Abbasi Abianeh Nooshin, Yazdani Shahram, Heydari Majid, Farmad Somaieh Akbari
PhD Candidate of Medical Education, Department of Medical Education, Virtual School of Medical Education and Management, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Faculty Member of Department of Nursing, Faculty of Nursing and Midwifery, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.
J Family Med Prim Care. 2022 Sep;11(9):4991-5003. doi: 10.4103/jfmpc.jfmpc_2461_21. Epub 2022 Oct 14.
Today, changes in political and economic conditions, epidemiological and sociological developments, and the advancement of science and technology have necessitated the health and medical education systems to change. Therefore, we conducted a study entitled "Global perspectives on trends in higher education in healthcare," to improve the quality of healthcare so that it can be used as a model for predicting future events related to medical education. This futures study applied the social, technological, economical, ecological, political, values (STEEPV) model to identify and analyze the trends that affect medical education at different levels. To collect and analyze the data, a scoping review of the articles published from the year 2000 was conducted on the World Health Organization (WHO), Web of Science, Scopus, PubMed/MEDLINE, EMBASE, Science Direct, Google Scholar, EBSCO, and Cochrane databases. The review process was performed in five stages: 1- Determining the research question, 2- Identifying relevant studies, 3- Selecting the studies, 4- Charting the data, and 5- Analyzing data. The preferred reporting item for systematic review and meta-analysis (PRISMA) statement was used in the selection and screening of articles. A total of 213 articles were included in the study for qualitative synthesis. A total of 154 trends were identified using the STEEPV model at seven levels of health behaviors and patients, diseases and health problems, healthcare system, medical education system, medical education institutions, medical curricula, and teaching and learning. Considering the results of this study, it is possible to formulate proper and efficient future scenarios for the higher health education system. Also, it will be helpful for medical education policymaking.
如今，政治经济状况的变化、流行病学和社会学的发展以及科技的进步，使得健康与医学教育体系有必要进行变革。因此，我们开展了一项题为“全球医疗卫生高等教育趋势展望”的研究，以提高医疗卫生质量，使其能够作为预测与医学教育相关未来事件的模型。这项前瞻性研究应用社会、技术、经济、生态、政治、价值观（STEEPV）模型来识别和分析影响不同层面医学教育的趋势。为收集和分析数据，我们对世界卫生组织（WHO）、科学网、Scopus、PubMed/MEDLINE、EMBASE、科学Direct、谷歌学术、EBSCO和Cochrane数据库中2000年以来发表的文章进行了范围综述。综述过程分五个阶段进行：1 - 确定研究问题，2 - 识别相关研究，3 - 选择研究，4 - 梳理数据，5 - 分析数据。在文章的选择和筛选中使用了系统综述和荟萃分析的首选报告项目（PRISMA）声明。共有213篇文章纳入本研究进行定性综合分析。使用STEEPV模型在健康行为与患者、疾病与健康问题、医疗体系、医学教育体系、医学教育机构、医学课程以及教学与学习这七个层面共识别出154个趋势。考虑到本研究的结果，有可能为高等健康教育体系制定恰当且高效的未来设想。此外，这对医学教育政策制定也将有所帮助。
