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在一家为无证移民和无家可归者提供服务的免费医疗中心的服务学习经历。

A service-learning experience in a free medical centre for undocumented migrants and homeless people.

作者信息

Civitelli Giulia, Liddo Marica, Mutta Irene, Maisano Bianca, Tarsitani Gianfranco, Marceca Maurizio, Cedeno Gonzalo Castro, Geraci Salvatore

机构信息

Department of Public Health and Infectious Diseases - Sapienza University of Rome, Piazzale Aldo Moro 5, 00185, Rome, Italy.

Caritas Medical Area, Via Marsala 103, 00185, Rome, Italy.

出版信息

Arch Public Health. 2021 Jan 12;79(1):7. doi: 10.1186/s13690-021-00530-6.

DOI:10.1186/s13690-021-00530-6
PMID:33436087
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7801867/
Abstract

BACKGROUND

Service-learning experiences, informed by the realities of poverty and marginalization, are important for the education of future health professionals in order to commit them to tackling health inequalities and working with underserved populations. At the Caritas Medical Centre for undocumented migrants and homeless in Rome, students obtain an educational experience of service. The aim of this study is to try to measure the long-term impact of this experience on the professional and life choices of the student participants.

METHODS

A questionnaire was designed and distributed by email to all 19-29 years old participants in the experience. Responses were collected and analysed in a quantitative descriptive way and in a qualitative way using the knowledge, skills and attitudes model.

RESULTS

One hundred and seven students responded from the total 763 questionnaires distributed. Ninety-five percent of participants expressed a very high overall satisfaction, 93% declared that the experience influenced his/her future personal choices, and 84% found that the experience influenced their professional choices. Results were arranged into 6 categories of comments: knowledge about the realities of migration, poverty, and marginalization; relational skills; collaborative skills; attitudes towards migrants, poor people and others; Attitudes towards future professions; Attitudes towards life. A final category was listed with self-reflective questions related to the experience.

CONCLUSION

This research shows the importance of service-learning experiences made during academic studies from young students of medicine and other faculties. Developing a relationship with marginalized and homeless people, within a voluntary service setting, can influence the future professional and personal choices of students. Universities should recognize the value of such experiences and establish partnerships with non-profit organizations to allow future health professionals to confront health inequities and commit themselves to their reduction.

摘要

背景

鉴于贫困和边缘化的现实情况,服务学习经历对于未来健康专业人员的教育至关重要,有助于使他们致力于解决健康不平等问题,并与服务不足的人群合作。在罗马为无证移民和无家可归者设立的明爱医疗中心,学生们获得了一种服务性的教育体验。本研究的目的是试图衡量这种体验对参与学生的职业和生活选择的长期影响。

方法

设计了一份问卷,并通过电子邮件分发给所有年龄在19至29岁之间参与该体验的人员。使用知识、技能和态度模型,以定量描述和定性的方式收集并分析了回复。

结果

在总共发放的763份问卷中,有107名学生做出了回应。95%的参与者表示总体满意度非常高,93%宣称该体验影响了他/她未来的个人选择,84%发现该体验影响了他们的职业选择。结果被整理成6类评论:关于移民、贫困和边缘化现实的知识;人际关系技能;协作技能;对移民、穷人及其他人的态度;对未来职业的态度;对生活的态度。最后列出了一类与该体验相关的自我反思问题。

结论

本研究表明了医学及其他院系的年轻学生在学术学习期间进行服务学习体验的重要性。在志愿服务环境中与边缘化和无家可归的人建立关系,可以影响学生未来的职业和个人选择。大学应该认识到这种体验的价值,并与非营利组织建立伙伴关系,以使未来的健康专业人员能够应对健康不平等问题,并致力于减少这些问题。

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Medical education: an Italian contribution to the discussion on global health education.医学教育:意大利对全球健康教育讨论的贡献。
Global Health. 2020 Apr 8;16(1):30. doi: 10.1186/s12992-020-00561-8.
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The Hidden Curriculum: A Good Thing?隐性课程:是件好事吗?
Cureus. 2019 Dec 6;11(12):e6305. doi: 10.7759/cureus.6305.
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Expert Consensus on Inclusion of the Social Determinants of Health in Undergraduate Medical Education Curricula.专家共识:将健康的社会决定因素纳入本科医学教育课程。
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Preparing Undergraduates for the Global Future of Health Care.为全球医疗保健的未来培养本科生。
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