Can a family medicine rotation improve medical students' knowledge, skills and attitude towards primary care in Vietnam? A pre-test-post-test comparison and qualitative survey.
Identifieur interne : 000281 ( Main/Exploration ); précédent : 000280; suivant : 000282Can a family medicine rotation improve medical students' knowledge, skills and attitude towards primary care in Vietnam? A pre-test-post-test comparison and qualitative survey.
Auteurs : Thuy T N. Thai [Viêt Nam] ; Tam T. Pham [Viêt Nam] ; Kien T. Nguyen [Viêt Nam] ; Phuong M. Nguyen [Viêt Nam] ; Anselme Derese [Belgique]Source :
- Tropical medicine & international health : TM & IH [ 1365-3156 ] ; 2020.
Descripteurs français
- KwdFr :
- Attitude du personnel soignant (MeSH), Connaissances, attitudes et pratiques en santé (MeSH), Enquêtes et questionnaires (MeSH), Femelle (MeSH), Humains (MeSH), Jeune adulte (MeSH), Mâle (MeSH), Médecine de famille (enseignement et éducation), Soins de santé primaires (MeSH), Vietnam (MeSH), Étudiant médecine (psychologie).
- MESH :
- enseignement et éducation : Médecine de famille.
- psychologie : Étudiant médecine.
- Attitude du personnel soignant, Connaissances, attitudes et pratiques en santé, Enquêtes et questionnaires, Femelle, Humains, Jeune adulte, Mâle, Soins de santé primaires, Vietnam.
English descriptors
- KwdEn :
- MESH :
- geographic : Vietnam.
- education : Family Practice.
- psychology : Students, Medical.
- Attitude of Health Personnel, Female, Health Knowledge, Attitudes, Practice, Humans, Male, Primary Health Care, Surveys and Questionnaires, Young Adult.
Abstract
OBJECTIVES
Well-designed studies on the impact of a family medicine rotation on medical students are rare, and very few studies include a qualitative component. This study aimed to determine the improvement of medical students' knowledge, communication skills and attitude towards primary care and explore their perceptions after rotations, in comparison with a control group.
METHODS
We used a mixed-methods design, comprising a pre-test-post-test comparison between a sample of trained students who took family medicine rotations and a control group and a qualitative survey. The measurement of improvement included (i) multiple choice question testing, (ii) objective structured checklist examinations, (iii) self-reporting and (iv) interviews and focus group discussions. Data were collected from August 2017 to June 2018.
RESULTS
There were 696 students in the trained group and 617 controls. The two groups' baseline scores in knowledge, communication skills and attitude were not significantly different. Knowledge covering five domains of family medicine (Pearson's r from 0.6 to 0.9) improved significantly, as did attitudes towards primary care in the trained group. There were no differences in communication and counselling skills between the two groups for four situations, but for two-health check-ups and mental health care-skills were significantly improved (Pearson's r from 0.28 to 0.43). The qualitative survey showed highly positive feedback from trained students.
CONCLUSIONS
The family medicine rotation significantly improved students' knowledge and attitude towards primary care and some communication skills. Further studies should investigate students' interest in and career choice for this discipline.
