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首页> 外文期刊>Comprehensive psychiatry. >Medical students as patients: implications of their dual role as explored in a vignette-based survey study of 1027 medical students at nine medical schools.
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Medical students as patients: implications of their dual role as explored in a vignette-based survey study of 1027 medical students at nine medical schools.

机译：医科学生作为患者：在基于小插图的9所医学院校1027名医科学生的调查研究中探讨了他们双重角色的含义。

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OBJECTIVE: Medical students experience a range of mental and physical illnesses during training and may encounter significant barriers in seeking health care. Little is known about the issues surrounding the dual role as both learner and patient when a medical student seeks care at his or her training institution. METHOD: A confidential survey examining medical students' health care needs, practices, and concerns was administered at 9 US medical schools. One part of the survey focused on responses to 4 medical student-patient vignettes. The vignettes systematically varied preexisting student vs preexisting patient status before assuming a medical student-patient role, and the vignettes also varied illness situations that were more vs less stigmatizing. Responses were analyzed using chi(2) and multivariate analysis of variance tests. RESULTS: A total of 1027 students participated. We found that students were more likely to accept the dual role as medical student-patient in vignettes depicting a preexisting patient role than a preexisting student role. Students sought to avoid the dual role as student-patient in the context of stigmatizing health concerns. Women students were more likely than men to reject the dual role in all cases. CONCLUSION: Medical students appear to be sensitive to the conflicts that may be associated with the dual role as both medical student and patient when seeking care at their training institution. Our data suggest the importance of substantive efforts to promote the health, interests, and well-being of medical student-patients.
机译：目的：医学生在培训期间会经历一系列精神和身体疾病，并且可能会在寻求医疗保健方面遇到重大障碍。当医学生在他或她的培训机构寻求护理时，围绕作为学习者和患者的双重角色的问题鲜为人知。方法：在美国的9所医学院中进行了一项机密调查，以检查医学生的医疗保健需求，做法和问题。调查的一部分集中在对4种医学生-病人小插图的回答上。在扮演医学生-患者角色之前，小插曲系统地改变了既存的学生状态与既存的患者状况，并且小插曲也改变了各种病态，使人们更加受污名化。使用chi（2）和方差测试的多元分析来分析响应。结果：共有1027名学生参加。我们发现，学生在扮演描述既存患者角色的小插图中，更倾向于接受医学生-医生的双重角色，而不是既存学生角色。在污名化的健康问题的背景下，学生试图避免扮演学生-患者的双重角色。在所有情况下，女学生比男生更有可能拒绝双重角色。结论：医学生似乎对冲突很敏感，这些冲突可能与医学生和患者在培训机构寻求护理时的双重角色有关。我们的数据表明，为促进医学生患者的健康，兴趣和福祉而做出实质性努力的重要性。

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