荷兰从医学学生到专家的途径中的多样性:回顾性队列研究

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Lianne Mulder^1,2, Anouk Wouters^1,2, Eddymurphy U Akwiwu³

¹Amsterdam UMC Location Vrije Universiteit Amsterdam, Research in Education, De Boelelaan 1118, Amsterdam, the Netherlands.

The Lancet regional health. Europe

|October 20, 2023

概括

医疗专家工作人员缺乏多样性,女性学生更有可能成为医生,但不太可能成为专家. 这项研究揭示了基于性别和移民背景的医生专业化"克隆"模式.

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:

医疗专家的劳动力往往缺乏多样性,反映了社会人口结构.
这种差异部分是由于在从医学学生到专家的过渡过程中多样性丧失.

研究的目的:

调查与成为医生和医学专家相关的人口因素.
根据学生人口统计数据,识别医疗工作人员中潜在的"克隆"模式.

主要方法:

使用荷兰国家数据 (N=4503) 的医学学士第一年学生 (2002-2004) 的回顾性队列研究.
后勤回归分析检查了性别,移民背景,父母社会经济地位和父母职业对2021年医生和专家注册的影响.
与国家医生和专家池的比较确定了"克隆"模式.

主要成果:

女学生成为医生的几率明显更高 (OR 1.87).
非TMSDI移民背景的医生成为专家的几率较低 (OR 0.55).
关于性别和移民背景,观察到"克隆"模式,特定的少数群体和来自特定背景的女性最不可能成为医学专家.

结论:

该研究强调医疗专家劳动力缺乏多样性,这表明现有人口结构的"克隆".
建议强调提高医疗保健公平的劳动力代表性.

关键词:

群组研究是一项群组研究.不平等的机会不平等.医疗工作人员医疗工作人员.医生多样性的医生多样性专家多样性专家多样性学生多样性的学生多样性.

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