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医学生对智障人士医疗保健的态度:沙特阿拉伯朱夫的经验

Medical students' attitudes towards healthcare for people with intellectual disabilities: an experience from Al-Jouf, Saudi Arabia.

作者信息

Alanazi Adel Saber

机构信息

College of Education, Jouf University, Sakakah, Saudi Arabia.

出版信息

BMC Health Serv Res. 2025 Jul 5;25(1):931. doi: 10.1186/s12913-025-13030-y.


DOI:10.1186/s12913-025-13030-y
PMID:40616056
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12228231/
Abstract

This study examines the attitudes of medical students in the Al-Jouf region of Saudi Arabia and their potential influence on future healthcare delivery for people with intellectual disabilities (PwIDs). The research focuses on three fundamental concepts-ethical attitudes (EA), professional attitudes (PA), and social attitudes (SA)-to evaluate their direct role in determining healthcare quality. Furthermore, the study investigates the mediating functions of Knowledge Acquisition (KA) and Communication Skills (ComS). To assess the relationships between variables in a sample of 166 medical students, data were analyzed using descriptive statistics, hypothesis testing, and partial least squares structural equation modeling (PLS-SEM). The analysis suggests associations between medical students' ethical, professional, and social attitudes and their potential approaches to future healthcare delivery for PwIDs. Knowledge Acquisition emerged as a significant mediating factor, while Communication Skills showed no significant mediating effect, possibly reflecting curricular gaps in communication training. These findings suggest several specific interventions: (1) integration of structured PwIDs-focused modules within medical curricula, emphasizing both theoretical knowledge and practical skills; (2) implementation of mandatory clinical rotations with PwIDs populations to enhance experiential learning; and (3) development of communication training programs focusing on patient-doctor and interprofessional interactions. The study suggests that policymakers and medical educators should set clear standards for disability skills in medical training, create ways to evaluate how well students care for PwIDs, and develop specific training programs for teachers.

摘要

本研究考察了沙特阿拉伯朱夫地区医学生的态度及其对未来为智障人士提供医疗服务的潜在影响。该研究聚焦于三个基本概念——道德态度(EA)、专业态度(PA)和社会态度(SA)——以评估它们在决定医疗质量方面的直接作用。此外,该研究还调查了知识获取(KA)和沟通技巧(ComS)的中介作用。为了评估166名医学生样本中各变量之间的关系,使用描述性统计、假设检验和偏最小二乘结构方程模型(PLS-SEM)对数据进行了分析。分析表明,医学生的道德、专业和社会态度与他们未来为智障人士提供医疗服务的潜在方法之间存在关联。知识获取是一个显著的中介因素,而沟通技巧则没有显著的中介作用,这可能反映了沟通培训中的课程差距。这些发现提出了几项具体干预措施:(1)在医学课程中纳入以智障人士为重点的结构化模块,强调理论知识和实践技能;(2)实施针对智障人群的强制性临床轮转,以加强体验式学习;(3)开发侧重于医患和跨专业互动的沟通培训项目。该研究表明,政策制定者和医学教育工作者应在医学培训中为残疾技能设定明确标准,创造评估学生照顾智障人士水平的方法,并为教师制定具体培训项目。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd6c/12228231/ff4143e24eb7/12913_2025_13030_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd6c/12228231/2016a64df009/12913_2025_13030_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd6c/12228231/41a60a9d44b6/12913_2025_13030_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd6c/12228231/53c630013322/12913_2025_13030_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd6c/12228231/ff4143e24eb7/12913_2025_13030_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd6c/12228231/2016a64df009/12913_2025_13030_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd6c/12228231/41a60a9d44b6/12913_2025_13030_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd6c/12228231/53c630013322/12913_2025_13030_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd6c/12228231/ff4143e24eb7/12913_2025_13030_Fig4_HTML.jpg

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本文引用的文献

[1]
A questionnaire to measure direct support professionals' attitude towards healthy nutrition of people with intellectual disabilities.

J Intellect Dev Disabil. 2023-6

[2]
Knowledge, Attitude, and Perception towards Autism Spectrum Disorders among Parents in Sakaka, Al-Jouf Region, Saudi Arabia: A Cross-Sectional Study.

Healthcare (Basel). 2024-8-10

[3]
Care needs of chronically ill patients with intellectual disabilities in Dutch general practice: patients' and providers' perspectives.

BMC Health Serv Res. 2024-6-14

[4]
Community Knowledge, Attitude, and Practices Related to Strabismus and Strabismus Treatment and Surgery in Al-Jouf Region, Saudi Arabia.

Cureus. 2023-12-22

[5]
Intellectual disabilities teaching for medical students: a scoping review.

BMC Med Educ. 2023-11-1

[6]
Infusing intellectual and Developmental disability training into Medical School curriculum: a Pilot intervention.

Med Educ Online. 2023-12

[7]
Pre-service healthcare professionals attitudes and self-efficacy towards individuals with intellectual disability in Ghana.

BMC Med Educ. 2023-9-28

[8]
The Influence of Social Determinants on Receiving Outpatient Treatment with Monoclonal Antibodies, Disease Risk, and Effectiveness for COVID-19.

J Gen Intern Med. 2023-12

[9]
A perspective on using partial least squares structural equation modelling in data articles.

Data Brief. 2023-3-21

[10]
Intolerance of uncertainty and attitudes towards persons living with disabilities in medical students: Is there a correlation?

Front Public Health. 2023

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