Sornsenee Phoomjai, Choomalee Kittisakdi, Sanphet Kamonlak, Keereerak Kanyarat, Wongwatthanawisit Techin, Wongtabpabud Tanyamon, Tipphayawong Panpim, Khunjun Panupong, Tularak Suppanita, Sungkaro Kanisorn, Wongkittithaworn Theepat
Department of Family Medicine and Preventive Medicine, Faculty of Medicine, Prince of Songkla University, 15 Karnjanavanich Rd., Hat Yai, 90110, Songkhla, Thailand.
Faculty of Medicine, Prince of Songkla University, Hat Yai, 90110, Songkhla, Thailand.
BMC Med Educ. 2025 Apr 26;25(1):617. doi: 10.1186/s12909-025-07205-8.
The adoption of Value-Based Care (VBC) is essential for enhancing healthcare quality and efficiency, with implications for future healthcare delivery. The primary outcome of this study was to determine factors influencing the application of VBC principles among sixth-year medical students and postgraduate trainees in Thailand. Understanding these factors is essential for designing targeted educational interventions that prepare trainees for patient-centered healthcare practice.
We conducted a cross-sectional study at the Faculty of Medicine, Prince of Songkla University, involving 90 participants, including 51 postgraduate trainees and 39 sixth-year medical students. Participants completed a comprehensive online questionnaire assessing their VBC-related attitudes, perceptions, intentions, and applications. Data analysis included descriptive statistics, Spearman correlation, and multiple linear regression.
Distinct differences in VBC application scores were evident between the two groups. Moderate associations were found between attitudes and perceptions (r = 0.44, p < 0.001), as well as between intentions and applications (r = 0.53, p < 0.001). Regression analysis identified family health history (β = 4.32, 95% CI: 0.69 to 7.94, p = 0.021) as a key predictor among sixth-year medical students, while financial security (β = 4.33, 95% CI: 1.69 to 6.97, p = 0.002) was significant for postgraduate trainees. Perception (β = 0.32, 95% CI: 0.10 to 0.54, p = 0.005) and intention (β = 0.42, 95% CI: 0.10 to 0.73, p = 0.011) were significant predictors for both groups, particularly among postgraduate trainees.
This study underscores the critical influence of personal and financial factors on VBC adoption among medical students and trainees. Integrating targeted educational strategies addressing these predictors could enhance VBC education, better preparing students for patient-centered healthcare practice.
采用基于价值的医疗（VBC）对于提高医疗质量和效率至关重要，对未来的医疗服务具有重要意义。本研究的主要结果是确定影响泰国六年级医学生和研究生培训学员应用VBC原则的因素。了解这些因素对于设计有针对性的教育干预措施至关重要，这些措施能让学员为以患者为中心的医疗实践做好准备。
我们在宋卡王子大学医学院进行了一项横断面研究，涉及90名参与者，包括51名研究生培训学员和39名六年级医学生。参与者完成了一份全面的在线问卷，评估他们与VBC相关的态度、认知、意图和应用情况。数据分析包括描述性统计、Spearman相关性分析和多元线性回归分析。
两组在VBC应用得分上存在明显差异。态度与认知之间存在中等程度的关联（r = 0.44，p < 0.001），意图与应用之间也存在关联（r = 0.53，p < 0.001）。回归分析确定家族健康史（β = 4.32，95%置信区间：0.69至7.94，p = 0.021）是六年级医学生中的关键预测因素，而财务保障（β = 4.33，95%置信区间：1.69至6.97，p = 0.002）对研究生培训学员具有显著意义。认知（β = 0.32，95%置信区间：0.10至0.54，p = 0.005）和意图（β = 0.42，95%置信区间：0.10至0.73，p = 0.011）是两组的显著预测因素，在研究生培训学员中尤为明显。
本研究强调了个人和财务因素对医学生和培训学员采用VBC的关键影响。整合针对这些预测因素的有针对性教育策略可以加强VBC教育，使学生更好地为以患者为中心的医疗实践做好准备。
