Indian student doctors' attitudes towards primary health care, poverty and related issues

Ramalingaswami, Prabha

doi:10.1111/j.1365-2923.1989.tb00903.x

Cited by 4 publications

(11 citation statements)

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“…Les odd ratio (OR) correspondants ont été estimés à l'aide de régres-sions logistiques multiples non ajustées. D'après les données de la littérature, les variables suivantes associées à la perception des patients bénéficiaires de la CMUc au seuil de p 0,20 en analyse univariée ont été inclus dans un modèle multivarié final à l'aide d'un modèle de régression logistique polytomique : sexe de l'étudiant, type d'exercice futur, faculté d'origine, stage de niveau 2 effectué, note de connaissances théoriques, expérience des patients CMUc, fréquence des difficultés rencontrés et image du premier souvenir [28][29][30][31][32][33][34]. Les données manquantes n'ont pas été prises en compte dans ce modèle final.…”

Section: Analyse Statistiqueunclassified

“…Il aurait été intéressant de comparer les comportements négatifs des bénéficiaires de la CMUc perçus par les étudiants à d'éventuels comportements négatifs perçus chez les autres assurés. Deux facteurs retrouvés dans la littérature américaine pourraient faire l'objet d'autres études : la dégradation des perceptions avec les années d'études et la variation de ces perceptions en fonction de l'origine ethnique et socio économique des étudiants [28][29][30]32,34]. Bien que les étudiants aient été classés selon leur faculté d'origine, une question relative aux lieux de stage des internes aurait égale-ment pu apporter des éléments intéressants sur leur perception.…”

Section: Influence Des Caractéristiques Des éTudiants Sur La Perceptiunclassified

“…Ce point nécessiterait une enquête complémentaire sur les attitudes et pratiques des étudiants vis-à-vis des patients bénéficiaires de la CMUc. Une comparaison des facteurs influençant les perceptions des internes vis-à-vis des bénéficiaires de la CMUc exposés dans cette étude avec ceux de la littérature permet de mettre en avant deux facteurs communs : le sexe de l'étudiant [28,29,31,32] et l'expérience que l'interne a des bénéficiaires de la CMUc ou plus largement des populations défavorisées [28,30,33,34]. Concernant l'influence du sexe de l'étudiant, les explications demeurent incertaines, certains auteurs évoquant simplement une certaine « nature féminine » [29].…”

Section: Influence Des Caractéristiques Des éTudiants Sur La Perceptiunclassified

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Patients bénéficiaires de la CMU complémentaire : perceptions des étudiants en médecine et facteurs influençant ces perceptions

Petitcollot¹,

Denantes²,

Ibáñez³

et al. 2012

La Presse Médicale

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Section: Analyse Statistiqueunclassified

Section: Influence Des Caractéristiques Des éTudiants Sur La Perceptiunclassified

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Patients bénéficiaires de la CMU complémentaire : perceptions des étudiants en médecine et facteurs influençant ces perceptions

Petitcollot¹,

Denantes²,

Ibáñez³

et al. 2012

La Presse Médicale

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“…Medical students and the PHC approach Very little research has been done on medical students' views of PHC, and the research that has been done is not recent. 4,5,6 Most of these articles focus mainly on evaluations of the students' exposure to PHC in their curriculum, or do not report clearly positive or negative feelings about PHC. 4,6 Also, students' negative attitudes towards PHC are reported as part of a study that did not explicitly look at students' attitudes, 5 and these attitudes are unfortunately not discussed in detail.…”

Section: Introductionmentioning

confidence: 99%

“…4,5,6 Most of these articles focus mainly on evaluations of the students' exposure to PHC in their curriculum, or do not report clearly positive or negative feelings about PHC. 4,6 Also, students' negative attitudes towards PHC are reported as part of a study that did not explicitly look at students' attitudes, 5 and these attitudes are unfortunately not discussed in detail. The only recent study to give some indication of medical students' attitudes to PHC investigated students' perceptions of the teaching methods used in a PHC course.…”

Section: Introductionmentioning

confidence: 99%

Medical students' attitudes towards the primary healthcare approach—what are they and how do they change?

Louw

2007

South African Family Practice

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BackgroundThe context of the research presented in this article is the new MBChB curriculum at the University of Cape Town (UCT) that has been in operation since 2002. This new curriculum is primary health care (PHC) driven and puts emphasis on the integration of biological and psychosocial elements. The context of curriculum reform at UCT can be placed within the broader South African context, in which the South African Department of Health has made a commitment to the PHC approach. The aim of this research was to provide an understanding of medical students' attitudes towards the PHC approach. The findings presented in this article form part of a broader set of findings for a PhD research study aimed at qualitatively exploring medical students' attitudes towards and perceptions of PHC. MethodsA qualitative approach was used and focus groups and interviews were conducted with second-, third-and fourthyear medical students at UCT. A total of 82 students were purposively selected to participate in the research. A content analytic approach was used to analyse the focus group and interview data. ResultsThe students generally had a positive attitude towards the PHC approach and were positive about UCT's decision to promote this approach. Some, however, were concerned about the international relevance and status of their degree, and concerns were also raised about the contrast between the theory and reality of the approach, with many labelling PHC as idealistic. The students' responses indicated that their attitudes towards the PHC approach were open to change during the course of their academic career and were influenced by a range of factors. Some of these factors are related to the medical school environment, such as the PHC approach itself, how PHC is taught, and the views of other students and staff at UCT. Other factors that were not related to the university included personality, the students' background and exposure to health facilities, and clinical exposure outside UCT. ConclusionThese findings raise the question of whether students are able to think and feel positively about the PHC approach, but not actually internalise the philosophy of the approach. The students' struggle with the incongruence between what is perceived as the idealistic theory of PHC and the reality of health care in South Africa is also an issue that needs to be acknowledged. These issues have international relevance, and are particularly significant in South Africa, where a commitment has been made by the South African Department of Health to the PHC approach and where doctors are set to play a vital role in its implementation and success. SA Fam Pract 2007;49(2):17

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Undergraduate education in rural primary health care: evaluation of a first-year field attachment programme

Vaz¹,

Gona²

1992

Medical Education

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In an effort to evaluate the first part of the rural field attachment programme at the University of Zimbabwe Medical School, a self-assessment questionnaire was administered to the first-year students. Assessment criteria were derived from the stated aims of the school's new undergraduate medical curriculum. The results indicate that students view the programme as relevant and of value of their training as future doctors, even though they were dissatisfied with aspects of the programme. There was some evidence that more emphasis should be placed on the limitations on what doctors can do to solve the health problems of rural Zimbabweans. Contrary to previous opinions of some individuals, students whose homes are in rural areas benefited from the programme and found it of value. Better orientation and selection of supervisors would benefit the programme. Recommendations for field attachment programmes are made based on the findings.

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Indian student doctors' attitudes towards primary health care, poverty and related issues

Cited by 4 publications

References 1 publication

Patients bénéficiaires de la CMU complémentaire : perceptions des étudiants en médecine et facteurs influençant ces perceptions

Patients bénéficiaires de la CMU complémentaire : perceptions des étudiants en médecine et facteurs influençant ces perceptions

Medical students' attitudes towards the primary healthcare approach—what are they and how do they change?

Undergraduate education in rural primary health care: evaluation of a first-year field attachment programme

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