在医学教育和培训期间识别地理自恋的经验
Riitta Partanen1, Diann Eley2, Remo Ostini3,4
1Rural Clinical School, The University of Queensland, Hervey Bay, Australia. r.partanen@uq.edu.au.
概括
地理自恋 (GN) 在医学上,认为优秀的医疗保健是以城市为中心的,影响农村健康公平. 这项研究显示,农用气嵌入医疗培训中,加剧了农村劳动力短缺和健康结果.
科学领域:
- 医学教育 医学教育
- 农村卫生 农村卫生
- 医疗保健政策 医疗保健政策
背景情况:
- 大都会和农村地区之间的医疗保健差异是一个持续的全球问题.
- 医学上的地理自恋主义 (GN),即认为最优的医疗保健仅限于城市,被怀疑会加剧这些不平等和农村劳动力短缺.
研究的目的:
- 探索澳大利亚医学学生和预职医生的地理自恋主义 (GN) 的存在和性质.
- 了解医疗教育和培训期间如何,在哪里,何时以及为什么会经历GN.
主要方法:
- 一项采用建设主义研究范式的定性研究.
- 在诱导编码中使用了反射性主题分析.
- 与29名澳大利亚医学学生和前职医生进行了半结构面试.
主要成果:
- 四个关键主题和十个子主题确定了 GN 作为医学教育中隐藏课程的一部分.
- 发现GN在医疗培训的连续性中发生,影响了职业咨询和医疗保健模式.
- 这项研究证实了关于GN的事证据,详细说明了它在医学教育和培训中的表现.
结论:
- 地理自恋 (GN) 是一个重要的因素,有助于以都市为中心的医学教育和医疗保健系统.
- 忽视农村农产品会延续不平等的循环,对农村的健康状况产生负面影响,并加剧农村医疗人员短缺.
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