为国际医学毕业生实现公平:系统审查
Sangeeta G Saxena1, Elizabeth Tisdell2, Elana Farace3
1Department of Public Health, Coastal Carolina University, Conway, SC, United States.
Frontiers in medicine
|August 7, 2025
概括
出生在国外的国际医学毕业生 (FIMGs) 需要量身定制的适应文化干预措施,以在新的卫生系统中取得成功. 本系统性审查确定了有效的策略,以改善FIMG的整合和患者的结果.
科学领域:
- 医学教育 医学教育
- 卫生系统研究 卫生系统研究
- 文化能力 文化能力
背景情况:
- 出生在国外的国际医学毕业生 (FIMGs) 在东道国面临着重大适应文化挑战.
- 在解决高收入国家的医生短缺问题上,FIMGs至关重要.
- 成功同化FIMGs可以提高医疗保健系统的生产力和患者的结果.
研究的目的:
- 系统地审查关于FIMGs的适应文化干预的文献.
- 确定有利于FIMG更好地融入东道国的卫生系统的战略.
- 为改善FIMG生产力,满意度和患者护理的干预措施提供信息.
主要方法:
- 按照PRISMA指南进行系统审查.
- 在PubMed,Embase,PsycINFO,CINAHL和科学网上进行了搜索.
- 包括2000年1月至2021年10月的研究,使用与IMG和歧视/微攻击相关的关键词.
主要成果:
- 包括46项研究,分为干预,FIMG感知和培训师观点.
- 审查包括在COVID-19大流行期间适应的在线干预措施.
- 有效的适应文化需要对临床协议,东道国的文化,沟通,语言和自我意识进行培训.
结论:
- 需要进一步的研究来定制针对来自不同背景的FIMG的干预措施.
- 适应文化培训需要理论框架和全面的支持系统.
- 提高东道医疗系统准备接受FIMG是成功整合的关键.
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