Medicina globale e medicina globalizzata. La formazione dei nuovi professionisti della salute.

Translated title of the contribution: [Autom. eng. transl.] Global medicine and globalized medicine. Training of new health professionals.

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

[Autom. eng. transl.] To start a path of true human development one must begin without fail from health. Health crosses different and decisive factors in all phases of existence: education, work, gender balance, distribution of wealth and access to resources, social protection, capacity for self-determination and quality of a democracy. Health requires the implementation of intersectoral policies and the verification of the degree of integration between sectors. Health is an indicator of the performance of other indicators, and fairness in health measures the quality and extent of citizenship ownership attributed to individuals in a society. But are medical schools able to train professionals capable of responding to the health needs of the people and communities they are going to serve? How do they respond to the challenges that the age of globalization and complexity poses? How do they deal with the issue of social responsibility? In 2010 the magazine "The Lancet" decided to establish a Commission with the aim of analyzing the state of training of health professionals in the world and to provide recommendations for the future. The initiative, entitled Education on health professionals for the 21st century: a global independent commission, involved twenty experts from all over the world: clamorous health inequalities were highlighted within countries and between countries, confirming the collective failure in evenly distribute extraordinary medical advances. We are also faced with the new challenges of globalization which include new infections, environmental and behavioral risks, together with the rapid demographic and epidemiological transition. Health systems all over the world struggle to keep up and become increasingly complex and expensive, requiring ever greater commitment from healthcare professionals. But the training of professionals, all over the world, seems to have underestimated all this: university educational programs still remain strongly anchored to a bio-medical and reductionist vision and do not embrace a systemic approach. Group work is not promoted, gender stratification is still unjustifiably maintained, focuses on technical problems without assessing the broader context, focusing on individual episodes and neglecting the continuity of care, hospital treatment is favored at the expense of primary care. In recent years the awareness of these limits has grown and there have been attempts to innovate curricula, which have however translated into marginal initiatives with respect to the central core of medical education. Faced with the successive reforms of the health system, it was not thought to reform not so much the medical faculty but its educational paradigms. Doing training in global health does not mean integrating university curricula with specific themes, but introducing a new way of thinking and acting health to generate real changes both in the community and in society as a whole. Curricular reforms have increased and decreased the number of exams, harmonized and standardized some parameters, not entering into the merit of the innovation of the approach, of the contents and of the training methodologies. Instead, it is mandatory to produce changes in physicians' attitudes towards health determinants, health care and the social system. In the training field, it is important to introduce students already in the early stages of their study career to the social determinants of health because this will help them improve the health of the company. Training on social health determinants should also be included tout court in clinical disciplines, where the discussion on the causes
Translated title of the contribution[Autom. eng. transl.] Global medicine and globalized medicine. Training of new health professionals.
Original languageItalian
Title of host publicationL’umanizzazione della Medicina globalizzata
EditorsSergio Morini, Sebastiano Filetti
Pages213-225
Number of pages13
Publication statusPublished - 2015

Publication series

NameCollana Nuovo Umanesimo

Keywords

  • Formazione
  • Medicina Globale
  • Salute Globale

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