目的:确定巴生谷公立大学临床年医学生对健康技术评估(HTA)的认知水平及其预测因素,马来西亚。
方法:对巴生谷四所公立大学的临床年医学生进行了分层随机抽样的横断面研究,马来西亚。使用自我管理的在线问卷收集了有关HTA意识水平及其相关因素的数据。描述性的,双变量,使用IBMSPSS版本27进行多变量分析,以确定HTA及其预测因子的认知水平。
结果:大多数(69%)的参与者对HTA的认识水平较低。对HTA的高水平认识的预测因素是对HTA的态度(调整后的优势比(AOR)=7.417,95%置信区间(CI):3.491,15.758),HTA上的同伴交互(AOR=0.320,95%CI:0.115,0.888),和以前的HTA培训(AOR=4.849,95%CI:1.096,21.444)。
结论:公立大学的大多数未来医生对HTA的认识都很低。这项研究强调了对HTA的态度之间的相互作用,同伴互动,和以前的培训作为HTA意识的有影响力的预测因子。建议采取综合全面的教育方法,以培养积极的态度并利用同伴互动的积极方面,同时减轻误解的潜在负面影响。通过结构化计划强调早期接触HTA概念对于增强下一代医疗保健专业人员的能力至关重要。使他们能够驾驭HTA的复杂性,并为马来西亚及其他地区的循证医疗保健实践做出贡献。
OBJECTIVE: To determine the level of awareness of health technology assessment (HTA) and its predictors among clinical year medical students in public universities in Klang Valley, Malaysia.
METHODS: A cross-sectional study using the stratified random sampling method was conducted among clinical year medical students in four public universities in Klang Valley, Malaysia. Data on the level of awareness of HTA and its associated factors were collected using a self-administered online questionnaire. Descriptive, bivariate, and multivariate analyses were performed using IBM SPSS version 27 to determine the level of awareness of HTA and its predictors.
RESULTS: Majority (69 percent) of participants had a low level of awareness of HTA. The predictors of high-level awareness of HTA were attitude toward HTA (adjusted odds ratio (AOR) = 7.417, 95 percent confidence interval (CI): 3.491, 15.758), peer interaction on HTA (AOR = 0.320, 95 percent CI: 0.115, 0.888), and previous training on HTA (AOR = 4.849, 95 percent CI: 1.096, 21.444).
CONCLUSIONS: Most future doctors in public universities exhibit a low awareness of HTA. This study highlights the interplay between attitudes toward HTA, peer interaction, and previous training as influential predictors of HTA awareness. An integrated and comprehensive educational approach is recommended to cultivate a positive attitude and harness the positive aspects of peer interaction while mitigating the potential negative impact of misconceptions. Emphasizing early exposure to HTA concepts through structured programs is crucial for empowering the upcoming generation of healthcare professionals, enabling them to navigate HTA complexities and contribute to evidence-based healthcare practices in Malaysia and beyond.