医学生对卫生政策教学的认知及其在卫生政策角色中的参与：马来西亚一所公立大学的调查
Medical Students' Perception Regarding Health Policy Teaching and Their Participation in Health Policy Roles: A Survey at a Public University in Malaysia.
作者信息
Haque Mainul, A Rahman Nor Azlina, Rahman Sayeeda, Majumder Md Anwarul Azim, Syed Mohdhar Sharifah Shasha Binti, Lugova Halyna, Abdullah Adnan, Binti Abdullah Shahidah Leong, Ismail Mohd Hafizi Bin, Charan Jaykaran, Kumar Santosh, Irfan Mohammed, Sani Ibrahim Haruna, Rabiu Abubakar Abdullahi, Chowdhury Kona, Akter Farhana, Jahan Dilshad, Ahmad Rahnuma
机构信息
Unit of Pharmacology, Faculty of Medicine and Defence Health, Universiti Pertahanan Nasional Malaysia (National Defence University of Malaysia), Kem Perdana Sungai Besi, Kuala Lumpur 57000, Malaysia.
Kulliyyah of Allied Health Sciences, International Islamic University Malaysia, Kuantan 25200, Malaysia.
出版信息
Healthcare (Basel). 2022 May 24;10(6):967. doi: 10.3390/healthcare10060967.
BACKGROUND
Health policy is a set of comprehensive principles and legislations that guide how healthcare should be effectively delivered in the community. Medical schools should prepare students to undertake managerial responsibilities by incorporating health policy into the curriculum to deal with the intricacies of healthcare systems and their clinical roles in their future professional careers.
OBJECTIVE
To examine medical students' perception at a Public University in Malaysia regarding teaching health policy and their participation in health policy roles.
MATERIAL AND METHODS
A cross-sectional study using universal sampling was carried out among the medical students using a paper-based questionnaire to collect the data.
RESULTS
Most respondents opined their willingness to learn health policy (80.9%) and that teaching health policy (83.6%) should be compulsory for medical students. The respondents thought health policy should be introduced earlier in Year 1 or 2. The student scores on their knowledge regarding health policy and year of study were significantly associated with their involvement in the health policy roles in both the simple and multiple logistic regression. Both statistical tests reported higher participation in health policy roles with the higher year of study, though only Year 4 and 5 were significant in the simple logistic regression and only Year 5 in the multiple logistic regression compared to Year 1. On the other hand, age and type of admission show significant results only in the simple logistic regression, while the race was only significant at the multivariate level.
CONCLUSIONS
This study demonstrated that most respondents showed their willingness to learn health policy, participate in the health policy programs, and recommend that health policy be considered an essential topic in the medical curriculum, which should be taught right from the first year of medical school. We recommend encouraging students' participation in health policy activities.
背景
卫生政策是一套全面的原则和法规，指导着如何在社区中有效地提供医疗保健服务。医学院校应将卫生政策纳入课程，使学生为承担管理职责做好准备，以应对医疗保健系统的复杂性及其在未来职业生涯中的临床角色。
目的
研究马来西亚一所公立大学医学生对卫生政策教学的看法及其在卫生政策角色中的参与情况。
材料与方法
采用基于纸质问卷的横断面研究，对医学生进行普查以收集数据。
结果
大多数受访者表示愿意学习卫生政策（80.9%），认为卫生政策教学（83.6%）应成为医学生的必修课。受访者认为卫生政策应在一年级或二年级更早引入。在简单和多元逻辑回归中，学生在卫生政策知识方面的得分及其学习年份与他们在卫生政策角色中的参与情况显著相关。两项统计测试均显示，学习年份越高，参与卫生政策角色的程度越高，不过在简单逻辑回归中只有四年级和五年级显著，与一年级相比，在多元逻辑回归中只有五年级显著。另一方面，年龄和入学类型仅在简单逻辑回归中显示出显著结果，而种族仅在多变量水平上显著。
结论
本研究表明，大多数受访者表示愿意学习卫生政策、参与卫生政策项目，并建议将卫生政策视为医学课程中的一个重要主题，应从医学院校的第一年就开始教授。我们建议鼓励学生参与卫生政策活动。
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