Sometimes Resigned, Sometimes Conflicted, and Mostly Risk Averse: Primary Care Doctors in #India as Street Level Bureaucrats https://t.co/8T65Lm7BvU #StreetLevelBureaucracy #PolicyImplementation #PrimaryHealth #Doctors @Lucy_Gilson https://t.co/1k0d30VjnX
Sometimes Resigned, Sometimes Conflicted, and Mostly Risk Averse: Primary Care Doctors in India as Street Level Bureaucrats.
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Oct 2020 – Oct 2023Where it's discussed
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X / Twitter20 posts
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YouTube2 videos
AI synopsis
What people are saying
The analyses show strong agreement with the article's portrayal of doctors' resignation and risk aversion, highlighted by phrases like 'deep loss of professional identity' and references to 'resource constraints' and 'top-down policies.' The tone and repeated citations of the study indicate both high interest and deep engagement, while the discussion of systemic challenges reflects meaningful awareness of their potential impact on healthcare delivery.
Most discussions acknowledge the legitimacy of the article's findings, emphasizing the challenges faced by primary care doctors in India.
The discussions demonstrate high interest, with repeated mentions of resource constraints, policy imposition, and professional identity loss.
There is active engagement, including sharing insights, presenting the paper, and reflecting on the implications for healthcare policy.
The conversations suggest the article raises awareness about systemic issues, though some participants focus more on understanding than immediate action.
Abstract in brief
- The study explores how primary care doctors in rural India act as street level bureaucrats, often feeling resigned, conflicted, and risk-averse due to resource constraints, top-down policy impositions, and lack of support, which affect their ability to provide quality care.
- It shows that doctors modify policies and routines as a way to cope with these challenges, often leading to decreased professional identity and engagement, which in turn hampers effective primary healthcare delivery.
- Overall, the research emphasizes that doctors' behaviors are shaped by their environment and frustrations, challenging the blame placed solely on them for policy implementation failures in low- and middle-income countries.
Top posts
Most liked on X and BlueskySudha Ramani presenting her paper now --> Sometimes Resigned, Sometimes Conflicted, and Mostly Risk Averse: Primary Care Doctors in #India as Street Level Bureaucrats @SudhaRamani6 @Lucy_Gilson @Sivakami_Mu https://t.co/JlKUMlGVju https://t.co/BvEfUgpui7
Sometimes Resigned, Sometimes Conflicted, and Mostly Risk Averse: Primary Care Doctors in India ... https://t.co/C2W0rZX7mr
Sometimes Resigned, Sometimes Conflicted, and Mostly Risk Averse: Primary Care #Doctors in #India as Street Level Bureaucrats https://t.co/OYq8PRTQ1Y https://t.co/ej3Lv8WAlI #StreetLevelBureaucracy #PolicyImplementation #PrimaryHealth #IJHPM @Lucy_Gilson https://t.co/84NiK0HOpp
Insights from rural India: "Doctors reported..lack of resources, the top-down imposition of programs.. limited support..&professional disinterest in their assigned roles. In response..many doctors ‘routinized’ care, and became resigned and risk-averse.." https://t.co/6TaLKvJKAU
Sometimes Resigned, Sometimes Conflicted, and Mostly Risk Averse: Primary Care Doctors in India as Street Level Bureaucrats Most doctors felt a deep loss of professional identity, and accepted this loss as an inevitable part of a public sector job https://t.co/ba0eoZ57bD
All mentions
Analyzing Health Policy Politics in Low and Middle-Income Countries
This video introduces the IJHPM Special Issue on health policy change in LMICs, focusing on the politics and practical challenges influencing policy implementation, including issues like corruption, resource…
