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Sometimes Resigned, Sometimes Conflicted, and Mostly Risk Averse: Primary Care Doctors in India as Street Level Bureaucrats.

Sudha RamaniLucy GilsonMuthusamy SivakamiNilesh C Gawde
Published in: International journal of health policy and management (2020)
This study adds to empirical literature on doctors as Street Level Bureaucrats in lower and middle income countries. Doctors from these settings have often been blamed for not living up to their professional standards and implementing policies with rigour. This study highlights that doctors' behaviours in these settings are ways through which they 'cope' with their loss of professional identity and organizational constraints; and highlights the need for appropriate interventions to counter their weak motivation.
Keyphrases
  • primary care
  • medical students
  • systematic review
  • physical activity
  • public health
  • general practice