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The Role of Social Medicine in Filling the Gap in Human Resources in Health: The Cuba - Timor-Leste Health Program.

机译：社会医学在填补卫生人力资源空白中的作用：古巴-东帝汶卫生计划。

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摘要

Objectives: The developing world is faced with a high burden of infectious disease and insufficient physicians to address these problems. The alternative model of medical training that characterizes Cuban social medicine has been credited with the major successes of Cuba's health system, but the possibility of applying this model to other developing countries has not been well studied. In Timor-Leste, physicians newly trained in Cuba in social medicine are returning to practice in the individual patient-focused health care system of Timor-Leste. Although the 1,000 newly graduated physicians expected to enter the Timorese national health system in the coming few years will help fill the current gap in human resources in health, the different approach to health problems afforded by their social medicine training may also present novel challenges.;Methods: The study design employed mixed methods, administering a quantitative questionnaire and performing qualitative semi-structured interviews with all 18 members of the first class of Timorese graduates of the Latin America School of Medicine in Cuba as well as with key informants in the Timorese medical community.;Results: Recent graduates demonstrated a social medicine directed approach to conceptualizing and addressing health issues, including strong public health skills with an emphasis on societal-level determinants of health. In addition, all respondents referred to a humanistic motivation to practice medicine, a service-oriented work ethos and a desire to work from within the community.;Conclusions: The integration of social medicine-trained physicians into the Timorese medical system may produce physicians who put a greater focus on societal-level, public health interventions and who share a humanistic ideology to practice medicine. That approach is relevant for the health problems of Timor-Leste and may in addition provide some resistance to brain drain.;Key Words: Social medicine, human resources, brain drain, Cuba, medical training.
机译：目标：发展中国家面临着巨大的传染病负担，而医生不足以解决这些问题。古巴卫生系统的主要成就被认为是代表古巴社会医学的另一种医学培训模式，但尚未很好地研究将该模式应用于其他发展中国家的可能性。在东帝汶，新近在古巴接受过社会医学培训的医师正在东帝汶以患者为中心的个人保健系统中恢复执业。尽管预计将在未来几年进入东帝汶国家卫生系统的1,000名新毕业医生将帮助填补目前在卫生方面的人力资源缺口，但其社会医学培训所提供的解决健康问题的不同方法也可能带来新的挑战。方法：研究设计采用混合方法，进行定量问卷调查并与古巴拉丁美洲医学院的帝汶大学毕业生的所有18名一流成员以及帝汶医学的主要信息提供者进行了半结构化定性访谈结果：最近的毕业生展示了一种社会医学指导的方法，用于概念化和解决健康问题，包括强大的公共卫生技能，并着重于社会水平的健康决定因素。此外，所有受访者都提到了实践医学的人文动力，面向服务的工作精神以及在社区内部工作的愿望。；结论：受过社会医学培训的医生融入帝汶医疗体系可能会导致医生更加关注社会层面的公共卫生干预措施，他们具有人文意识形态的医学实践。这种方法与东帝汶的健康问题有关，并且可能还提供一些对人才外流的抵抗力。关键词：社会医学，人力资源，人才外流，古巴，医学培训。

著录项

  • 作者

    Hastings, Casey Lucas.;

  • 作者单位

    University of Washington.;

  • 授予单位 University of Washington.;
  • 学科 Asian Studies.;Caribbean Studies.;Health Sciences Public Health Education.;Education Health.;Health Sciences Health Care Management.
  • 学位 Masters
  • 年度 2012
  • 页码 31 p.
  • 总页数 31
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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