ArticleBMJ open2020
How are social determinants of health represented in German medical education?: a qualitative content analysis of key-curricular documents.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
6 citing papers in PubMed.
- Learning about social suffering through illness narrative: possibilities and challenges.BMC medical education · 2025Article
- Drivers of success in global health outcomes: A content analysis of Exemplar studies.PLOS global public health · 2024Article
- What Factors Influence the Interest in Working in the Public Health Service in Germany? Part I of the OeGD-Studisurvey.International journal of environmental research and public health · 2022Article
- How to Increase the Attractiveness of the Public Health Service in Germany as a Prospective Employer? Part II of the OeGD-Studisurvey.International journal of environmental research and public health · 2022Article
- Support for global health and pandemic preparedness in medical education in Germany: Students as change agents.The International journal of health planning and management · 2021Article
- Integrating Social Determinants of Health in Medical Education: Shifting Future Physicians to Population Health-Centric Thinking and Practice.Journal of medical education and curricular developmentArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe WHO Commission on Social Determinants of Health (SDH) has called for a health workforce trained in recognising, understanding and acting on the SDH. However, little is known about how current medical education prepares graduates for this challenge. This study analyses the extent to which the German medical education incorporates content on SDH.
designFollowing a published protocol, in 2018, we conducted a qualitative and quantitative content analysis of three key document groups, defining and guiding what medical schools are expected to teach and what medical students are expected to know when graduating in Germany. We developed the coding system in a mixed inductive and deductive approach based on key WHO documents.
settingMedical schools and the medical education system in Germany.
resultsImportant gaps exist in the representation of SDH in medical education in Germany. Between 3% and 27% of the analysed document-elements made reference to SDH and only 0%-3% of those document elements made explicit references to SDH. While some aspects were covered widely (eg, topics of occupational health, early childhood development and hygiene), other topics such as health inequalities or determinants outside of the healthcare system were not or hardly represented.
conclusionsA stronger and more explicit representation of SDH in German medical education is needed to prepare the new health workforce for current and future challenges in our globalised world and for medical schools to be socially accountable.
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