Structural Determinants of Health-Related Quality of Life in Internal Medicine Residents: An Ethnographic Study.

IF 1.8 Q2 EDUCATION, SCIENTIFIC DISCIPLINES
Advances in Medical Education and Practice Pub Date : 2025-06-07 eCollection Date: 2025-01-01 DOI:10.2147/AMEP.S520818
Luis Felipe Higuita-Gutiérrez, Jaiberth Antonio Cardona-Arias
{"title":"Structural Determinants of Health-Related Quality of Life in Internal Medicine Residents: An Ethnographic Study.","authors":"Luis Felipe Higuita-Gutiérrez, Jaiberth Antonio Cardona-Arias","doi":"10.2147/AMEP.S520818","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>There is limited qualitative evidence in the global medical literature regarding the quality of life of medical residents.</p><p><strong>Objective: </strong>To understand the meanings of health-related quality of life (HRQoL) among internal medicine residents in Medellín, Colombia, in 2024.</p><p><strong>Methods: </strong>An ethnographic study was conducted with 12 internal medicine residents selected through theoretical sampling. In-depth interviews, participant observation, and field diaries were employed. The hermeneutic analysis was based on coding, categorization, conceptual sorting, and semantic relationships. Methodological rigor was ensured through reflexivity, triangulation, credibility, and auditability.</p><p><strong>Results: </strong>The concept of HRQoL encompasses both physical and mental health aspects, as well as the structural elements of the training process that emerged as determinants of HRQoL. These factors were grouped into three categories: meanings of HRQoL among residents which includes subcategories such as family life, leisure, income, and recognition; individual, institutional, and healthcare system determinants affecting HRQoL, and the impacts of residency associated with lifestyle changes, including poor sleep quality, high consumption of energy drinks, smoking, poor nutrition, sedentary behavior, and worsened physical and mental health.</p><p><strong>Conclusion: </strong>The HRQoL of medical residents is negatively affected by healthcare system structures, such as limited residency positions, faculty profiles, high tuition, and low compensation. These stressors lead to unhealthy coping strategies, including poor sleep, diet, and limitation of social interactions, risking residents' health and compromising patient care quality. It is recommended that regulatory and institutional changes be made to improve the HRQoL for this population.</p>","PeriodicalId":47404,"journal":{"name":"Advances in Medical Education and Practice","volume":"16 ","pages":"1007-1018"},"PeriodicalIF":1.8000,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12154526/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Advances in Medical Education and Practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2147/AMEP.S520818","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"EDUCATION, SCIENTIFIC DISCIPLINES","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction: There is limited qualitative evidence in the global medical literature regarding the quality of life of medical residents.

Objective: To understand the meanings of health-related quality of life (HRQoL) among internal medicine residents in Medellín, Colombia, in 2024.

Methods: An ethnographic study was conducted with 12 internal medicine residents selected through theoretical sampling. In-depth interviews, participant observation, and field diaries were employed. The hermeneutic analysis was based on coding, categorization, conceptual sorting, and semantic relationships. Methodological rigor was ensured through reflexivity, triangulation, credibility, and auditability.

Results: The concept of HRQoL encompasses both physical and mental health aspects, as well as the structural elements of the training process that emerged as determinants of HRQoL. These factors were grouped into three categories: meanings of HRQoL among residents which includes subcategories such as family life, leisure, income, and recognition; individual, institutional, and healthcare system determinants affecting HRQoL, and the impacts of residency associated with lifestyle changes, including poor sleep quality, high consumption of energy drinks, smoking, poor nutrition, sedentary behavior, and worsened physical and mental health.

Conclusion: The HRQoL of medical residents is negatively affected by healthcare system structures, such as limited residency positions, faculty profiles, high tuition, and low compensation. These stressors lead to unhealthy coping strategies, including poor sleep, diet, and limitation of social interactions, risking residents' health and compromising patient care quality. It is recommended that regulatory and institutional changes be made to improve the HRQoL for this population.

内科居民健康相关生活质量的结构性决定因素:一项民族志研究。
导言:在全球医学文献中,关于住院医生生活质量的定性证据有限。目的:了解2024年哥伦比亚Medellín住院医师健康相关生活质量(HRQoL)的意义。方法:采用理论抽样法对12名内科住院医师进行民族志研究。采用深度访谈、参与观察和实地日记。解释学分析基于编码、分类、概念排序和语义关系。方法的严谨性通过反身性、三角测量、可信度和可审计性得到保证。结果:HRQoL的概念包括身体和心理健康两个方面,以及作为HRQoL决定因素的培训过程的结构要素。这些因素分为三类:居民对生活质量的意义,包括家庭生活、休闲、收入和认可等子类别;影响HRQoL的个人、机构和医疗保健系统决定因素,以及与生活方式改变相关的居住影响,包括睡眠质量差、高能量饮料消费、吸烟、营养不良、久坐行为和身心健康恶化。结论:住院医师的HRQoL受到医疗体制结构的负面影响,如有限的住院医师职位、师资队伍、高学费和低薪酬。这些压力源导致不健康的应对策略,包括睡眠不良、饮食不良和社会互动限制,危及居民的健康并损害患者的护理质量。建议进行监管和制度改革,以改善这一人群的HRQoL。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Advances in Medical Education and Practice
Advances in Medical Education and Practice EDUCATION, SCIENTIFIC DISCIPLINES-
CiteScore
3.10
自引率
10.00%
发文量
189
审稿时长
16 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信