Dopelt Keren, Davidovitch Nadav, Yahav Zehava, Urkin Jacob, Bachner Yaacov G
Ben-Gurion University of the Negev , Israel.
Med Teach. 2014 Jun;36(6):511-7. doi: 10.3109/0142159X.2014.891006. Epub 2014 May 6.
Medical education based on the principles of social medicine can contribute toward reducing health disparities through the "creation" of doctors who are more involved in community programs.
This study compared the social medicine orientation of graduates from various medical schools in Israel.
The authors conducted an online cross-sectional survey in May 2011 among physicians who are graduates of Israeli medical schools.
The study included 1050 physicians practicing medicine in Israel: 36% who are graduates from the Hebrew University, 26% from Tel Aviv University, 22% from the Technion and 16% from Ben-Gurion University. A greater percentage of physicians who studied either at the Technion or Ben-Gurion are working or have worked in the periphery (∼50% vs. ∼30% at the Hebrew and Tel Aviv Universities). Among Ben-Gurion graduates, 47% are active in social medicine programs vs. 34-38% from other schools. Among physicians active in social medicine programs, 32% of Ben-Gurion alumni estimated that their medical education greatly influenced their social medicine involvement vs. 8-15% from other schools. Hebrew University alumni described their studies as more research-oriented. In contrast, Ben-Gurion graduates described their studies as more social medicine-oriented and they exhibited more positive attitudes about the role of physicians in reducing health disparities.
Social medicine-oriented medical education induces a socialization process reinforcing human values regarding doctor-patient relationships and produces positive attitudes among future doctors about social involvement. Findings emphasize the need to develop educational programs with this orientation and to strengthen medical schools in the periphery.
基于社会医学原则的医学教育可以通过“培养”更多参与社区项目的医生来帮助减少健康差距。
本研究比较了以色列各医学院校毕业生的社会医学取向。
作者于2011年5月对以色列医学院校毕业生医生进行了一项在线横断面调查。
该研究纳入了1050名在以色列行医的医生：36%毕业于希伯来大学，26%毕业于特拉维夫大学，22%毕业于以色列理工学院，16%毕业于本古里安大学。毕业于以色列理工学院或本古里安大学的医生中，有更大比例的人正在或曾在外围地区工作（希伯来大学和特拉维夫大学分别为50%和30%）。在本古里安大学的毕业生中，47%积极参与社会医学项目，而其他学校的这一比例为34 - 38%。在积极参与社会医学项目的医生中，32%的本古里安大学校友认为他们的医学教育对其社会医学参与有很大影响，而其他学校的这一比例为8 - 15%。希伯来大学校友将他们的学习描述为更注重研究。相比之下，本古里安大学的毕业生将他们的学习描述为更注重社会医学，并且他们对医生在减少健康差距方面的作用表现出更积极的态度。
以社会医学为导向的医学教育引发了一个社会化过程，强化了关于医患关系的人文价值观，并在未来医生中产生了对社会参与的积极态度。研究结果强调了开展这种取向的教育项目以及加强外围地区医学院校的必要性。
