Literature DB >> 32268812

Today's Students, Tomorrow's Physicians: Opinions on Enacted and Prospective Health Care Policies.

Jordan M Rook1, Jacob A Fox2, Alec M Feuerbach3, James R Blum3, Bruce L Henschen4, Antoinette R Oot4, Jacob B Pierce4, Cynthia S Davey5, Tyler N A Winkelman6.   

Abstract

Future physicians will be key stakeholders in the formation, implementation, and success of health care policies enacted during their careers, though little is known of their opinions of enacted and proposed policies since the 2016 U.S. presidential election. This study aimed to understand the opinions of medical students related to policies including, but not limited to, protections for people with pre-existing conditions, a public option on the private exchange, and single-payer health care. Online surveys were completed by 1,660 medical students at 7 U.S. medical schools between October 2017 and November 2017. The authors used multiple logistic regression to examine associations between student characteristics and support of policies. In total, 1,660 of 4,503 (36.9%) eligible medical students completed the survey. A majority of respondents identified 4 extant Affordable Care Act policies as important, including its protections for patients with pre-existing conditions (95.3%) and Medicaid expansion (77.8%). With respect to prospective reforms, 82.6% supported a public insurance option, and 70.5% supported a single-payer health care system. Only 2.2% supported reducing funding for Medicaid. Although views varied by sex, anticipated specialty, and political affiliation, medical students largely supported prospective policies that would expand insurance coverage and access to health care.

Entities:  

Keywords:  Affordable Care Act; health care reform; health policy; medical student; opinion; single-payer; survey

Year:  2020        PMID: 32268812      PMCID: PMC7748919          DOI: 10.1177/0020731420915657

Source DB:  PubMed          Journal:  Int J Health Serv        ISSN: 0020-7314            Impact factor:   1.663


  19 in total

1.  The political divide in health care: a liberal perspective.

Authors:  Thomas Bodenheimer
Journal:  Health Aff (Millwood)       Date:  2005 Nov-Dec       Impact factor: 6.301

2.  US Supreme Court's exoneration of the Affordable Care Act.

Authors:  Robert Steinbrook
Journal:  BMJ       Date:  2015-06-26

3.  Association Between the Liaison Committee on Medical Education's Diversity Standards and Changes in Percentage of Medical Student Sex, Race, and Ethnicity.

Authors:  Dowin H Boatright; Elizabeth A Samuels; Laura Cramer; Jeremiah Cross; Mayur Desai; Darin Latimore; Cary P Gross
Journal:  JAMA       Date:  2018-12-04       Impact factor: 56.272

4.  A View from the Front Line - Physicians' Perspectives on ACA Repeal.

Authors:  Craig Evan Pollack; Katrina Armstrong; David Grande
Journal:  N Engl J Med       Date:  2017-01-25       Impact factor: 91.245

5.  Medical students and the Affordable Care Act: uninformed and undecided.

Authors:  Tyler N A Winkelman; Ryan M Antiel; Cynthia S Davey; Jon C Tilburt; John Y Song
Journal:  Arch Intern Med       Date:  2012-11-12

Review 6.  United States Health Care Reform: Progress to Date and Next Steps.

Authors:  Barack Obama
Journal:  JAMA       Date:  2016-08-02       Impact factor: 56.272

7.  Public Opinion about the Future of the Affordable Care Act.

Authors:  Robert J Blendon; John M Benson
Journal:  N Engl J Med       Date:  2017-08-16       Impact factor: 91.245

8.  The political polarization of physicians in the United States: an analysis of campaign contributions to federal elections, 1991 through 2012.

Authors:  Adam Bonica; Howard Rosenthal; David J Rothman
Journal:  JAMA Intern Med       Date:  2014-08       Impact factor: 21.873

9.  Political self-characterization of U.S. medical students.

Authors:  Erica Frank; Jennifer Carrera; Shafik Dharamsi
Journal:  J Gen Intern Med       Date:  2007-04       Impact factor: 5.128

10.  The Health Policy Attitudes of American Medical Students: A Pilot Survey.

Authors:  Robert A Dugger; Abdulrahman M El-Sayed; Catherine Messina; Richard Bronson; Sandro Galea
Journal:  PLoS One       Date:  2015-10-16       Impact factor: 3.240

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