OBJECTIFS
Des études bien conçues sur l'impact d'une rotation de la médecine familiale sur les étudiants en médecine sont rares et très peu d'études comprennent une composante qualitative. Cette étude visait à mesurer l'amélioration des connaissances, des compétences en communication et de l'attitude des étudiants en médecine à l'égard des soins primaires, et à explorer leurs perceptions après les rotations, en comparaison avec un groupe témoin. MÉTHODES: Nous avons utilisé un concept de méthodes mixtes, comprenant une comparaison pre-test et post-test entre un échantillon d'étudiants formés qui ont effectué des rotations de la médecine familiale et un groupe témoins, et une enquête qualitative. La mesure de l'amélioration comprenait (1) des tests de questions à choix multiples, (2) des examens objectifs structurés de listes, (3) des rapports personnels et (4) des entretiens et des discussions focalisées de groupes. Les données ont été collectées d'août 2017 à juin 2018. RÉSULTATS: Il y avait 696 élèves dans le groupe formé et 617 témoins. Les scores de référence des deux groupes en termes de connaissances, de communication et d'attitude n'étaient pas significativement différents. Les connaissances couvrant cinq domaines de la médecine familiale se sont considérablement améliorées (r de Pearson de 0,6 à 0,9), tout comme l'attitude à l’égard des soins primaires dans le groupe formé. Il n'y avait pas de différence dans les compétences de communication et de conseil entre les deux groupes pour quatre situations, mais pour deux (bilan de santé et soins de santé mentale) les compétences ont été significativement améliorées (r de Pearson de 0. 28 à 0. 43). L'enquête qualitative a montré une rétroaction très positive des étudiants formés.
CONCLUSIONS
La rotation de la médecine familiale a amélioré de manière significative la connaissance et l’attitude des étudiants à l'égard des soins primaires et certaines compétences de communications. Des études ultérieures devraient examiner l'intérêt des étudiants et le choix de carrière pour cette discipline.
DOI: 10.1111/tmi.13326
PubMed: 31674702
Affiliations:
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A pre-test-post-test comparison and qualitative survey.</title><author><name sortKey="Thai, Thuy T N" sort="Thai, Thuy T N" uniqKey="Thai T" first="Thuy T N" last="Thai">Thuy T N. Thai</name><affiliation wicri:level="1"><nlm:affiliation>Department of Family Medicine, Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Department of Family Medicine, Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho</wicri:regionArea><wicri:noRegion>Can Tho</wicri:noRegion></affiliation></author><author><name sortKey="Pham, Tam T" sort="Pham, Tam T" uniqKey="Pham T" first="Tam T" last="Pham">Tam T. Pham</name><affiliation wicri:level="1"><nlm:affiliation>Faculty of Public Health, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Faculty of Public Health, Can Tho University of Medicine and Pharmacy, Can Tho</wicri:regionArea><wicri:noRegion>Can Tho</wicri:noRegion></affiliation></author><author><name sortKey="Nguyen, Kien T" sort="Nguyen, Kien T" uniqKey="Nguyen K" first="Kien T" last="Nguyen">Kien T. Nguyen</name><affiliation wicri:level="1"><nlm:affiliation>Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho</wicri:regionArea><wicri:noRegion>Can Tho</wicri:noRegion></affiliation></author><author><name sortKey="Nguyen, Phuong M" sort="Nguyen, Phuong M" uniqKey="Nguyen P" first="Phuong M" last="Nguyen">Phuong M. Nguyen</name><affiliation wicri:level="1"><nlm:affiliation>Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho</wicri:regionArea><wicri:noRegion>Can Tho</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Skills Training Unit, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam.</nlm:affiliation><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>Skills Training Unit, Can Tho University of Medicine and Pharmacy, Can Tho</wicri:regionArea><wicri:noRegion>Can Tho</wicri:noRegion></affiliation></author><author><name sortKey="Derese, Anselme" sort="Derese, Anselme" uniqKey="Derese A" first="Anselme" last="Derese">Anselme Derese</name><affiliation wicri:level="4"><nlm:affiliation>Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Public Health and Primary Care, Ghent University, Ghent</wicri:regionArea><orgName type="university">Université de Gand</orgName><placeName><settlement type="city">Gand</settlement><region>Région flamande</region><region type="district" nuts="2">Province de Flandre-Orientale</region></placeName></affiliation></author></analytic><series><title level="j">Tropical medicine & international health : TM & IH</title><idno type="eISSN">1365-3156</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Attitude