00
abstract：OBJECTIVES:To examine whether tobacco initiation via e-cigarettes increases the likelihood of subsequent tobacco use among a large representative sample of US adolescents. METHODS:This study is a retrospective longitudinal analysis from a representative sample of US middle and high school students (n = 39,718) who com...
journal_title：International journal of public health
pub_type： 杂志文章
doi：10.1007/s00038-018-1166-7
更新日期：2019-01-01 00:00:00
abstract：OBJECTIVE:To examine school-level opportunity structures of the built environment and student characteristics associated with being overweight. METHODS:Multi-level logistic regression analysis were used to examine the school- and student-level characteristics associated with the odds of a student being overweight amon...
journal_title：International journal of public health
pub_type： 杂志文章,多中心研究
doi：10.1007/s00038-010-0206-8
更新日期：2011-06-01 00:00:00
abstract：OBJECTIVES:The pars cohort study (PCS) is a 10-year cohort study aiming to investigate the burden and the major risk factors of non-communicable diseases, and to establish a setting to launch interventions for prevention of these diseases and controlling their risk factors. METHODS:All inhabitants of Valashahr distric...
journal_title：International journal of public health
pub_type： 杂志文章
doi：10.1007/s00038-016-0848-2
更新日期：2017-04-01 00:00:00
abstract：OBJECTIVES:To assess the association of living and working conditions experienced during trafficking with mental health of female and male survivors. METHODS:We analyzed a cross-sectional study of 1015 survivors who received post-trafficking services in Cambodia, Thailand, and Vietnam. Modified Poisson regression mode...
journal_title：International journal of public health
pub_type： 杂志文章
doi：10.1007/s00038-019-01269-2
更新日期：2019-09-01 00:00:00
abstract：OBJECTIVES:Though natural phytoestrogen (PE) is a major factor in health authorities' considerations regarding soy-based infant formula (SBIF), missing their concentrations may interfere with parents' informed decision. METHODS:We performed an Internet survey investigating soy-related knowledge of parents. We built mu...
journal_title：International journal of public health
pub_type： 杂志文章
doi：10.1007/s00038-020-01413-3
更新日期：2020-09-01 00:00:00
abstract：OBJECTIVE:To examine trends in the prevalence of monthly alcohol use and lifetime drunkenness among 15 year olds in 20 European countries, the Russian Federation, Israel, the United States of America, and Canada. METHODS:Alcohol use prevalence and drunkenness were assessed in the Health Behavior in School-aged Childre...
journal_title：International journal of public health
pub_type： 杂志文章
doi：10.1007/s00038-009-5411-y
更新日期：2009-09-01 00:00:00
abstract：OBJECTIVES:We used findings from the Global Burden of Disease 2015 study to update our previous publication on the burden of diabetes and chronic kidney disease due to diabetes (CKD-DM) during 1990-2015. METHODS:We extracted GBD 2015 estimates for prevalence, mortality, and disability-adjusted life years (DALYs) of di...
journal_title：International journal of public health
pub_type： 杂志文章
doi：10.1007/s00038-017-1014-1
更新日期：2018-05-01 00:00:00
abstract：OBJECTIVES:We aimed to systematically review parental barriers towards children and adolescents' active transport to school (ATS) in the scientific literature and to provide a categorization of the barriers identified in the studies. METHODS:A search was conducted through seven online databases, from the beginning of ...
journal_title：International journal of public health
pub_type： 杂志文章
doi：10.1007/s00038-019-01313-1
更新日期：2020-01-01 00:00:00
abstract：OBJECTIVES:We examined the association between intimate partner violence (IPV) and screening for depression in Bangladesh, a country with high prevalence of IPV and lack of data, awareness and provider infrastructure for mental illness. METHODS:We used data from a representative sample of 11,202 women from the 2006 Ba...
journal_title：International journal of public health
pub_type： 杂志文章
doi：10.1007/s00038-018-1139-x
更新日期：2018-11-01 00:00:00
abstract：OBJECTIVES:To determine the effect of interviewer BMI on self-reported restrained eating in a face-to-face survey and to examine under- and over-reporting using the face-to face study and a postal follow-up. METHODS:A sample of 1,212 Dutch adults was assigned to 98 interviewers with different BMI who administered an e...
