scholarly journals Investigating Medical Student's Preferences for Internet-Based Healthcare Services: A Best-Worst Scaling Survey

2021 ◽  
Vol 9 ◽  
Author(s):  
Richard Huan Xu ◽  
Ling-ming Zhou ◽  
Eliza Lai-yi Wong ◽  
Dong Wang

Objective: This study aimed to investigate the importance of providing Internet-based healthcare services based on the preference of a sample of medical students in China.Methods: An online best-worst scaling (BWS) survey with Case 1 design was conducted. Balanced independent block design generated 12 choice task profiles for each participant to answer. Descriptive analysis was used to describe the respondents' characteristics; Multinomial and mixed logit regression methods were used to investigate the importance of Internet-based services based on respondents' preferences.Results: A total of 1,296 students completed the online survey and rated “Clinical Service,” “Decision Aids,” and “Public health” as the three most important services that should be provided through an Internet-based healthcare system. Providing “Medical Education” via the Internet was chosen as the least important service by the respondents. Subgroup analysis indicated that students studying clinical medicine and non-clinical medicine considered providing “Medical Education” and “Public Health,” respectively, as more important services than others.Conclusions: This BWS study demonstrated that providing “Clinical Service,” “Decision Aids,” and “Public Health” through the Internet are the three most important services based on medical students' preferences in China. Further research is needed to investigate how to improve medical students' skills in using internet-based healthcare services in medical education programs.

2016 ◽  
pp. 1269-1282
Author(s):  
Keren Mazuz ◽  
Seema Biswas ◽  
Rui Amaral Mendes

With the expanding utilization of digital and technological media by public health providers and healthcare consumers, there is a need to evaluate the patients' role. There is good evidence of the growing acceptability of the Internet in seeking health information. This paper aims to evaluate the patients' role as an informed-patient. This role, albeit, with its limitations, affects the ways by which people consume health, consult their doctors and also influence health policy. This paper is a sociological and anthropological analysis of the effect of e-health services on the informed-patients' role and their ability to bring about social change through the Internet and their use of e-healthcare services. Through analyzing current literature and examples of health-related websites, this analysis focuses on informed-patients and how they are able to demand better health services for themselves and for their communities.


2015 ◽  
Vol 5 (1) ◽  
pp. 55-67
Author(s):  
Keren Mazuz ◽  
Seema Biswas ◽  
Rui Amaral Mendes

With the expanding utilization of digital and technological media by public health providers and healthcare consumers, there is a need to evaluate the patients' role. There is good evidence of the growing acceptability of the Internet in seeking health information. This paper aims to evaluate the patients' role as an informed-patient. This role, albeit, with its limitations, affects the ways by which people consume health, consult their doctors and also influence health policy. This paper is a sociological and anthropological analysis of the effect of e-health services on the informed-patients' role and their ability to bring about social change through the Internet and their use of e-healthcare services. Through analyzing current literature and examples of health-related websites, this analysis focuses on informed-patients and how they are able to demand better health services for themselves and for their communities.


2020 ◽  
Author(s):  
Hong Wan ◽  
Yujie Tu ◽  
Yu Fu ◽  
Zhao Yan ◽  
Yalin Chen ◽  
...  

UNSTRUCTURED COVID-19 spread in Wuhan in January 2020 and the whole country worked together to fight the epidemic. Up to now, more than 80,000 people have been diagnosed, and more than 40,000 medical staffs have assisted first-line rescue in Wuhan. As a reserve force for clinical medicine, medical students bear the heavy responsibility of future medical development. The author, as a medical student, has considered carefully about facing the present and looking forward to the future after this epidemic. The author mainly discusses about the influence of COVID-19 on medical students and its enlightenment on medical students and medical education reform in this paper, and hopes to resonate with medical students and provide some new ideas for future medical education reform.


2017 ◽  
pp. 811-820
Author(s):  
Nitesh Arora ◽  
Neha Tamrakar ◽  
Amy Price ◽  
Rakesh Biswas

Patient-centered learning and participatory research are emerging movements in the transformation of primary healthcare and research participation. In recent years this focus has extended to the utilization of User Driven Health Care (UDHC) networks for patient centered learning in medical education. Technology now makes it possible for patients, medical students, and providers to communicate through the Internet on a secure platform. Student authors experiencing this new brush with technology-supported, patient centered learning experience share how participation in a User Driven Health Care online education experience informed their learning and incited them to develop an interest in evidence based knowledge. They developed a survey tool and conducted interviews over the Internet to report on the experiences of others within the network. The findings were largely positive although some students did not feel the reality of the connection to an actual patient. Others report enjoying the experience and being enriched through the interaction, but, at the same time, expressed doubts whether this was a sustainable way to learn given the volume of information a student has to master to attain to the level of a practicing physician


Author(s):  
Leticia Fernandez ◽  
Theresa Rossouw ◽  
Tessa Marcus ◽  
Angelika Reinbrech-Schutte ◽  
Nicoleen Smit ◽  
...  

