U.O.C. Igiene degli Ambienti di Vita, Azienda Sanitaria Locale (ASP) Palermo, Palermo, Italy.
Department of Health Promotion, Mother and Childcare, Internal Medicine and Medical Specialties "G. D'Alessandro", University of Palermo, Palermo, Italy.
Front Public Health. 2024 Oct 15;12:1392025. doi: 10.3389/fpubh.2024.1392025. eCollection 2024.
Refugees and migrants may represent the most vulnerable communities in many societies. Health systems should be sensitive to needs of refugees and migrants. The document "The Refugee and Migrant Health: Global Competency Standards for Health Workers (the )" identifies the competencies and areas of practice of health workers working with refugees and migrants. The aim of this study is to provide an analysis of these competences and training needs, identifying the educational priorities for the implementation of the in Sicily, Italy.
A cross-sectional analytical pilot study was conducted by administering a questionnaire, in electronic format "Google Form ®," to doctors attending the Medical Training Course for General Practitioners in Sicily (Italy). Data obtained were collected in a Microsoft Excel database and analyzed with IBM SPSS Software 24 version. Absolute and relative frequencies were calculated for relevant categorical variables. Univariate analysis of the selected variables was subsequently carried out. The significance level chosen was a value <0.05 (two-tailed).
A total of 192 General Practitioner (GP) trainees responded to the questionnaire. They were asked if their training course comprised a Global Health Course that included the topic of health protection and social and health care for migrant populations and the 65.4% of them answered "No" or "Do not Know." GP trainees were also asked if they considered useful to include a Global Health Course dedicated to the management of patients with a migratory background within the training course in general medicine. Of the total 192 participants, 81.9% answered "Yes." Overall, in a simple regression model, the perception of having addressed migrants' health needs is positively correlated with having attended a Global Health Course (OR = 3.34 95%CI 1.2-9.1; = 0.018).
This study identified educational priorities for the implementation of the in Sicily for doctors attending the Medical Training Course for General Practitioners. We hope that the results of this study will guide and inform possible future projects to implement the at a national level.
难民和移民可能代表着许多社会中最脆弱的群体。卫生系统应该对难民和移民的需求保持敏感。文件《难民和移民健康：卫生工作者全球能力标准（）》确定了为难民和移民提供服务的卫生工作者的能力和实践领域。本研究的目的是分析这些能力和培训需求，确定在意大利西西里岛实施该标准的教育重点。
通过向参加西西里岛（意大利）全科医生医学培训课程的医生发放电子格式的“谷歌表格（Google Form ®）”问卷，进行了一项横断面分析性试点研究。收集到的数据被收集到 Microsoft Excel 数据库中，并使用 IBM SPSS 软件 24 版本进行分析。对相关分类变量计算了绝对和相对频率。随后对选定变量进行了单变量分析。选择的显著性水平为 值<0.05（双侧）。
共有 192 名全科医生（GP）培训生回答了问卷。他们被问到他们的培训课程是否包括全球健康课程，其中包括保护健康以及移民人口的社会和医疗保健主题，其中 65.4%的人回答“否”或“不知道”。GP 培训生还被问到，他们是否认为在一般医学培训课程中纳入专门针对有移民背景的患者管理的全球健康课程是有用的。在总共 192 名参与者中，81.9%的人回答“是”。总体而言，在简单回归模型中，对满足移民健康需求的感知与参加全球健康课程呈正相关（OR=3.34 95%CI 1.2-9.1；=0.018）。
本研究确定了在西西里岛为参加全科医生医学培训课程的医生实施该标准的教育重点。我们希望本研究的结果将指导和告知在国家层面实施该标准的可能未来项目。
