Haq Hameedul, Khan Rehan Ahmed, Yasmin Raheela
Dr. Hameedul Haq, MBBS, MHPE. Department of Health Professions Education and Research, Peshawar Medical College, Peshawar, Pakistan.
Prof. Dr. Rehan Ahmed Khan, MBBS, FCPS, FRCS, JM-HPE, MSc HPE. Department of Surgery, Islamic International Medical College, Riphah International University, Islamabad, Pakistan.
Pak J Med Sci. 2019;35(3):836-841. doi: 10.12669/pjms.35.3.861.
Muslim patients have a unique set of healthcare needs that are related to their faith. These are generally not formally addressed in the medical curricula. The study aimed to recommend additional content that would better tailor the undergraduate curriculum to cater to the needs of this large cohort - Muslim patients. This is with the expectation that patients would have their faith-related health queries resolved by healthcare providers.
A quantitative descriptive survey design was adopted. A 46-item questionnaire formulated through a literature review was put forth to experts using the Delphi Technique. Experts were selected based on having an academic rank of associate professor and above or medical education credentials. Three iterative rounds were conducted for exploring consensus over a period of five months. Panel agreement of >70% was the criteria for inclusion.
Items were categorized under 7 subject themes: Medicine, Psychiatry, Surgery, Gynecology, Obstetrics, Medical Ethics, and Islamic Studies. Consensus was eventually reached for 41 out of 46 items. These topics included but were not limited to "The Muslim patient in Ramadan to: fast or not to fast?" and "Muslim women and decision-making on pregnancy termination".
The study suggested that the topics proposed herein were in fact legitimate faith-related healthcare needs of Muslim patients. Their inclusion would add value to the undergraduate medical curriculum and would train practitioners to improve patient outcomes more holistically.
穆斯林患者有一系列与他们的信仰相关的独特医疗需求。这些需求在医学课程中通常没有得到正式解决。本研究旨在推荐额外的内容，以便更好地调整本科课程，以满足这一庞大群体——穆斯林患者的需求。期望医疗服务提供者能够解决患者与信仰相关的健康问题。
采用定量描述性调查设计。通过文献综述制定了一份包含46个条目的问卷，并使用德尔菲技术向专家发放。专家的选择基于副教授及以上的学术职称或医学教育资质。在五个月的时间里进行了三轮迭代，以探索达成共识。纳入标准是专家小组的同意率>70%。
条目被归类为7个主题：医学、精神病学、外科、妇科、产科、医学伦理学和伊斯兰研究。最终46个条目中的41个达成了共识。这些主题包括但不限于“斋月期间的穆斯林患者：禁食还是不禁食？”以及“穆斯林女性与终止妊娠的决策”。
该研究表明，本文提出的主题实际上是穆斯林患者与信仰相关的合理医疗需求。将这些内容纳入本科医学课程将增加其价值，并培训从业者更全面地改善患者的治疗效果。
