全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

Assessing and Comparing Global Health Competencies in Rehabilitation Students

DOI: 10.1155/2013/208187

Full-Text   Cite this paper   Add to My Lib

Abstract:

Purpose. Globalization is contributing to changes in health outcomes and healthcare use in many ways, including health professionals’ practices. The objective of this study was to assess and compare global health competencies in rehabilitation students. Method. Online cross-sectional survey of physiotherapy and occupational therapy students from five universities within Ontario. We used descriptive statistics to analyze students’ perceived knowledge, skills, and learning needs in global health. We used Chi-square tests, with significance set at , to compare results across professions. Results. One hundred and sixty-six students completed the survey. In general, both physiotherapy and occupational therapy students scored higher on the “relationship between work and health,” “relationship between income and health,” and “socioeconomic position (SEP) and impact on health” and lower on “Access to healthcare for low income nations,” “mechanisms for why racial and ethnic disparities exist,” and “racial stereotyping and medical decision making.” Occupational therapy students placed greater importance on learning concerning social determinants of health ( ). Conclusion. This paper highlights several opportunities for improvement in global health education for rehabilitation students. Educators and professionals should consider developing strategies to address these needs and provide more global health opportunities in rehabilitation training programs. 1. Introduction Globalization has become a key word in the 21st century and is defined here as “the ways in which nations, businesses, and people are becoming more connected and interdependent across national borders through increased economic integration, communication, cultural diffusion, and travel” [1]. Indeed, globalization has influenced health determinants and changed health outcomes [1]. The social determinants of health (SDH), including health services, are influenced by the distribution of money, power, and resources at global, national, and local levels [2–4]. In addition, natural disasters such as floods, earthquakes, and volcanic eruptions as well as complex emergencies including war, civil strife, and food shortages are now considered global problems which have a considerable impact on population health worldwide [5]. Evidence shows that such calamities have progressively increased the number of deaths, illnesses, and disabilities and, therefore, the economic costs of treatment and rehabilitation [5]. For instance, the earthquake that occurred in Haiti in 2010 resulted in extensive infrastructure

