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  1. Fulltext. Trends in medical employment : Persistent imbalances in urban Mexico.

    Article - En anglais

    Fulltext.

    Objectives

    This study examined the extreme medical unemployment and underemployment in the urban areas of Mexico.

    The conceptual and methodological approach may be relevant to many countries that have experienced substantial increases in the supply of physicians during the fast decades.

    Methods

    On the basis of surveys carried out in 1986 and 1993, the study analyzed the performance of physicians in the labor market as a function of ascription variables (social origin and gender), achievement variables (quality of medical education and specialty studies), and contextual variables (educational generation).

    Results

    The study reveals, despite some improvement, persistently high levels of open unemployment, qualitative underemployment (i.e., work in activities completely outside of medicine), and quantitative underemployment (i.e., work in medical activities but with very low levels of productivity and remuneration).

    The growing proportion of female doctors presents new challenges, because they are more likely than men to be unemployed and underemployed.

    Conclusions

    While corrective policies can have a positive impact, it is clear that decisions regarding physician supply must be carefully considered, because they have long-lasting effects.

    An area deserving special attection is the improvement of professional opportunities for female doctors.

    Mots-clés Pascal : Mexique, Amérique Centrale, Amérique, Homme, Sexe, Milieu urbain, Personnel sanitaire, Médecin, Evaluation, Chomage, Emploi

    Mots-clés Pascal anglais : Mexico, Central America, America, Human, Sex, Urban environment, Health staff, Physician, Evaluation, Unemployment, Employment

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0392692

    Code Inist : 002B30A05. Création : 22/03/2000.



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