of Health Personnel (MeSH)</term><term>Family Practice (education)</term><term>Female (MeSH)</term><term>Health Knowledge, Attitudes, Practice (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Primary Health Care (MeSH)</term><term>Students, Medical (psychology)</term><term>Surveys and Questionnaires (MeSH)</term><term>Vietnam (MeSH)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Attitude du personnel soignant (MeSH)</term><term>Connaissances, attitudes et pratiques en santé (MeSH)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Mâle (MeSH)</term><term>Médecine de famille (enseignement et éducation)</term><term>Soins de santé primaires (MeSH)</term><term>Vietnam (MeSH)</term><term>Étudiant médecine (psychologie)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Vietnam</term></keywords><keywords scheme="MESH" qualifier="education" xml:lang="en"><term>Family Practice</term></keywords><keywords scheme="MESH" qualifier="enseignement et éducation" xml:lang="fr"><term>Médecine de famille</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Étudiant médecine</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Students, Medical</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Attitude of Health Personnel</term><term>Female</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Male</term><term>Primary Health Care</term><term>Surveys and Questionnaires</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Attitude du personnel soignant</term><term>Connaissances, attitudes et pratiques en santé</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Soins de santé primaires</term><term>Vietnam</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>Well-designed studies on the impact of a family medicine rotation on medical students are rare, and very few studies include a qualitative component. This study aimed to determine the improvement of medical students' knowledge, communication skills and attitude towards primary care and explore their perceptions after rotations, in comparison with a control group.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>We used a mixed-methods design, comprising a pre-test-post-test comparison between a sample of trained students who took family medicine rotations and a control group and a qualitative survey. The measurement of improvement included (i) multiple choice question testing, (ii) objective structured checklist examinations, (iii) self-reporting and (iv) interviews and focus group discussions. Data were collected from August 2017 to June 2018.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>There were 696 students in the trained group and 617 controls. The two groups' baseline scores in knowledge, communication skills and attitude were not significantly different. Knowledge covering five domains of family medicine (Pearson's r from 0.6 to 0.9) improved significantly, as did attitudes towards primary care in the trained group. There were no differences in communication and counselling skills between the two groups for four situations, but for two-health check-ups and mental health care-skills were significantly improved (Pearson's r from 0.28 to 0.43). The qualitative survey showed highly positive feedback from trained students.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>The family medicine rotation significantly improved students' knowledge and attitude towards primary care and some communication skills. Further studies should investigate students' interest in and career choice for this discipline.</p></div><div type="abstract" xml:lang="fr"><p><b>OBJECTIFS</b></p><p>Des études bien conçues sur l'impact d'une rotation de la médecine familiale sur les étudiants en médecine sont rares et très peu d'études comprennent une composante qualitative. Cette étude visait à mesurer l'amélioration des connaissances, des compétences en communication et de l'attitude des étudiants en médecine à l'égard des soins primaires, et à explorer leurs perceptions après les rotations, en comparaison avec un groupe témoin. MÉTHODES: Nous avons utilisé un concept de méthodes mixtes, comprenant une comparaison pre-test et post-test entre un échantillon d'étudiants formés qui ont effectué des rotations de la médecine familiale et un groupe témoins, et une enquête qualitative. La mesure de l'amélioration comprenait (1) des tests de questions à choix multiples, (2) des examens objectifs structurés de listes, (3) des rapports personnels et (4) des entretiens et des discussions focalisées de groupes. Les données ont été collectées d'août 2017 à juin 2018. RÉSULTATS: Il y avait 696 élèves dans le groupe formé et 617 témoins. Les scores de référence des deux groupes en termes de connaissances, de communication et d'attitude n'étaient pas significativement différents. Les connaissances couvrant cinq domaines de la médecine familiale se sont considérablement améliorées (r de Pearson de 0,6 à 0,9), tout comme l'attitude à l’égard des soins primaires dans le groupe formé. Il n'y avait pas de différence dans les compétences de communication et de conseil entre les deux groupes pour quatre situations, mais pour deux (bilan de santé et soins de santé mentale) les compétences ont été significativement améliorées (r de Pearson de 0. 