Reasons and remedies for under-representation of women in medical leadership roles: a qualitative study from Australia

被引:102
|
作者
Bismark, Marie [1 ]
Morris, Jennifer [1 ]
Thomas, Laura [1 ]
Loh, Erwin [2 ]
Phelps, Grant [3 ]
Dickinson, Helen [1 ]
机构
[1] Univ Melbourne, Carlton, Vic 3053, Australia
[2] Monash Hlth, Clayton, Vic, Australia
[3] Deakin Univ, Waurn Ponds, Vic, Australia
来源
BMJ OPEN | 2015年 / 5卷 / 11期
关键词
DOCTORS;
D O I
10.1136/bmjopen-2015-009384
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: To elicit medical leaders' views on reasons and remedies for the under-representation of women in medical leadership roles. Design: Qualitative study using semistructured interviews with medical practitioners who work in medical leadership roles. Interviews were transcribed verbatim and transcripts were analysed using thematic analysis. Setting: Public hospitals, private healthcare providers, professional colleges and associations and government organisations in Australia. Participants: 30 medical practitioners who hold formal medical leadership roles. Results: Despite dramatic increases in the entry of women into medicine in Australia, there remains a gross under-representation of women in formal, high-level medical leadership positions. The male-dominated nature of medical leadership in Australia was widely recognised by interviewees. A small number of interviewees viewed gender disparities in leadership roles as a 'natural' result of women's childrearing responsibilities. However, most interviewees believed that preventable gender-related barriers were impeding women's ability to achieve and thrive in medical leadership roles. Interviewees identified a range of potential barriers across three broad domains-perceptions of capability, capacity and credibility. As a counter to these, interviewees pointed to a range of benefits of women adopting these roles, and proposed a range of interventions that would support more women entering formal medical leadership roles. Conclusions: While women make up more than half of medical graduates in Australia today, significant barriers restrict their entry into formal medical leadership roles. These constraints have internalised, interpersonal and structural elements that can be addressed through a range of strategies for advancing the role of women in medical leadership. These findings have implications for individual medical practitioners and health services, as well as professional colleges and associations.
引用
收藏
页数:9
相关论文
共 50 条
  • [21] Reasons for dropout from cardiac rehabilitation programs in women: A qualitative study
    Resurreccion, Davinia Maria
    Motrico, Emma
    Rubio-Valera, Maria
    Antonio Mora-Pardo, Jose
    Moreno-Peral, Patricia
    PLOS ONE, 2018, 13 (07):
  • [22] Under-representation of developing countries in the research literature: Ethical issues arising from a survey of five leading medical journals
    Sumathipala A.
    Siribaddana S.
    Patel V.
    BMC Medical Ethics, 5 (1)
  • [23] Women are more likely than men to blame structural factors for women's political under-representation: Evidence from 27 countries
    Allen, Peter
    Cutts, David
    EUROPEAN JOURNAL OF POLITICAL RESEARCH, 2019, 58 (02) : 465 - 487
  • [24] Do ethical perceptions help explain under-representation of women in investment management? A comparison of students from the US and China
    Huang, Ying Sophie
    Jensen, Tyler K.
    Jorgensen, Randy D.
    Taylor, Regina M.
    PACIFIC-BASIN FINANCE JOURNAL, 2021, 70
  • [25] Afghan women perceptions of gender roles, possibilities and barriers to change after settlement in Australia: A qualitative study
    Afrouz, Rojan
    Crisp, Beth R.
    Taket, Ann
    QUALITATIVE SOCIAL WORK, 2023, 22 (03) : 569 - 586
  • [26] Perceived roles of women directors on supervisory boards: Insights from a qualitative study
    Joecks, Jasmin
    Pull, Kerstin
    Scharfenkamp, Katrin
    GERMAN JOURNAL OF HUMAN RESOURCE MANAGEMENT-ZEITSCHRIFT FUR PERSONALFORSCHUNG, 2019, 33 (01): : 5 - 31
  • [27] Reasons, experiences and expectations of women with delayed medical care for ectopic pregnancies in Chinese urban edges: a qualitative study
    Liu, Jing
    Liang, Yulian
    Su, Yinzhi
    Lilenga, Hamza Saidi
    Zhai, Jinguo
    BMJ OPEN, 2024, 14 (03):
  • [28] Judicial under-representation, over-representation and "catch up": insights from a study of US district court judges in the 10th Circuit
    Wald, Eli
    INTERNATIONAL JOURNAL OF THE LEGAL PROFESSION, 2019, 26 (01) : 33 - 50
  • [29] Women's descriptions of symptoms and delay reasons in seeking medical care at the time of a first myocardial infarction:: A qualitative study
    Sjostrom-Strand, Annica
    Fridlund, Bengt
    INTERNATIONAL JOURNAL OF NURSING STUDIES, 2008, 45 (07) : 1003 - 1010
  • [30] A qualitative study on community-based doulas' roles in providing culturally-responsive care to migrant women in Australia
    Khaw, Sarah Min-Lee
    Homer, Caroline S. E.
    Dearnley, Red
    O'Rourke, Kerryn
    Akter, Shahinoor
    Bohren, Meghan A.
    WOMEN AND BIRTH, 2023, 36 (05) : e527 - e535