Medical Students’ Views and Knowledge of the Affordable Care Act: A Survey of Eight U.S. Medical Schools

Tyler N A Winkelman, Lisa Soleymani Lehmann, Navjyot K. Vidwan, Meredith Niess, Cynthia S. Davey, Derek Donovan, Joseph Cofrancesco, Mia Mallory, Sandi Moutsios, Ryan M. Antiel, John Y. Song

Research output: Contribution to journalArticle

Abstract

BACKGROUND: It is not known whether medical students support the Affordable Care Act (ACA) or possess the knowledge or will to engage in its implementation as part of their professional obligations. OBJECTIVE: To characterize medical students’ views and knowledge of the ACA and to assess correlates of these views. DESIGN: Cross-sectional email survey. PARTICIPANTS: All 5,340 medical students enrolled at eight geographically diverse U.S. medical schools (overall response rate 52 % [2,761/5,340]). MAIN MEASURES: Level of agreement with four questions regarding views of the ACA and responses to nine knowledge-based questions. KEY RESULTS: The majority of respondents indicated an understanding of (75.3 %) and support for (62.8 %) the ACA and a professional obligation to assist with its implementation (56.1 %). The mean knowledge score from nine knowledge-based questions was 6.9 ± 1.3. Students anticipating a surgical specialty or procedural specialty compared to those anticipating a medical specialty were less likely to support the legislation (OR = 0.6 [0.4–0.7], OR = 0.4 [0.3–0.6], respectively), less likely to indicate a professional obligation to implement the ACA (OR = 0.7 [0.6–0.9], OR = 0.7 [0.5–0.96], respectively), and more likely to have negative expectations (OR = 1.9 [1.5–2.6], OR = 2.3 [1.6–3.5], respectively). Moderates, liberals, and those with an above-average knowledge score were more likely to indicate support for the ACA (OR = 5.7 [4.1–7.9], OR = 35.1 [25.4–48.5], OR = 1.7 [1.4–2.1], respectively) and a professional obligation toward its implementation (OR = 1.9 [1.4–2.5], OR = 4.7 [3.6–6.0], OR = 1.2 [1.02–1.5], respectively). CONCLUSIONS: The majority of students in our sample support the ACA. Support was highest among students who anticipate a medical specialty, self-identify as political moderates or liberals, and have an above-average knowledge score. Support of the ACA by future physicians suggests that they are willing to engage with health care reform measures that increase access to care.

Original languageEnglish (US)
Pages (from-to)1018-1024
Number of pages7
JournalJournal of General Internal Medicine
Volume30
Issue number7
DOIs
StatePublished - Mar 10 2015

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Patient Protection and Affordable Care Act
Medical Schools
Medical Students
Students
Medicine
Health Care Reform
Surveys and Questionnaires
Legislation
Cross-Sectional Studies
Physicians

Keywords

  • Affordable Care Act
  • Health care reform
  • Medical students
  • Survey

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Winkelman, T. N. A., Lehmann, L. S., Vidwan, N. K., Niess, M., Davey, C. S., Donovan, D., ... Song, J. Y. (2015). Medical Students’ Views and Knowledge of the Affordable Care Act: A Survey of Eight U.S. Medical Schools. Journal of General Internal Medicine, 30(7), 1018-1024. https://doi.org/10.1007/s11606-015-3267-9

Medical Students’ Views and Knowledge of the Affordable Care Act : A Survey of Eight U.S. Medical Schools. / Winkelman, Tyler N A; Lehmann, Lisa Soleymani; Vidwan, Navjyot K.; Niess, Meredith; Davey, Cynthia S.; Donovan, Derek; Cofrancesco, Joseph; Mallory, Mia; Moutsios, Sandi; Antiel, Ryan M.; Song, John Y.

In: Journal of General Internal Medicine, Vol. 30, No. 7, 10.03.2015, p. 1018-1024.

Research output: Contribution to journalArticle

Winkelman, TNA, Lehmann, LS, Vidwan, NK, Niess, M, Davey, CS, Donovan, D, Cofrancesco, J, Mallory, M, Moutsios, S, Antiel, RM & Song, JY 2015, 'Medical Students’ Views and Knowledge of the Affordable Care Act: A Survey of Eight U.S. Medical Schools', Journal of General Internal Medicine, vol. 30, no. 7, pp. 1018-1024. https://doi.org/10.1007/s11606-015-3267-9
Winkelman, Tyler N A ; Lehmann, Lisa Soleymani ; Vidwan, Navjyot K. ; Niess, Meredith ; Davey, Cynthia S. ; Donovan, Derek ; Cofrancesco, Joseph ; Mallory, Mia ; Moutsios, Sandi ; Antiel, Ryan M. ; Song, John Y. / Medical Students’ Views and Knowledge of the Affordable Care Act : A Survey of Eight U.S. Medical Schools. In: Journal of General Internal Medicine. 2015 ; Vol. 30, No. 7. pp. 1018-1024.
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abstract = "BACKGROUND: It is not known whether medical students support the Affordable Care Act (ACA) or possess the knowledge or will to engage in its implementation as part of their professional obligations. OBJECTIVE: To characterize medical students’ views and knowledge of the ACA and to assess correlates of these views. DESIGN: Cross-sectional email survey. PARTICIPANTS: All 5,340 medical students enrolled at eight geographically diverse U.S. medical schools (overall response rate 52 {\%} [2,761/5,340]). MAIN MEASURES: Level of agreement with four questions regarding views of the ACA and responses to nine knowledge-based questions. KEY RESULTS: The majority of respondents indicated an understanding of (75.3 {\%}) and support for (62.8 {\%}) the ACA and a professional obligation to assist with its implementation (56.1 {\%}). The mean knowledge score from nine knowledge-based questions was 6.9 ± 1.3. Students anticipating a surgical specialty or procedural specialty compared to those anticipating a medical specialty were less likely to support the legislation (OR = 0.6 [0.4–0.7], OR = 0.4 [0.3–0.6], respectively), less likely to indicate a professional obligation to implement the ACA (OR = 0.7 [0.6–0.9], OR = 0.7 [0.5–0.96], respectively), and more likely to have negative expectations (OR = 1.9 [1.5–2.6], OR = 2.3 [1.6–3.5], respectively). Moderates, liberals, and those with an above-average knowledge score were more likely to indicate support for the ACA (OR = 5.7 [4.1–7.9], OR = 35.1 [25.4–48.5], OR = 1.7 [1.4–2.1], respectively) and a professional obligation toward its implementation (OR = 1.9 [1.4–2.5], OR = 4.7 [3.6–6.0], OR = 1.2 [1.02–1.5], respectively). CONCLUSIONS: The majority of students in our sample support the ACA. Support was highest among students who anticipate a medical specialty, self-identify as political moderates or liberals, and have an above-average knowledge score. Support of the ACA by future physicians suggests that they are willing to engage with health care reform measures that increase access to care.",
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AU - Winkelman, Tyler N A