Primary Care Doctors in India: Challenges as Street Level Bureaucrats
This video explores how primary care doctors in rural India act as street level bureaucrats, often feeling resigned, conflicted, and risk-averse due to resource constraints and policy challenges, impacting healthcare…
RT @IJHPM: Sometimes Resigned, Sometimes Conflicted, and Mostly Risk Averse: Primary Care #Doctors in #India as Street Level Bureaucrats h…
RT @IJHPM: Sometimes Resigned, Sometimes Conflicted, and Mostly Risk Averse: Primary Care #Doctors in #India as Street Level Bureaucrats h…
RT @IJHPM: Sometimes Resigned, Sometimes Conflicted, and Mostly Risk Averse: Primary Care #Doctors in #India as Street Level Bureaucrats h…
Sometimes Resigned, Sometimes Conflicted, and Mostly Risk Averse: Primary Care #Doctors in #India as Street Level Bureaucrats https://t.co/OYq8PRTQ1Y https://t.co/ej3Lv8WAlI #StreetLevelBureaucracy #PolicyImplementation #PrimaryHealth #IJHPM @Lucy_Gilson https://t.co/84NiK0HOpp
RT @MartenRobert: Sudha Ramani presenting her paper now --> Sometimes Resigned, Sometimes Conflicted, and Mostly Risk Averse: Primary Care…
RT @MartenRobert: Sudha Ramani presenting her paper now --> Sometimes Resigned, Sometimes Conflicted, and Mostly Risk Averse: Primary Care…
RT @MartenRobert: Sudha Ramani presenting her paper now --> Sometimes Resigned, Sometimes Conflicted, and Mostly Risk Averse: Primary Care…
Sudha Ramani presenting her paper now --> Sometimes Resigned, Sometimes Conflicted, and Mostly Risk Averse: Primary Care Doctors in #India as Street Level Bureaucrats @SudhaRamani6 @Lucy_Gilson @Sivakami_Mu https://t.co/JlKUMlGVju https://t.co/BvEfUgpui7
Sometimes Resigned, Sometimes Conflicted, and Mostly Risk Averse: Primary Care Doctors in India as Street Level Bureaucrats Most doctors felt a deep loss of professional identity, and accepted this loss as an inevitable part of a public sector job https://t.co/ba0eoZ57bD
RT @IJHPM: Sometimes Resigned, Sometimes Conflicted, and Mostly Risk Averse: Primary Care Doctors in #India as Street Level Bureaucrats ht…
RT @IJHPM: Sometimes Resigned, Sometimes Conflicted, and Mostly Risk Averse: Primary Care Doctors in #India as Street Level Bureaucrats ht…
RT @IJHPM: Sometimes Resigned, Sometimes Conflicted, and Mostly Risk Averse: Primary Care Doctors in #India as Street Level Bureaucrats ht…
RT @IJHPM: Sometimes Resigned, Sometimes Conflicted, and Mostly Risk Averse: Primary Care Doctors in #India as Street Level Bureaucrats ht…
Sometimes Resigned, Sometimes Conflicted, and Mostly Risk Averse: Primary Care Doctors in #India as Street Level Bureaucrats https://t.co/8T65Lm7BvU #StreetLevelBureaucracy #PolicyImplementation #PrimaryHealth #Doctors @Lucy_Gilson https://t.co/1k0d30VjnX
'Sometimes Resigned, Sometimes Conflicted, and Mostly Risk Averse: Primary Care Doctors in India as Street Level Bureaucrats' by Sudha Ramani, @Lucy_Gilson et al. https://t.co/GCcqXu8IBm
Insights from rural India: "Doctors reported..lack of resources, the top-down imposition of programs.. limited support..&professional disinterest in their assigned roles. In response..many doctors ‘routinized’ care, and became resigned and risk-averse.." https://t.co/6TaLKvJKAU
RT @IJHPM: Sometimes Resigned, Sometimes Conflicted, and Mostly Risk Averse: Primary Care Doctors in India ... https://t.co/C2W0rZX7mr
RT @IJHPM: Sometimes Resigned, Sometimes Conflicted, and Mostly Risk Averse: Primary Care Doctors in India ... https://t.co/C2W0rZX7mr
RT @IJHPM: Sometimes Resigned, Sometimes Conflicted, and Mostly Risk Averse: Primary Care Doctors in India ... https://t.co/C2W0rZX7mr
Sometimes Resigned, Sometimes Conflicted, and Mostly Risk Averse: Primary Care Doctors in India ... https://t.co/C2W0rZX7mr
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