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{"title"=>"The health policy attitudes of American medical students: A pilot survey", "type"=>"journal", "authors"=>[{"first_name"=>"Robert A.", "last_name"=>"Dugger", "scopus_author_id"=>"55842954200"}, {"first_name"=>"Abdulrahman M.", "last_name"=>"El-Sayed", "scopus_author_id"=>"25631958000"}, {"first_name"=>"Catherine", "last_name"=>"Messina", "scopus_author_id"=>"57197668828"}, {"first_name"=>"Richard", "last_name"=>"Bronson", "scopus_author_id"=>"55842396900"}, {"first_name"=>"Sandro", "last_name"=>"Galea", "scopus_author_id"=>"7006024584"}], "year"=>2015, "source"=>"PLoS ONE", "identifiers"=>{"scopus"=>"2-s2.0-84949498475", "sgr"=>"84949498475", "doi"=>"10.1371/journal.pone.0140656", "pui"=>"607132722", "pmid"=>"26473599", "issn"=>"19326203"}, "id"=>"d3f08cde-5523-3889-a9ec-4de9eaccf8ac", "abstract"=>"BACKGROUND: Relatively little is known about American medical student's attitudes toward caring for the uninsured, limiting physician reimbursement and the role of cost-effectiveness data in medical decision-making. We assessed American medical student's attitudes regarding these topics as well as demographic predictors of those attitudes, and compared them to practicing physicians. METHODS AND FINDINGS: A survey instrument was explicitly designed to compare medical student attitudes with those previously reported by physicians. Between December 1st 2010 and March 27th 2011 survey responses were collected from more than 2% of the total estimated 2010-2011 US medical student population enrolled at 111 of 159 accredited US medical schools within the 50 United States (n = 2414 of possible 98197). Medical students were more likely to object to reimbursement cuts, and more likely to object to the use of cost effectiveness data in medical decision making than current physicians according to the literature. Specialty preference, political persuasion, and medical student debt were significant predictors of health policy attitudes. Medical students with anticipated debt in excess of $200,000 were significantly less willing to favor limiting reimbursement to improve patient access (OR: 0.73 [95% confidence interval (CI): 0.59-0.89]), and significantly more likely to object to using cost effectiveness data to limit treatments (OR 1.30, 95% CI 1.05-1.60) when compared to respondents with anticipated debt less than $200,000. CONCLUSIONS: When compared to physicians in the literature, future physicians may be less willing to favor cuts to physician reimbursements and may be more likely to object to the use of cost effectiveness data. Political orientation, specialty preference and anticipated debt may be important predictors of health policy attitudes among medical students. Early career medical providers with primary care ambitions and those who anticipate less debt may be more likely to support healthcare cost containment.", "link"=>"http://www.mendeley.com/research/health-policy-attitudes-american-medical-students-pilot-survey-1", "reader_count"=>8, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Student > Doctoral Student"=>1, "Researcher"=>1, "Student > Ph. D. Student"=>1, "Student > Master"=>1, "Other"=>1, "Student > Bachelor"=>2}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Student > Doctoral Student"=>1, "Researcher"=>1, "Student > Ph. D. Student"=>1, "Student > Master"=>1, "Other"=>1, "Student > Bachelor"=>2}, "reader_count_by_subject_area"=>{"Unspecified"=>1, "Nursing and Health Professions"=>1, "Medicine and Dentistry"=>5, "Business, Management and Accounting"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>5}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Unspecified"=>{"Unspecified"=>1}}, "group_count"=>1}

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• http://doi.org/10.1186/s12909-018-1388-7
• http://doi.org/10.1177/0020731420915657
• http://doi.org/10.1097/ACM.0000000000001917
• http://doi.org/10.1097/ACM.0000000000002621

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• {"id"=>"655568015174471680", "text"=>"The Health Policy Attitudes of American Medical Students: A Pilot Survey http://t.co/FrJ72y0v7w", "created_at"=>"2015-10-18T02:16:09Z", "user"=>"chanceforpeat", "user_name"=>"Peat Paul", "user_profile_image"=>"http://pbs.twimg.com/profile_images/603253749432201216/Xa279ai1_normal.jpg"}
• {"id"=>"655715493936955393", "text"=>"The Health Policy Attitudes of American Medical Students: A Pilot Survey http://t.co/y2LrawoK5z", "created_at"=>"2015-10-18T12:02:11Z", "user"=>"AlexSDinanga", "user_name"=>"Alexis Songe Dinanga", "user_profile_image"=>"http://pbs.twimg.com/profile_images/623136107333570560/Wf4C3sSI_normal.jpg"}