28 à 0. 43). L'enquête qualitative a montré une rétroaction très positive des étudiants formés.</p></div><div type="abstract" xml:lang="fr"><p><b>CONCLUSIONS</b></p><p>La rotation de la médecine familiale a amélioré de manière significative la connaissance et l’attitude des étudiants à l'égard des soins primaires et certaines compétences de communications. Des études ultérieures devraient examiner l'intérêt des étudiants et le choix de carrière pour cette discipline.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">31674702</PMID><DateCompleted><Year>2020</Year><Month>10</Month><Day>02</Day></DateCompleted><DateRevised><Year>2020</Year><Month>10</Month><Day>02</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1365-3156</ISSN><JournalIssue CitedMedium="Internet"><Volume>25</Volume><Issue>2</Issue><PubDate><Year>2020</Year><Month>02</Month></PubDate></JournalIssue><Title>Tropical medicine & international health : TM & IH</Title><ISOAbbreviation>Trop Med Int Health</ISOAbbreviation></Journal><ArticleTitle>Can a family medicine rotation improve medical students' knowledge, skills and attitude towards primary care in Vietnam? A pre-test-post-test comparison and qualitative survey.</ArticleTitle><Pagination><MedlinePgn>264-275</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/tmi.13326</ELocationID><Abstract><AbstractText Label="OBJECTIVES">Well-designed studies on the impact of a family medicine rotation on medical students are rare, and very few studies include a qualitative component. This study aimed to determine the improvement of medical students' knowledge, communication skills and attitude towards primary care and explore their perceptions after rotations, in comparison with a control group.</AbstractText><AbstractText Label="METHODS">We used a mixed-methods design, comprising a pre-test-post-test comparison between a sample of trained students who took family medicine rotations and a control group and a qualitative survey. The measurement of improvement included (i) multiple choice question testing, (ii) objective structured checklist examinations, (iii) self-reporting and (iv) interviews and focus group discussions. Data were collected from August 2017 to June 2018.</AbstractText><AbstractText Label="RESULTS">There were 696 students in the trained group and 617 controls. The two groups' baseline scores in knowledge, communication skills and attitude were not significantly different. Knowledge covering five domains of family medicine (Pearson's r from 0.6 to 0.9) improved significantly, as did attitudes towards primary care in the trained group. There were no differences in communication and counselling skills between the two groups for four situations, but for two-health check-ups and mental health care-skills were significantly improved (Pearson's r from 0.28 to 0.43). The qualitative survey showed highly positive feedback from trained students.</AbstractText><AbstractText Label="CONCLUSIONS">The family medicine rotation significantly improved students' knowledge and attitude towards primary care and some communication skills. Further studies should investigate students' interest in and career choice for this discipline.</AbstractText><CopyrightInformation>© 2019 John Wiley & Sons Ltd.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Thai</LastName><ForeName>Thuy T N</ForeName><Initials>TTN</Initials><AffiliationInfo><Affiliation>Department of Family Medicine, Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pham</LastName><ForeName>Tam T</ForeName><Initials>TT</Initials><AffiliationInfo><Affiliation>Faculty of Public Health, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nguyen</LastName><ForeName>Kien T</ForeName><Initials>KT</Initials><AffiliationInfo><Affiliation>Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nguyen</LastName><ForeName>Phuong M</ForeName><Initials>PM</Initials><AffiliationInfo><Affiliation>Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Skills Training Unit, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Derese</LastName><ForeName>Anselme</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>11</Month><Day>13</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Trop Med Int