References

[1]  R. Labonte, T. Schrecker, and On behalf of the Globalization Knowledge Network, “Globalization and social determinants of health: analytic and strategic review paper,” March 2006, http://www.who.int/social_determinants/resources/globalization.pdf.
[2]  World Health Organization (WHO), A Conceptual Framework for Action on the Social Determinants of Health, WHO, Geneva, Switzerland, 2007.
[3]  M. Veras and L. M. F. de Souza, “Measurement and analysis to approach inequalities and build accountability on health policies in Brazil,” Sanare, vol. 10, no. 2, pp. 19–27, 2011.
[4]  M. M. T. E. Huynen, P. Martens, and H. B. M. Hilderink, “The health impacts of globalization: a conceptual framework,” Globalization and Health, vol. 1, article 14, 12 pages, 2005.
[5]  R. L. Skolnik, Essentials of Global Health, Jones & Bartlett, Sudbury, Mass, USA, 2008.
[6]  Pan American Health Organization, “Earthquake in Haiti: PAHO/WHO situation report on health activities post earthquake,” PAHO, Washington, DC, USA, May 2010, http://www.who.int/hac/crises/hti/en/.
[7]  M. D. Landry, C. S. Singh, L. Carnie, F. Stephenson, A. Hill, and C. Hill, “Spinal cord injury rehabilitation in post-earthquake Haiti: the critical role for non-governmental organisations,” Physiotherapy, vol. 96, no. 4, pp. 267–268, 2010.
[8]  A. H. Ramsey, C. Haq, C. L. Gjerde, and D. Rothenberg, “Career influence of an international health experience during medical school,” Family Medicine, vol. 36, no. 6, pp. 412–416, 2004.
[9]  University of Ottawa, School of Rehabilitation Sciences, “International Stream,” http://www.health.uottawa.ca/sr/international/intro.htm.
[10]  McMaster University, Faculty of Health Sciences, Global Health Office (GHO), http://fhs.mcmaster.ca/globalhealthoffice/.
[11]  International Centre for Disability and Rehabilitation, Report of the, “Meeting of the Minds” Research on International Clinical Education, http://www.internationalhealthinitiatives.com/uploads/5/5/8/6/5586696/ihi_-_icdr_meetings_of_the_minds.pdf.
[12]  N. Penny, R. Zulianello, M. Dreise, and M. Steenbeek, “Community-based rehabilitation and orthopaedic surgery for children with motor impairment in an African context,” Disability and Rehabilitation, vol. 29, no. 11-12, pp. 839–843, 2007.
[13]  World Confederation for Physical Therapy, Global Health, http://www.wcpt.org/health.
[14]  World Federation of Occupational Therapists (WFOT), “President's message,” http://www.wfot.org/aboutus/presidentsmessage.aspx.
[15]  M. Drainoni, E. Lee-Hood, C. Tobias, S. S. Bachman, J. Andrew, and L. Maisels, “Cross-disability experiences of barriers to health-care access: consumer perspectives,” Journal of Disability Policy Studies, vol. 17, no. 2, pp. 100–115, 2006.
[16]  M. L. Wieland, T. J. Beckman, S. S. Cha, T. J. Beebe, and F. S. McDonald, “Resident physicians' knowledge of underserved patients: a multi-institutional survey,” Mayo Clinic Proceedings, vol. 85, no. 8, pp. 728–733, 2010.
[17]  L. P. Augustincic, Global health competency skills: a self-assessment for medical students [MSc dissertation], University of Ottawa, 2011.
[18]  J. R. Frank, The CanMEDS, 2005 Physician Competency Framework. Better Standards. Better Physicians. Better Care, The Royal College of Physicians and Surgeons of Canada, Ottawa, Canada.
[19]  M. Veras, K. Pottie, V. Welch, et al., “Reliability and validity of a new survey to assess global health competencies of health professionals,” Global Journal of Health Science, vol. 5, no. 1, pp. 13–27, 2013.
[20]  M. Veras, K. Pottie, T. Ramsay, V. Welch, and P. Tugwell, “How do Ontario family medicine residents perform on global health competencies? A multi-insitutional survey,” Canadian Medical Education Journal, vol. 4, no. 2, 2013.
[21]  J. Frenk, L. Chen, Z. A. Bhutta et al., “Health professionals for a new century: transforming education to strengthen health systems in an interdependent world,” The Lancet, vol. 376, no. 9756, pp. 1923–1958, 2010.
[22]  E. D. S. Cockrell, Prenursing students' perceptions of the nursing profession [thesis], Louisiana State University and Agricultural and Mechanical College. Northwestern State University, 2002.
[23]  H. E. Peplau, “Nurse-doctor relationships,” Nursing Forum, vol. 5, no. 1, pp. 60–75, 1999.
[24]  Canadian Institute for Health Information (CIHI), “Physiotherapists in Canada Report,” 2009, http://www.cptbc.org/pdf/CIHIReport.PTinCanada.2009.pdf.
[25]  F. Knaul, J. Frenk, and A. M. Aguilar, “The gender composition of the medical profession in Mexico: implications for employment patterns and physician labor supply,” Journal of the American Medical Women's Association, vol. 55, no. 1, pp. 32–35, 2000.
[26]  G. Restall, L. Leclair, and M. Fricke, Integration of Occupational Therapy and Physiotherapy Services in Primary Health Care in Winnipeg, University of Manitoba, Winnipeg, Canada, 2005.
[27]  M. Doescher, K. Ellsbury, and L. Hart, “The distribution of rural female generalist physicians in the United States,” Abstract Book Association Health Services Research, vol. 15, no. 93, 1998.
[28]  World Health Organization (WHO), “Increasing access to health workers in remote and rural areas through improved retention. Global policy recomendations,” http://whqlibdoc.who.int/publications/2010/9789241564014_eng.pdf.
[29]  C. C. Jacobson, J. C. Nguyen, and A. B. Kimball, “Gender and parenting significantly affect work hours of recent dermatology program graduates,” Archives of Dermatology, vol. 140, no. 2, pp. 191–196, 2004.
[30]  K. Pottie, D. Spitizer, A. Mohammed, and R. Glazier, “Language proficiency, gender and self-reported health: an analysis of the first two waves of the longitudinal survey of immigrants to Canada,” Canadian Journal of Public Health, vol. 99, no. 6, pp. 505–510, 2008.
[31]  E. Ng, K. Pottie, and D. Spitzer, “Official language proficiency and self-reported health among immigrants to Canada. Statistics Canada, Catalogue no. 82-003-XPE,” Health Reports, vol. 22, no. 4, 2011.
[32]  S. Yeo, “Language barriers and access to care,” Annual review of nursing research, vol. 22, no. 1, pp. 59–73, 2004.
[33]  S. V. Subramanian and I. Kawachi, “Income inequality and health: what have we learned so far?” Epidemiologic Reviews, vol. 26, no. 1, pp. 78–91, 2004.
[34]  T. A. LaVeist and L. A. Lebrun, “Cross-country comparisons of racial/ethnic inequalities in health,” Journal of Epidemiology and Community Health, vol. 64, no. 1, article 7, 2010.
[35]  K. Pottie, Open access e-learning: Refugee and Global Health e-Learning Program, http://chec-cesc.afmc.ca/blog/open-access-e-learning-refugee-and-global-health-e-learning-program.
[36]  U.S. Department of Health and Human Services, Health Resources and Services Administration, and Bureau of Health Professions, “The Rationale for Diversity in the Health Professions: A Review of the Evidence,” October 2006, http://bhpr.hrsa.gov/healthworkforce/reports/diversityreviewevidence.pdf.

Full-Text

comments powered by Disqus

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133