与医学学生对成本意识护理的态度相关的因素:一种混合方法的多所学校研究
Hunter Niehus1,2, Ali Noel Gunesch1, Nina Rodriguez3
1Department of Medicine, Oregon Health & Science University School of Medicine, Portland, OR, USA.
Journal of general internal medicine
|May 6, 2024
概括
医学学生的专业选择和生活经验显著影响他们对高价值成本意识护理 (HVCCC) 的态度. 了解这些因素可以为未来的医疗保健教育计划提供信息.
科学领域:
- 医学教育 医学教育
- 卫生经济学 卫生经济学
- 医疗保健政策 医疗保健政策
背景情况:
- 医生实践对国家医疗保健支出产生重大影响.
- 在成本控制方面,教育医生高价值成本意识护理 (HVCCC) 是至关重要的.
- 学习环境会影响医生对HVCCC的态度和行为.
研究的目的:
- 调查医学学生的经验和他们对HVCCC的态度之间的相关性.
- 确定影响医学学生对HVCCC的看法的因素.
主要方法:
- 一项多机构调查对美国九所医学院的医学学生进行了管理.
- 该调查包括马斯特里赫特HVCCC态度调查问卷来评估态度.
- 使用了定量 (ANOVA) 和定性 (内容分析) 方法.
主要成果:
- 面向连续性的专业的学生表现出比面向技术的专业的学生更有利的HVCCC态度.
- 个人,教育和专业经验被发现塑造了学生的HVCCC态度.
- 个人对类似经历的解释导致了对HVCCC的不同态度.
结论:
- 专业选择,特别是那些涉及纵向患者接触的专业选择,可能会培养对高价值护理的更大热情.
- 医学前和医学中的学校生活经历深刻地塑造了学生的HVCCC态度.
- 生活经验和教育因素的复杂相互作用推动了学生对HVCCC的看法.
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