journal_title：International journal of public health
pub_type： 杂志文章
doi：10.1007/s00038-011-0323-z
更新日期：2012-06-01 00:00:00
abstract：OBJECTIVES:Global climate change is increasing the frequency of heat waves, hot weather, and temperature variability, which contribute to mortality and illness. Baseline information on local efforts to reduce heat vulnerability, including public advisories; minimizing greenhouse gas emissions; and mitigating urban heat...
journal_title：International journal of public health
pub_type： 杂志文章
doi：10.1007/s00038-009-0071-5
更新日期：2010-04-01 00:00:00
abstract：OBJECTIVES:Be-MOMO is the monitoring of all-cause death registry data in Belgium. The new methods are described and the detection and quantification of outbreaks is presented for the period April 2006-March 2007. Sensitivity, specificity and timeliness are illustrated by means of a temporal comparison with known health...
journal_title：International journal of public health
pub_type： 杂志文章
doi：10.1007/s00038-010-0135-6
更新日期：2010-08-01 00:00:00
abstract：OBJECTIVES:The health of Roma has been found to be poorer than that of the majority population. The aim of this study was to explore the differences between Roma and non-Roma regarding perceived barriers in accessing health services. Furthermore, we aimed to assess the association between self-rated health status and R...
journal_title：International journal of public health
pub_type： 杂志文章
doi：10.1007/s00038-013-0451-8
更新日期：2013-06-01 00:00:00
abstract：OBJECTIVES:To investigate whether psychological distress is associated with disability status and use of rehabilitation services among adults aged 35 years and older with cardiovascular conditions. METHODS:Using 2007 data from the Behavioral Risk Factor Surveillance System (BRFSS), we assessed the association between ...
journal_title：International journal of public health
pub_type： 杂志文章
doi：10.1007/s00038-009-1313-2
更新日期：2009-06-01 00:00:00
abstract：OBJECTIVES:Few longitudinal studies have investigated how cyberbullying interacts with traditional bullying among young people, who are increasingly using online environments to seek information, entertainment and to socialise. This study aimed to identify the associations between the relative contribution of cyberbull...
journal_title：International journal of public health
pub_type： 杂志文章
doi：10.1007/s00038-015-0655-1
更新日期：2015-02-01 00:00:00
abstract：OBJECTIVE:Define the prevalence of protein-energy malnutrition (PEM) in a convenient sample of Prague's homeless population. METHODS:The study was conducted in Prague over an 8 month period during 2003. Nutritional status was assessed using anthropometric measurements, biochemical and hematological indicators. Of the ...
journal_title：International journal of public health
pub_type： 杂志文章
doi：10.1007/s00038-007-6019-8
更新日期：2008-01-01 00:00:00
abstract：OBJECTIVES:Changes to work and the impact of these changes on worker health and safety have been significant. A core surveillance data set is needed to understand the impact of working conditions and work environments. Yet, there is little harmony amongst international surveys and a critical lack of guidance identifyin...
journal_title：International journal of public health
pub_type： 杂志文章
doi：10.1007/s00038-009-0059-1
更新日期：2010-02-01 00:00:00
abstract：OBJECTIVES:We aimed to investigate whether health-related quality of life (HRQOL) influences health service utilization and whether such influence exists independently in addition to socio-demographic and morbidity variables. METHODS:A retrospective design was carried out among 737 primary care patients in mainland Ch...
journal_title：International journal of public health
pub_type： 杂志文章
doi：10.1007/s00038-009-0057-3
更新日期：2009-01-01 00:00:00
abstract：OBJECTIVE:We evaluated whether regional differences in physical activity (PA) and sedentary behaviour (SB) existed along language boundaries within Switzerland and whether potential differences would be explained by socio-demographics or environmental characteristics. METHODS:We combined data of 611 children aged 4 to...
journal_title：International journal of public health
pub_type： 杂志文章
doi：10.1007/s00038-014-0645-8
更新日期：2015-03-01 00:00:00
abstract：OBJECTIVES:The aim of this article is to explore socioeconomic inequalities in the psychological characteristics (psychological well-being, perceived mental health status) and perceived quality of life among cardiac patients. METHODS:A structured interview was conducted with 362 patients (32% women, mean age 56 +/- 7....
journal_title：International journal of public health
pub_type： 杂志文章
doi：10.1007/s00038-009-7086-9
更新日期：2009-01-01 00:00:00