Background: This research focused on patients’ views regarding healthcare services and identified factors associated with understanding of their management plan.Aim: To develop a baseline for patient–clinician collaboration and the extent to which patients felt included and understood their treatment plan.Setting: Tshwane district (South Africa) public health outpatient clinics.Method: Medical students interviewed 447 patients in 22 clinics in Tshwane district. Agreement was measured by the percentage of cases in which patients and clinicians were in accord about a particular aspect of the consultation.Results: About one-third of patients incorrectly answered questions on whether changes in lifestyle or diet were prescribed as part of their treatment. The likelihood that patients understood their plan was associated with seeing the same clinician three or more times;having a consultation in their same or a similar language; patient participation in the diagnosis;and feeling that the clinician had explained their health problems to them.Conclusions: There is need for greater emphasis on continuity of care, the clinicians’ ability to speak the patient’s language and involving patients in the consultation.


2018 ◽  
Vol 60 (6) ◽  
pp. 42
Author(s):  
Reabetswe Ntshabele ◽  
Rubeshan Perumal ◽  
Nesri Padayatchi

Medical education is evolving from a heavily hierarchical and paternalistic approach to a more developmental and student-centred paradigm. In addition, there has been a greater focus on decentralised medical education, taking medical students closer to the lowest tiers of the healthcare system and allowing for a more immersive experience within the communities of their patients. This paper presents the experience of an enlightening rural experience, in which the benefits of such a model to medical education are explored. Furthermore, it presents the highly personal and developmental journey that decentralised and, in particular, rural medical training can offer. A new concept of a ‘home-stay’ model has now been introduced as part of the rural medicine experience, where students are hosted by a family within the community in which they work. This is a transformative project in which the most fundamental principles of medical training and the art of medical practice can be honed. The convergence of clinical training, public health enlightenment, and family practice are highlighted.


Clinicians and scientists are increasingly recognising the importance of an evolutionary perspective in studying the aetiology, prevention, and treatment of human disease; the growing prominence of genetics in medicine is further adding to the interest in evolutionary medicine. In spite of this, too few medical students or residents study evolution. This book builds a compelling case for integrating evolutionary biology into undergraduate and postgraduate medical education, as well as its intrinsic value to medicine. Chapter by chapter, the authors – experts in anthropology, biology, ecology, physiology, public health, and various disciplines of medicine – present the rationale for clinically-relevant evolutionary thinking. They achieve this within the broader context of medicine but through the focused lens of maternal and child health, with an emphasis on female reproduction and the early-life biochemical, immunological, and microbial responses influenced by evolution. The tightly woven and accessible narrative illustrates how a medical education that considers evolved traits can deepen our understanding of the complexities of the human body, variability in health, susceptibility to disease, and ultimately help guide treatment, prevention, and public health policy. However, integrating evolutionary biology into medical education continues to face several roadblocks. The medical curriculum is already replete with complex subjects and a long period of training. The addition of an evolutionary perspective to this curriculum would certainly seem daunting, and many medical educators express concern over potential controversy if evolution is introduced into the curriculum of their schools. Medical education urgently needs strategies and teaching aids to lower the barriers to incorporating evolution into medical training. In summary, this call to arms makes a strong case for incorporating evolutionary thinking early in medical training to help guide the types of critical questions physicians ask, or should be asking. It will be of relevance and use to evolutionary biologists, physicians, medical students, and biomedical research scientists.


Parasitology ◽  
1924 ◽  
Vol 16 (2) ◽  
pp. 248-250
Author(s):  
George H. F. Nuttall

Although Parasitology, broadly interpreted, includes the study of parasitic bacteria within its sphere, bacteriology is excluded from consideration here because it is assumed that a knowledge thereof is sufficiently recognised as essential by those who deal with medical education. At any rate bacteriology is more or less adequately taught to medical students and candidates for the Diploma in Public Health, although it receives insufficient consideration in courses leading to the Diploma in Tropical Medicine and Hygiene. On the other hand, parasitology is taught to candidates for the latter diploma to the limited extent that is allowed in the too short courses of instruction that are at present given for the diploma. Medical students in general learn next to nothing of parasitology beyond what they pick up in the course of their preliminary zoological training. I base these statements on personal experience, extending over many years, as teacher and examiner. Similar conclusions to these have been reached by others who are able to form an objective opinion.


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