PDF(Pubmed)
Abstract：
As a rule, physicians\' reputation significantly influences public confidence in the medical profession. Unfortunately, the societal perception of physicians in contemporary Iran appears to be negatively impacted. Therefore, the present study aimed to analyze and elucidate the fundamental causes of this phenomenon. This qualitative study employed content analysis of semi-structured interviews conducted in 2022. The study population consisted of 6 physicians, 6 nurses and 12 patients in the the affiliated hospitals in Kerman University of Medical Sciences selected through purposive sampling. Extraction of the main themes followed the Graneheim and Lundman approach, and data management was facilitated through MAXQDA 20. The study identified five themes encapsulating the causes for damage to physicians\' reputation: physicians\' relationship with patients, physicians\' relationship with the community, physicians\' relationship with the medical profession, challenges within medical practice, and challenges related to medical education. Within these themes, a total of 38 subthemes emerged. The primary drivers that seem to damage physicians\' reputation include: non-effective communication, negative public attitudes toward certain physicians and medical centers due to malpractice, illegitimate relationships of physicians, gaps in physicians\' skills, insufficient education, and ethical lapses. It was concluded that several infrastructural elements negatively impact physicians\' reputation. Consequently, it is recommended to monitor the professional behaviors, practices and relationships of physicians, while scrutinizing the medical education system.
摘要：
作为一项规则,医生的声誉显著影响公众对医学界的信心。不幸的是,当代伊朗医生的社会观念似乎受到了负面影响。因此,本研究旨在分析和阐明这一现象的根本原因。这项定性研究采用了2022年进行的半结构化访谈的内容分析。研究人群由6名医生组成，通过目的性抽样，选取了克尔曼医科大学附属医院的6名护士和12名患者。主要主题的提取遵循Graneheim和Lundman方法，通过MAXQDA20促进数据管理。该研究确定了五个主题，囊括了损害医生声誉的原因：医生与患者的关系，医生与社区的关系，医生与医学界的关系，医学实践中的挑战，以及与医学教育有关的挑战。在这些主题中,共出现38个次主题。似乎损害医生声誉的主要驱动因素包括：无效的沟通，由于渎职，公众对某些医生和医疗中心的负面态度，医生的非法关系，医生技能的差距，教育不足,和道德失误。结论是，一些基础设施因素对医生的声誉产生了负面影响。因此,建议监控职业行为，医生的做法和关系，同时审视医学教育体系。
