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Journal of Community Health

, Volume 19, Issue 4, pp 253–269 | Cite as

Health care reform as perceived by first year medical students

  • Michael S. Wilkes
  • Samuel A. Skootsky
  • Carol S. Hodgson
  • Stuart Slavin
  • LuAnn Wilkerson
Articles

Abstract

Our study objective was to evaluate the attitudes of first year medical students toward the health care system using a self administered questionnaire to all first year medical students at the medical schools in the University of California system. Of 631 students surveyed, 94% comleted the instrument. Students were asked about their attitudes toward and familiarity with concepts in health services, access to care, and managed care. Our findings indicated that most students were unfamiliar with concepts related to health services. Students were concerned about access to care; sixty-six percent of students favor a national health insurance plan. A majority of students supported allowing patients access to the current health care system regardless of the cost or utility of a medical test or procedure. Thirty-nine percent felt that rationing health care in any form (transplants, access to the intensive care unit, etc.) is contrary to the way medicine should be practiced. 72% felt that practicing physicians had a major responsibility to help reduce health care costs. When asked about specific changes intended to control health costs, students identified reform of medical malpractice system (63%) and increased spending on preventive health (60%) as the two proposals most likely to be effective. Students generally held negative attitudes toward managed care organizations; only 10% would chose to receive their care in HMOs. We conclude that first year medical students generally have little understanding of the health care system. Despite this, they hold strong opinions about access to care, managed care organizations and strategies intended to reduce health care spending. It is up to medical educators to find creative methods of introducing these content areas into an already bulging curriculum.

Keywords

Medical Student Health Care System National Health Insurance Preventive Health Health Care Reform 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    The 1993 Marion Merrell Dow Managed Care Digest. Kansas City, Marion Merrell Dow, Inc.; 1993.Google Scholar
  2. 2.
    Iglehart JK. The American health care system: managed care.N Engl J Med 327:742–747, 1992.PubMedGoogle Scholar
  3. 3.
    Povar G, Moreno J. Hippocrates and the Health Maintenance Organization: A Discussion of Ethical Issues.Annals of Int. Medicine 109:419–424, 1988.Google Scholar
  4. 4.
    Harvey LK.Physician Opinion on Health Care Issues, Chicago: American Medical Association, May 1992.Google Scholar
  5. 5.
    Muthen BO. Liscomp. Mooresville, IN:Scientific software. 1987.Google Scholar
  6. 6.
    Newhouse JP, Manning WG, Morris CN, Orr LL et. al. Some interim results of a controlled trial of cost sharing in health insurance.N Engl J Med 305:1501–1507, 1981.PubMedGoogle Scholar
  7. 7.
    Harvey L.Physician Opinion on Health Care Issues, Chicago: American Medical Association, May 1987.Google Scholar

Copyright information

© Human Sciences Press, Inc 1994

Authors and Affiliations

  • Michael S. Wilkes
    • 1
  • Samuel A. Skootsky
    • 1
  • Carol S. Hodgson
    • 1
  • Stuart Slavin
    • 1
  • LuAnn Wilkerson
    • 1
  1. 1.the University of California at Los AngelesLos AngelesUSA

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