医学学生在卢旺达医学教育中的健康社会决定因素的经验:一种定性研究
Claire O Swedberg1, Eden Abate Lemu1, Christelle Uwantege Giraneza1
1University of Global Health Equity, Butaro, Rwanda.
Advances in medical education and practice
|August 12, 2025
概括
这项研究评估了卢旺达医学生健康课程的社会决定因素. 该课程增强了同情心,减少了偏见,并培养了整体的患者观点,提高了对卫生系统改革的承诺.
科学领域:
- 医学教育 医学教育
- 社会医学 社会医学
- 全球卫生平等全球卫生平等
背景情况:
- 医生在健康的社会决定因素 (SDOH) 的培训是有限的,尽管越来越多的认可.
- 这项研究评估了卢旺达全球健康平等大学 (UGHE) 创新的以SDOH为中心的课程.
- 社会医学是整合到医学学士,手术学士 (MBBS) 计划在UGHE.
研究的目的:
- 评估医学学生的经验,以创新的,以健康为中心的课程的社会决定因素.
- 了解SDOH教育对医疗学员的影响.
- 评估在低收入环境中实施SDOH课程的可行性.
主要方法:
- 使用深度采访进行的定性研究 (n=18).
- 数据分析的常规比较方法,以确定反复出现的主题.
- 用SDOH课程描述学生的经验.
主要成果:
- 提高学生对个人偏见的自我意识.
- 将学生从以责备为导向的方法转变为富有同情心的患者护理.
- 让学生能够全面地看待患者,超越诊断.
- 加强学生对解决卫生系统缺陷的承诺.
结论:
- 低收入地区的医学院可以成功实施SDOH课程.
- 研究结果为医学教育者和政策制定者提供了关于整体医学教育的见解.
- 该课程展示了培养有社会意识的医生的潜力.
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