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Reducing health disparities: The social role of medical schools

机译：减少健康差距：医学院的社会角色

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Introduction: Medical education based on the principles of social medicine can contribute toward reducing health disparities through the "creation" of doctors who are more involved in community programs. Purpose: This study compared the social medicine orientation of graduates from various medical schools in Israel. Methods: The authors conducted an online cross-sectional survey in May 2011 among physicians who are graduates of Israeli medical schools. Results: The study included 1050 physicians practicing medicine in Israel: 36% who are graduates from the Hebrew University, 26% from Tel Aviv University, 22% from the Technion and 16% from Ben-Gurion University. A greater percentage of physicians who studied either at the Technion or Ben-Gurion are working or have worked in the periphery (～50% vs. ～30% at the Hebrew and Tel Aviv Universities). Among Ben-Gurion graduates, 47% are active in social medicine programs vs. 34-38% from other schools. Among physicians active in social medicine programs, 32% of Ben-Gurion alumni estimated that their medical education greatly influenced their social medicine involvement vs. 8-15% from other schools. Hebrew University alumni described their studies as more research-oriented. In contrast, Ben-Gurion graduates described their studies as more social medicine-oriented and they exhibited more positive attitudes about the role of physicians in reducing health disparities. Discussion: Social medicine-oriented medical education induces a socialization process reinforcing human values regarding doctor-patient relationships and produces positive attitudes among future doctors about social involvement. Findings emphasize the need to develop educational programs with this orientation and to strengthen medical schools in the periphery.
机译：简介：基于社会医学原理的医学教育可以通过“创造”更多参与社区计划的医生来减少健康差异。目的：本研究比较了以色列各医学院校毕业生的社会医学取向。方法：作者于2011年5月对以色列医学院毕业的医生进行了在线横断面调查。结果：该研究包括1050名在以色列行医的医生：希伯来大学的毕业生占36％，特拉维夫大学的毕业生占26％，理工学院的占22％，本古里安大学的占16％。在Technion或Ben-Gurion学习过的医师中，有更大比例的是在外围工作或工作过（约50％，而希伯来语和特拉维夫大学则约为30％）。在本古里安（Ben-Gurion）的毕业生中，有47％活跃于社会医学课程，而其他学校的这一比例为34-38％。在活跃于社会医学项目的医生中，本-古里安校友中有32％估计他们的医学教育极大地影响了他们对社会医学的参与，而其他学校的这一比例为8-15％。希伯来大学的校友称他们的研究更注重研究。相比之下，本·古里安（Ben-Gurion）的毕业生将他们的研究描述为更加以社会医学为导向，并且他们对医生在减少健康差异方面的作用表现出更加积极的态度。讨论：面向社会医学的医学教育引发了一个社会化过程，增强了人们对医患关系的价值观，并在未来的医生中产生了对社会参与的积极态度。调查结果强调有必要以这种方式开发教育计划，并加强周边的医学院校。

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