Incoming Medical Students' Political Orientation Affects Outcomes Related to Care of Marginalized Groups: Results from the Medical Student CHANGES Study
Incoming Medical Students' Political Orientation Affects Outcomes Related to Care of Marginalized Groups: Results from the Medical Student CHANGES Study
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DOI：
10.1215/03616878-7206755
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发表时间：
2019-02-01
影响因子：
4.2
通讯作者：
van Ryn, Michelle
中科院分区：
文献类型：
--
作者：
Burgess, Diana J.;Hardeman, Rachel R.;van Ryn, Michelle
本文描述了一年级医学生的政治意识形态的特点，并描述了他们的政治意识形态在多大程度上与他们的第四年评估的边缘化患者的护理相关的态度和信念。分析使用的数据来自在线问卷调查，3,756名医学生来自49所医学院的分层随机样本，他们在第一年和第四年的学习。政治意识形态的主要衡量标准是以“非常保守”和“非常自由”为基础的五分制。“混合效应线性回归被用来测试政治意识形态在第1年对第4年结果的预测能力。在即将入学的医学生中，47.7%的人认为自己是自由派，33.3%的人认为自己是温和派，19.0%的人认为自己是保守派。更保守的意识形态在第4年与对黑人和同性恋者更大的内隐偏见，对污名化群体更消极的外显态度，控制种族偏见的内部动机较低，对患者的特质同理心和同理心水平较低，以及以患者为中心的态度水平较低有关。未来的研究需要提供信息和制定干预措施，以改善对边缘化群体患者的护理，这些干预措施对医学生和医疗保健提供者都是有效的。
This article characterizes the political ideology of first-year medical students and describes the extent to which their political ideology was associated with attitudes and beliefs related to the care of marginalized patients assessed during their fourth year. Analyses use data from online questionnaires administered to 3,756 medical students from a stratified random sample of forty-nine medical schools in their first and fourth years of study. The primary measure of political ideology was a five-point scale anchored by "very conservative" and "very liberal." Mixed-effects linear regression was used to test the predictive power of political ideology at year 1 on year 4 outcomes. Among incoming medical students, 47.7% identified as liberal, 33.3% as moderate, and 19.0% as conservative. More conservative ideology was associated at year 4 with greater implicit bias against black and gay individuals, more negative explicit attitudes toward stigmatized groups, lower internal motivation to control racial prejudice, lower levels of trait empathy and empathy toward patients, and lower levels of patient-centered attitudes. Future research is needed to inform and develop interventions to improve care of patients from marginalized groups that are effective for medical students and health care providers across the political spectrum.