Health</MedlineTA><NlmUniqueID>9610576</NlmUniqueID><ISSNLinking>1360-2276</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001291" MajorTopicYN="Y">Attitude of Health Personnel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005194" MajorTopicYN="N">Family Practice</DescriptorName><QualifierName UI="Q000193" MajorTopicYN="Y">education</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007722" MajorTopicYN="Y">Health Knowledge, Attitudes, Practice</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011320" MajorTopicYN="Y">Primary Health Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013337" MajorTopicYN="N">Students, Medical</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014744" MajorTopicYN="N" Type="Geographic">Vietnam</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><OtherAbstract Type="Publisher" Language="fre"><AbstractText Label="OBJECTIFS">Des études bien conçues sur l'impact d'une rotation de la médecine familiale sur les étudiants en médecine sont rares et très peu d'études comprennent une composante qualitative. Cette étude visait à mesurer l'amélioration des connaissances, des compétences en communication et de l'attitude des étudiants en médecine à l'égard des soins primaires, et à explorer leurs perceptions après les rotations, en comparaison avec un groupe témoin. MÉTHODES: Nous avons utilisé un concept de méthodes mixtes, comprenant une comparaison pre-test et post-test entre un échantillon d'étudiants formés qui ont effectué des rotations de la médecine familiale et un groupe témoins, et une enquête qualitative. La mesure de l'amélioration comprenait (1) des tests de questions à choix multiples, (2) des examens objectifs structurés de listes, (3) des rapports personnels et (4) des entretiens et des discussions focalisées de groupes. Les données ont été collectées d'août 2017 à juin 2018. RÉSULTATS: Il y avait 696 élèves dans le groupe formé et 617 témoins. Les scores de référence des deux groupes en termes de connaissances, de communication et d'attitude n'étaient pas significativement différents. Les connaissances couvrant cinq domaines de la médecine familiale se sont considérablement améliorées (r de Pearson de 0,6 à 0,9), tout comme l'attitude à l’égard des soins primaires dans le groupe formé. Il n'y avait pas de différence dans les compétences de communication et de conseil entre les deux groupes pour quatre situations, mais pour deux (bilan de santé et soins de santé mentale) les compétences ont été significativement améliorées (r de Pearson de 0. 28 à 0. 43). L'enquête qualitative a montré une rétroaction très positive des étudiants formés.</AbstractText><AbstractText Label="CONCLUSIONS">La rotation de la médecine familiale a amélioré de manière significative la connaissance et l’attitude des étudiants à l'égard des soins primaires et certaines compétences de communications. Des études ultérieures devraient examiner l'intérêt des étudiants et le choix de carrière pour cette discipline.</AbstractText></OtherAbstract><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Vietnam</Keyword><Keyword MajorTopicYN="Y">attitude</Keyword><Keyword MajorTopicYN="Y">comparaison pré-test et post-test</Keyword><Keyword MajorTopicYN="Y">compétences</Keyword><Keyword MajorTopicYN="Y">connaissances</Keyword><Keyword MajorTopicYN="Y">enquête qualitative</Keyword><Keyword MajorTopicYN="Y">family medicine rotation</Keyword><Keyword MajorTopicYN="Y">knowledge</Keyword><Keyword MajorTopicYN="Y">pre-test and post-test comparison</Keyword><Keyword MajorTopicYN="Y">primary care</Keyword><Keyword MajorTopicYN="Y">qualitative survey</Keyword><Keyword MajorTopicYN="Y">rotation de la médecine familiale</Keyword><Keyword MajorTopicYN="Y">skill</Keyword><Keyword MajorTopicYN="Y">soins primaires</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>11</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>10</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>11</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">31674702</ArticleId><ArticleId IdType="doi">10.1111/tmi.13326</ArticleId></ArticleIdList><ReferenceList><Title>References</Title><Reference><Citation>Starfield B, Shi L, Macinko J. 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Nguyen</name><name sortKey="Nguyen, Phuong M" sort="Nguyen, Phuong M" uniqKey="Nguyen P" first="Phuong M" last="Nguyen">Phuong M. Nguyen</name><name sortKey="Pham, Tam T" sort="Pham, Tam T" uniqKey="Pham T" first="Tam T" last="Pham">Tam T. Pham</name></country><country name="Belgique"><region name="Région flamande"><name sortKey="Derese, Anselme" sort="Derese, Anselme" uniqKey="Derese A" first="Anselme" last="Derese">Anselme Derese</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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