AU - Lehmann, Lisa Soleymani

AU - Vidwan, Navjyot K.

AU - Niess, Meredith

AU - Davey, Cynthia S.

AU - Donovan, Derek

AU - Cofrancesco, Joseph

AU - Mallory, Mia

AU - Moutsios, Sandi

AU - Antiel, Ryan M.

AU - Song, John Y.

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N2 - BACKGROUND: It is not known whether medical students support the Affordable Care Act (ACA) or possess the knowledge or will to engage in its implementation as part of their professional obligations. OBJECTIVE: To characterize medical students’ views and knowledge of the ACA and to assess correlates of these views. DESIGN: Cross-sectional email survey. PARTICIPANTS: All 5,340 medical students enrolled at eight geographically diverse U.S. medical schools (overall response rate 52 % [2,761/5,340]). MAIN MEASURES: Level of agreement with four questions regarding views of the ACA and responses to nine knowledge-based questions. KEY RESULTS: The majority of respondents indicated an understanding of (75.3 %) and support for (62.8 %) the ACA and a professional obligation to assist with its implementation (56.1 %). The mean knowledge score from nine knowledge-based questions was 6.9 ± 1.3. Students anticipating a surgical specialty or procedural specialty compared to those anticipating a medical specialty were less likely to support the legislation (OR = 0.6 [0.4–0.7], OR = 0.4 [0.3–0.6], respectively), less likely to indicate a professional obligation to implement the ACA (OR = 0.7 [0.6–0.9], OR = 0.7 [0.5–0.96], respectively), and more likely to have negative expectations (OR = 1.9 [1.5–2.6], OR = 2.3 [1.6–3.5], respectively). Moderates, liberals, and those with an above-average knowledge score were more likely to indicate support for the ACA (OR = 5.7 [4.1–7.9], OR = 35.1 [25.4–48.5], OR = 1.7 [1.4–2.1], respectively) and a professional obligation toward its implementation (OR = 1.9 [1.4–2.5], OR = 4.7 [3.6–6.0], OR = 1.2 [1.02–1.5], respectively). CONCLUSIONS: The majority of students in our sample support the ACA. Support was highest among students who anticipate a medical specialty, self-identify as political moderates or liberals, and have an above-average knowledge score. Support of the ACA by future physicians suggests that they are willing to engage with health care reform measures that increase access to care.

AB - BACKGROUND: It is not known whether medical students support the Affordable Care Act (ACA) or possess the knowledge or will to engage in its implementation as part of their professional obligations. OBJECTIVE: To characterize medical students’ views and knowledge of the ACA and to assess correlates of these views. DESIGN: Cross-sectional email survey. PARTICIPANTS: All 5,340 medical students enrolled at eight geographically diverse U.S. medical schools (overall response rate 52 % [2,761/5,340]). MAIN MEASURES: Level of agreement with four questions regarding views of the ACA and responses to nine knowledge-based questions. KEY RESULTS: The majority of respondents indicated an understanding of (75.3 %) and support for (62.8 %) the ACA and a professional obligation to assist with its implementation (56.1 %). The mean knowledge score from nine knowledge-based questions was 6.9 ± 1.3. Students anticipating a surgical specialty or procedural specialty compared to those anticipating a medical specialty were less likely to support the legislation (OR = 0.6 [0.4–0.7], OR = 0.4 [0.3–0.6], respectively), less likely to indicate a professional obligation to implement the ACA (OR = 0.7 [0.6–0.9], OR = 0.7 [0.5–0.96], respectively), and more likely to have negative expectations (OR = 1.9 [1.5–2.6], OR = 2.3 [1.6–3.5], respectively). Moderates, liberals, and those with an above-average knowledge score were more likely to indicate support for the ACA (OR = 5.7 [4.1–7.9], OR = 35.1 [25.4–48.5], OR = 1.7 [1.4–2.1], respectively) and a professional obligation toward its implementation (OR = 1.9 [1.4–2.5], OR = 4.7 [3.6–6.0], OR = 1.2 [1.02–1.5], respectively). CONCLUSIONS: The majority of students in our sample support the ACA. Support was highest among students who anticipate a medical specialty, self-identify as political moderates or liberals, and have an above-average knowledge score. Support of the ACA by future physicians suggests that they are willing to engage with health care reform measures that increase access to care.

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