目的 分析临床医学专业本科生接受老年医学教育的情况及其效果,为老年医学教育的改革提供参考。方法 采用问卷调查方法,对9所医学院校2011级临床医学专业的2333名本科生进行调查。分析方法采用描述性分析和卡方检验。结果 在学习过老年医学知识的被调查者中,认识到老年人所需要的医疗卫生服务与普通人群相比有很大不同或有所不同者的占比为83.8%(1622/1935),明显高于没有学习过老年医学知识者的占比为77.3%(308/398)。在未学习过老年医学知识组中,选择很不愿意或不愿意为老年患者提供医疗服务者的占比为11.3%(45/398),略高于学习过老年医学知识组的占比为7.5%(145/1935)。选择很不愿意或不愿意从事老年医学的学生在未学习过老年医学知识组中的占比为27.1%(308/398),明显高于学习过老年医学知识者的占比17.3%(334/1935)。结论 接受老年医学教育有利于提高临床医学专业本科生对于老年医疗卫生服务的正确认识,也有利于提高他们为老年患者提供医疗卫生服务和从事老年医学的意愿。
Objective To analyze geriatric medical education for medical undergraduate students and its effects.Methods Mainly based on stratified cluster random sampling, a self-administered questionnaire survey of 2333 medical undergraduates was conducted in 9 medical colleges and universities.Results Among respondents who studied geriatric medical knowledge, 83.8% (1622/1935)of them deemed that health services for the elderly were quite or somewhat different from those for the common population, which was higher than that for those who did not studied geriatric medical knowledge (77.3%) (308/398). 11.3% (45/398)of respondents who did not studied geriatric medical knowledge were unwilling to provide health services for the elderly, which was higher than that for those who studied geriatric medical knowledge (7.5%)(145/1935). Those who were unwilling to choose a career in geriatric medicine accounted for 27.1% (308/398)among those who did not study geriatric medical knowledge, which was obviously higher than that for those who studied geriatric medical knowledge (17.3%)(334/1935).Conclusions Geriatric medical education is likely to improve medical undergraduates' perception of geriatric medicine and enhance their preferences to provide the elderly with medical services and choose a career in geriatric medicine.
[1] 何耀. 我国的人口老龄化与健康老龄化策略[J]. 中国慢性病预防与控制, 2012, 20(5):507-509. DOI:10.16386/j.cjpccd.issn.1004-6194.2012.05.003.
[2] 黄毅, 佟晓光. 中国人口老龄化现状分析[J]. 中国老年学杂志,2012,32(21):4853-4855.DOI:10.3969 /j.issn.1005-9202.2012.21.133.
[3] 王庆,崔旭妍.以需求为导向构建高等职业教育老年康复人才培养[J].继续医学教育,2014(5):11-13.DOI:10.3969/J.ISSN.1004-6763.2014.05.005.
[4] Weiss BD, Fain MJ. Geriatric education for the physicians of tomorrow[J]. Arch Gerontol Geriatr, 2009,49 Suppl 2:S17-S20. DOI: 10.1016/S0167-4943(09)70007-X.
[5] 李力, 毕鸿雁, 白俊云. 浅谈在医学本科教育中开设老年医学课程的必要性[J].中国老年保健医学,2009,7(6):79-80. DOI: 10.3969/j.issn.1672-4860-B.2009.06.051.
[6] Mateos-Nozal J, Beard JR. Global approaches to geriatrics in medical education[J]. European Geriatric Medicine, 2011, 2(2):87-92.DOI:10.1016/j.eurger.2011.01.001.
[7] Saunders MJ, Yeh CK, Hou LT, et al. Geriatric medical education and training in the United States[J]. J Chin Med Assoc, 2005,68(12):547-556. DOI: 10.1016/S1726-4901(09)70092-9.
[8] 曹雪滨. 老年医学的发展趋势和设想[J].解放军医药杂志,2013,25(5):1-4.DOI:10.3969/j.issn.2095-140X.2013.05.001.
Cao XB.Development trends and presumption of geriatric medicine[J].Med & Pharm J Chin PLA,2013,25(5):1-4. DOI:10.3969/j.issn.2095-140X.2013.05.001.
[9] 杜文津, 陈晋文, 徐巍. 美国老年医学教育对我国老年医学教育的启示[J].医学与社会,2012,25(1):94-96. DOI: 10.3870/YXYSH.2012.01.032.
Du WJ, Chen JW, Xu W. Enlightenment from American geriatrics educantion upon Chinese geriatrics medical[J]. Medicine and Society,2012,25(1):94-96.DOI:10.3870/YXYSH.2012.01.032.
[10] Rowe JW, Fulmer T, Fried L. Preparing for better health and health care for an aging population[J]. JAMA, 2016, 316(16):1643-1644. DOI:10.1001/jama.2016.12335.
[11] British Geriatrics Society. The British Geriatrics Society recommended curriculum in geriatric medicine for medical undergraduates, 2013[EB/OL]. [2016-05-25]. http://www.bgs.org.uk/general-information-171/secttrainees/generalinfo/undergraduatecurriculum.
[12] Lally F, Crome P. Undergraduate training in geriatric medicine: getting it right[J]. Age Ageing, 2007,36(4):366-368. DOI: 10.1093/ageing/afm047.
[13] Arai H, Ouchi Y, Toba K, et al. Japan as the front-runner of super-aged societies: perspectives from medicine and medical care in Japan[J]. Geriatr Gerontol Int, 2015,15(6):673-687. DOI: 10.1111/ggi.12450.
[14] Bartram L, Crome P, McGrath A, et al. Survey of training in geriatric medicine in UK undergraduate medical schools[J]. Age Ageing, 2006,35(5):533-535. DOI: 10.1093/ageing/afl053.
[15] 刘庆宪, 张新根, 杨维佳. 浙江省高校老年医学教育现状与对策思考[J].中华医学教育杂志,2014,34(4):530-533. DOI: 10.3760/cma.j.issn.1673-677X.2014.04.016.
Liu QX, Zhang XG, Yang WJ.Gerontology education status quo of colleges in Zhejiang Province and countermeasures[J].Chin J Med Edu, 2014, 34(4):530-533. DOI: 10.3760/cma.j.issn.1673-677X.2014.04.016.
[16] Lee WC, Dooley KE, Ory MG, et al. Meeting the geriatric workforce shortage for long-term care: opinions from the field[J]. Gerontol Geriatr Educ, 2013,34(4):354-371. DOI: 10.1080/02701960.2013.831348.