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妇产科医生对全球健康的看法:一项全国性调查。

Perspectives on global health amongst obstetrician gynecologists: A national survey.

作者信息

Easter Sarah Rae, Raglan Greta B, Little Sarah E, Schulkin Jay, Robinson Julian N

机构信息

1 Division of Maternal-Fetal Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.

2 Research Department, American College of Obstetricians and Gynecologists, Washington, DC, USA.

出版信息

J Int Med Res. 2018 Feb;46(2):586-595. doi: 10.1177/0300060516658378. Epub 2016 Aug 25.

Abstract

Objective To characterize contemporary attitudes toward global health amongst board-certified obstetricians-gynecologists (Ob-Gyns) in the US. Methods A questionnaire was mailed to members of the American College of Obstetricians and Gynecologists. Respondents were stratified by interest and experience in global health and group differences were reported. Results A total of 202 of 400 (50.5%) surveys were completed; and 67.3% ( n = 136) of respondents expressed an interest in global health while 25.2% ( n = 51) had experience providing healthcare abroad. Personal safety was the primary concern of respondents (88 of 185, 47.6%), with 44.5% (57 of 128) identifying 2 weeks as an optimal period of time to spend abroad. The majority (113 of 186, 60.8%) cited hosting of local physicians in the US as the most valuable service to developing a nation's healthcare provision. Conclusion Despite high interest in global health, willingness to spend significant time abroad was limited. Concerns surrounding personal safety dovetailed with the belief that training local physicians in the US provides the most valuable service to international efforts. These attitudes and concerns suggest novel solutions will be required to increase involvement of Ob-Gyns in global women's health.

摘要

目的 描述美国获得委员会认证的妇产科医生对全球健康的当代态度。方法 向美国妇产科医师学会成员邮寄了一份调查问卷。根据对全球健康的兴趣和经验对受访者进行分层,并报告组间差异。结果 400份调查问卷中共有202份(50.5%)被完成;67.3%(n = 136)的受访者表示对全球健康感兴趣,而25.2%(n = 51)有在国外提供医疗服务的经验。个人安全是受访者最主要的担忧(185人中的88人,47.6%),44.5%(128人中的57人)认为两周是在国外停留的最佳时间。大多数人(186人中的113人,60.8%)认为在美国接待当地医生是对发展中国家医疗服务最有价值的服务。结论 尽管对全球健康兴趣浓厚,但在国外花费大量时间的意愿有限。对个人安全的担忧与认为在美国培训当地医生是对国际努力最有价值的服务这一信念相契合。这些态度和担忧表明,需要新的解决方案来增加妇产科医生对全球女性健康的参与度。

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