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• {"files"=>["https://ndownloader.figshare.com/files/2364029", "https://ndownloader.figshare.com/files/2364030", "https://ndownloader.figshare.com/files/2364031", "https://ndownloader.figshare.com/files/2364032"], "description"=>"<div><p>Background</p><p>Relatively little is known about American medical student’s attitudes toward caring for the uninsured, limiting physician reimbursement and the role of cost-effectiveness data in medical decision-making. We assessed American medical student’s attitudes regarding these topics as well as demographic predictors of those attitudes, and compared them to practicing physicians.</p><p>Methods and Findings</p><p>A survey instrument was explicitly designed to compare medical student attitudes with those previously reported by physicians. Between December 1st 2010 and March 27th 2011 survey responses were collected from more than 2% of the total estimated 2010–2011 US medical student population enrolled at 111 of 159 accredited US medical schools within the 50 United States (n = 2414 of possible 98197). Medical students were more likely to object to reimbursement cuts, and more likely to object to the use of cost effectiveness data in medical decision making than current physicians according to the literature. Specialty preference, political persuasion, and medical student debt were significant predictors of health policy attitudes. Medical students with anticipated debt in excess of $200,000 were significantly less willing to favor limiting reimbursement to improve patient access (OR: 0.73 [95% confidence interval (CI): 0.59–0.89]), and significantly more likely to object to using cost effectiveness data to limit treatments (OR 1.30, 95% CI 1.05–1.60) when compared to respondents with anticipated debt less than $200,000.</p><p>Conclusions</p><p>When compared to physicians in the literature, future physicians may be less willing to favor cuts to physician reimbursements and may be more likely to object to the use of cost effectiveness data. Political orientation, specialty preference and anticipated debt may be important predictors of health policy attitudes among medical students. Early career medical providers with primary care ambitions and those who anticipate less debt may be more likely to support healthcare cost containment.</p></div>", "links"=>[], "tags"=>["cost effectiveness data", "Pilot Survey BackgroundRelatively", "American Medical Students", "50 United States", "FindingsA survey instrument", "December 1 st 2010", "support healthcare cost containment", "health policy attitudes", "predictor", "ci", "specialty preference", "2011 survey responses", "object", "student", "reimbursement"], "article_id"=>1578797, "categories"=>["Uncategorised"], "users"=>["Robert A. Dugger", "Abdulrahman M. El-Sayed", "Catherine Messina", "Richard Bronson", "Sandro Galea"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0140656.s001", "https://dx.doi.org/10.1371/journal.pone.0140656.s002", "https://dx.doi.org/10.1371/journal.pone.0140656.s003", "https://dx.doi.org/10.1371/journal.pone.0140656.s004"], "stats"=>{"downloads"=>0, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_The_Health_Policy_Attitudes_of_American_Medical_Students_A_Pilot_Survey_/1578797", "title"=>"The Health Policy Attitudes of American Medical Students: A Pilot Survey", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2015-10-16 04:30:32"}
• {"files"=>["https://ndownloader.figshare.com/files/2364027"], "description"=>"<p>*Data compiled from American Association of Medical Colleges and the American Association of Colleges of Osteopathic Medicine records of 2010–2011 total student enrollment. Percentages may not total 100 due to rounding. Self-Described Race and or Ethnicity accepted more than one answer for respondents and population MD students whereas data for DO students collapsed multiple races/ethnicities into the other category. Student population data includes levels other than 1st-4th year. Population data includes schools in Puerto Rico whereas the sample does not. MD student level population derived from the matriculating student questionnaire which also includes non-US accredited matriculation and also has augmented enrollment totals. Values rounded to one decimal place and therefore may not add up to 100.</p><p>Combined allopathic and osteopathic medical student demographics and outcome responses, 2010–2011.</p>", "links"=>[], "tags"=>["cost effectiveness data", "Pilot Survey BackgroundRelatively", "American Medical Students", "50 United States", "FindingsA survey instrument", "December 1 st 2010", "support healthcare cost containment", "health policy attitudes", "predictor", "ci", "specialty preference", "2011 survey responses", "object", "student", "reimbursement"], "article_id"=>1578795, "categories"=>["Uncategorised"], "users"=>["Robert A. Dugger", "Abdulrahman M. El-Sayed", "Catherine Messina", "Richard Bronson", "Sandro Galea"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0140656.t001", "stats"=>{"downloads"=>1, "page_views"=>16, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Combined_allopathic_and_osteopathic_medical_student_demographics_and_outcome_responses_2010_8211_2011_/1578795", "title"=>"Combined allopathic and osteopathic medical student demographics and outcome responses, 2010–2011.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-10-16 04:30:32"}

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• {"unique-ip"=>"7", "full-text"=>"9", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"4"}
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• {"unique-ip"=>"5", "full-text"=>"5", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"7"}
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• {"unique-ip"=>"5", "full-text"=>"3", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"9"}
• {"unique-ip"=>"5", "full-text"=>"5", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"10"}
• {"unique-ip"=>"4", "full-text"=>"8", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"11"}
• {"unique-ip"=>"6", "full-text"=>"5", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2017", "month"=>"12"}
• {"unique-ip"=>"7", "full-text"=>"9", "pdf"=>"3", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"3"}
• {"unique-ip"=>"6", "full-text"=>"7", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"2", "cited-by"=>"0", "year"=>"2019", "month"=>"1"}
• {"unique-ip"=>"5", "full-text"=>"10", "pdf"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2018", "month"=>"11"}
• {"unique-ip"=>"4", "full-text"=>"4", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"4"}
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• {"unique-ip"=>"6", "full-text"=>"5", "pdf"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"6", "cited-by"=>"0", "year"=>"2018", "month"=>"7"}
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• {"unique-ip"=>"5", "full-text"=>"5", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"2"}
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• {"unique-ip"=>"5", "full-text"=>"5", "pdf"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"10"}
• {"unique-ip"=>"7", "full-text"=>"6", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2019", "month"=>"12"}
• {"unique-ip"=>"4", "full-text"=>"4", "pdf"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"2"}
• {"unique-ip"=>"6", "full-text"=>"5", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2020", "month"=>"3"}
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• {"unique-ip"=>"5", "full-text"=>"5", "pdf"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"8"}
• {"unique-ip"=>"1", "full-text"=>"1", "pdf"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"9"}
• {"unique-ip"=>"7", "full-text"=>"7", "pdf"=>"2", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"1", "cited-by"=>"0", "year"=>"2020", "month"=>"10"}
• {"unique-ip"=>"5", "full-text"=>"2", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"11"}

Relative Metric

{"start_date"=>"2015-01-01T00:00:00Z", "end_date"=>"2015-12-31T00:00:00Z", "subject_areas"=>[]}

F1000Prime