Career choices and global health engagement: 24-year follow-up of U.S. participants in the Indiana University-Moi University elective.
Healthc (Amst)
; 3(4): 185-9, 2015 Dec.
Article
em En
| MEDLINE
| ID: mdl-26699341
ABSTRACT
BACKGROUND:
Global health experiences evoke a profound awareness of cultural differences, inspire learners to prioritize professional values, and provide a lens for addressing global health care challenges. This study compares the long-term career and practice choices of participants in a 2-month Indiana University-Moi University, Kenya elective from 1989-2013 with those of a control group.METHODS:
Global health elective (GHE) participants and a random sample of alumni without GHE experience were surveyed on their clinical practice, public health and global health activities.RESULTS:
Responses from 176 former participants were compared with a control group of 177 alumni. GHE participants were more likely than similar controls to provide care to underserved U.S. populations (p=0.037), spend time in global health, public health, and public policy activities (p=0.005) and be involved in global health advocacy (p=0.001). Using multivariable analysis, GHE participants were more likely to be generalists (p<0.05), report that healthcare costs influenced medical decision-making (p<0.05), and provide healthcare outside the U.S. for ≥1 week/year (p<0.001).CONCLUSIONS:
Many years out of training, GHE participants were more likely to be generalists working with underserved populations, to be cost-conscious in their healthcare decision-making, and to be involved in global health, public health or public policy. IMPLICATIONS With the primary care provider shortage and need for greater awareness among providers of healthcare costs, our study shows that that global health experiences may yield broader benefits to the U.S. medical system.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Escolha da Profissão
/
Saúde Global
Tipo de estudo:
Prognostic_studies
Limite:
Humans
País/Região como assunto:
Africa
/
America do norte
Idioma:
En
Revista:
Healthc (Amst)
Ano de publicação:
2015
Tipo de documento:
Article