德国的医生和医学学生并不代表他们所服务的人口
Oana R Groene1, Thorben Huelmann1, Wolfgang Hampe1
1Institute of Biochemistry and Molecular Cell Biology, Center for Experimental Medicine, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany.
Healthcare (Basel, Switzerland)
|June 28, 2023
概括
德国的医生和医学学生绝大多数来自高社会经济背景,低收入群体和少数民族的代表性明显不足. 这凸显了需要制定战略,以确保更公平地获得医学教育.
科学领域:
- 医学教育 医学教育
- 公共卫生 公共卫生
- 卫生社会学 卫生社会学
背景情况:
- 多样化的医疗专业人员通过了解不同的社会情况来改善以患者为中心的护理.
- 国际研究表明,在医生和医学学生群体中,各种社会群体的代表性不足.
- 医学的社会经济和文化多样性对于公平的医疗保健服务至关重要.
研究的目的:
- 调查德国医生和医疗申请人的社会经济和文化多样性.
- 为了将医疗专业人员和申请人的多样性与德国普通人口进行比较.
- 根据社会经济背景和种族来确定获得医学教育的差异.
主要方法:
- 一项利用在2022年6月至8月期间进行的在线调查的观察性研究.
- 包括汉堡的15,195名医生和德国各地的11,287名医疗申请人.
- 分析社会经济背景 (SEB) 五分位数和土耳其和波兰社区的代表性.
主要成果:
- 汉堡的医生和医学学生主要来自顶级社会经济背景五分之一 (分别为57.9%和73.8%).
- 在所有研究子样本中,社会经济背景较低的五分之一显著不足,特别是在汉堡的医学申请者和学生中.
- 土耳其和波兰社区在汉堡医生和德国医学申请者/学生中表现特别低 (p = 0.02; p < 0.001).
结论:
- 该研究证实,大多数医生和医学学生来自富裕家庭,反映了现有的国际证据.
- 在德国医疗领域,社会经济和文化代表性存在显著差异.
- 扩大参与策略的必要性至关重要,以促进在德国获得医学研究的平等机会.
相关概念视频
01:08Obedience
32.9K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
32.9K
01:17Healthcare Agencies II
726
There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
726
01:13Patient-centered Care
2.1K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.1K
01:20Comparing the Survival Analysis of Two or More Groups
228
Survival analysis is a cornerstone of medical research, used to evaluate the time until an event of interest occurs, such as death, disease recurrence, or recovery. Unlike standard statistical methods, survival analysis is particularly adept at handling censored data—instances where the event has not occurred for some participants by the end of the study or remains unobserved. To address these unique challenges, specialized techniques like the Kaplan-Meier estimator, log-rank test, and...
228
01:21Barriers to Effective Communication II
3.7K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.7K
01:26Traditional Level Of Health Care System
2.8K
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
2.8K