Medical Students' Views and Knowledge of the Affordable Care Act: A Survey of Eight U.S. Medical Schools.
J Gen Intern Med
; 30(7): 1018-24, 2015 Jul.
Article
en En
| MEDLINE
| ID: mdl-25753386
ABSTRACT
BACKGROUND:
It is not known whether medical students support the Affordable Care Act (ACA) or possess the knowledge or will to engage in its implementation as part of their professional obligations.OBJECTIVE:
To characterize medical students' views and knowledge of the ACA and to assess correlates of these views.DESIGN:
Cross-sectional email survey.PARTICIPANTS:
All 5,340 medical students enrolled at eight geographically diverse U.S. medical schools (overall response rate 52% [2,761/5,340]). MAINMEASURES:
Level of agreement with four questions regarding views of the ACA and responses to nine knowledge-based questions. KEYRESULTS:
The majority of respondents indicated an understanding of (75.3%) and support for (62.8%) the ACA and a professional obligation to assist with its implementation (56.1%). The mean knowledge score from nine knowledge-based questions was 6.9 ± 1.3. Students anticipating a surgical specialty or procedural specialty compared to those anticipating a medical specialty were less likely to support the legislation (OR = 0.6 [0.4-0.7], OR = 0.4 [0.3-0.6], respectively), less likely to indicate a professional obligation to implement the ACA (OR = 0.7 [0.6-0.9], OR = 0.7 [0.5-0.96], respectively), and more likely to have negative expectations (OR = 1.9 [1.5-2.6], OR = 2.3 [1.6-3.5], respectively). Moderates, liberals, and those with an above-average knowledge score were more likely to indicate support for the ACA (OR = 5.7 [4.1-7.9], OR = 35.1 [25.4-48.5], OR = 1.7 [1.4-2.1], respectively) and a professional obligation toward its implementation (OR = 1.9 [1.4-2.5], OR = 4.7 [3.6-6.0], OR = 1.2 [1.02-1.5], respectively).CONCLUSIONS:
The majority of students in our sample support the ACA. Support was highest among students who anticipate a medical specialty, self-identify as political moderates or liberals, and have an above-average knowledge score. Support of the ACA by future physicians suggests that they are willing to engage with health care reform measures that increase access to care.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Competencia Profesional
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Estudiantes de Medicina
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Actitud del Personal de Salud
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Patient Protection and Affordable Care Act
Tipo de estudio:
Observational_studies
/
Prevalence_studies
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Prognostic_studies
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Qualitative_research
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Risk_factors_studies
Límite:
Adult
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Female
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Humans
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Male
País/Región como asunto:
America do norte
Idioma:
En
Revista:
J Gen Intern Med
Asunto de la revista:
MEDICINA INTERNA
Año:
2015
Tipo del documento:
Article