Patterns of medical employment
A survey of imbalances in urban Mexico
Bibliographic Data
| ID | 11033013 |
|---|---|
| Authors | Julio Frenk (0000-0002-8760-7926, National Institute of Public Health), Javier Alagon (Instituto Nacional de Salud Pública), Gustavo Nigenda (0000-0003-0067-0664, Instituto Nacional de Salud Pública), A Muñoz-delRio (Instituto Nacional de Salud Pública), C Robledo, Carlos Arturo Robledo (Instituto Nacional de Salud Pública), L A Vaquez-Segovia (Instituto Nacional de Salud Pública), C Ramírez-Cuadra (Instituto Nacional de Salud Pública) |
| Year | 1991 |
| Volume | 81 |
| Issue | 1 |
| Pages | 23-29 |
| Publication date | 1991-01-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | American Journal of Public Health (JOURNAL) |
| Journal identifiers | ISSN: 0090-0036 • E-ISSN: 1541-0048 |
| Publisher | American Public Health Association (PUBLISHER • US) |
| DOI | 10.2105/ajph.81.1.23 |
| PMID | 1983912 |
| OpenAlex | W2052343537 |
| Language | EN |
| Citations received | 14 |
| References cited | 4 |
This article quantifies the magnitude and correlates of the major imbalances affecting the employment of physicians in the urban areas of Mexico. Since the early 1970s the country has experienced a rapid increase in the supply of doctors, which its health system was unable to absorb fully. In 1986, we conducted a survey in the 16 most important cities based on a probability sample of households where someone with an MD degree lived. A total of 604 physicians were interviewed for a response rate of 97 percent. The unemployment rate was 7 percent of potentially active physicians; 11 percent held a nonmedical job, and another 11 percent exhibited low productivity and/or income. All in all, we project that 23,500 physicians in these cities were either unemployed or underemployed. This medical employment pattern was analyzed against five independent variables: generation (i.e. the year in which the physician started medical school), gender, social origin, medical school quality, and specialty. Apart from generation, type of specialty exhibited the strongest correlation with the employment situation of a physician. The results suggest that higher education and health care in Mexico may be producing rather than correcting social inequalities. Policy alternatives are discussed to restore a balance between the training of physicians, their gainful employment, and the health needs of the population
Demographic economics · Economic growth · Economics · Environmental health · Family medicine · Gainful employment · Health care · Job performance · Job satisfaction · Population · Productivity · Public health · Sociology · Specialty · Unemployment · Demography · Global Health Workforce Issues · Healthcare Systems and Reforms · Medicine · Nursing · Psychology · Gerontology
Sociología de la salud en México
Socioeconomic factors and inequality in the distribution of physicians and nurses in Mexico
From State to market
Hobby or Job? Mexican female health workers
A doctor's place
Elitism and professional control in a saturated market
Ciencias sociales y salud en México
Social origins, medical education, and medical practice
Trends in medical employment
Determinants of Medical Employment in Urban Mexico
Professional Group Power in Developing Societies
The dynamics of professional commitment
Practicing oncology in provincial Mexico
Moral Reasoning and the Meaning of Cancer
| Citations per year | 0.4 |
|---|---|
| Citation span | 1991 - 2020 (30) |
| Highly cited | No |