Asgary Ramin
Departments of Population Health and Medicine, New York University School of Medicine, New York, NY, USA.
Int J Public Health. 2016 Apr;61(3):279-87. doi: 10.1007/s00038-015-0754-z. Epub 2015 Oct 26.
An innovative curriculum was developed to equip public health students with appropriate attitude and skills to address healthcare of asylum seekers.
Implemented in 2005 the curriculum included: (1) didactic sessions covering epidemiology and health sequelae of torture, asylum laws, and approaches to identify survivors' healthcare needs; (2) panel discussions with survivors and advocates; and (3) participating in medico-legal process of asylum seeking. Complementary mixed methods evaluations included pre- and post-curriculum questionnaires, formal curriculum evaluations, final papers and oral presentations.
125 students participated. Students showed improved knowledge regrading sequelae of abuse and survivors' healthcare needs (P < 0.01), improved attitudes towards working with survivors (P < 0.05) and self-efficacy in identifying at-risk populations and addressing healthcare of survivors (P < 0.05). Students reported increased desire to pursue global health and human rights careers.
As an advocacy and cultural competency training in public health practice addressing healthcare of refugees domestically, this curriculum was well received and effective, and will also help students better serve other similar populations. Population case-based domestic opportunities to teach global health and health and human rights should be effectively utilized to develop a well-equipped global health corps.
开发了一门创新课程,以使公共卫生专业的学生具备处理寻求庇护者医疗保健问题的适当态度和技能。
该课程于2005年实施,包括:(1)涵盖酷刑的流行病学和健康后遗症、庇护法以及确定幸存者医疗保健需求方法的理论课程;(2)与幸存者及倡导者的小组讨论;(3)参与寻求庇护的医疗法律程序。补充性的混合方法评估包括课程前后问卷调查、正式课程评估、期末论文和口头报告。
125名学生参与其中。学生在虐待后遗症和幸存者医疗保健需求方面的知识有所提高(P < 0.01),对与幸存者合作的态度有所改善(P < 0.05),在识别高危人群和处理幸存者医疗保健方面的自我效能感有所提高(P < 0.05)。学生报告称,他们更渴望从事全球健康和人权方面的职业。
作为一项针对国内难民医疗保健问题的公共卫生实践中的宣传和文化能力培训,该课程受到好评且效果显著,还将帮助学生更好地服务其他类似人群。应有效利用基于人群案例的国内机会来教授全球健康以及健康与人权,以培养一支装备精良的全球健康队伍。