Undocumented migration to developed countries poses practical concerns, as migrants are not medically insured. This cross-sectional study aims to appraise the attitudes of Israeli medical students towards the uninsured migrant population. Participants from five medical schools in Israel completed anonymous questionnaires in Hebrew, based on the “Medical Students’ Attitudes Toward the Underserved” (MSATU), which assessed students’ attitudes regarding the professional responsibility and societal expectations towards the migrants. It also evaluated students’ views of the migrants as eligible for expensive medical procedures. A total of 891 students completed the survey with a median age of 28 years. The majority were Jews (N = 816, 91.6%) and singles (N = 681, 68.5%). Participants in the pre-clinical years were likely to be female and unmarried compared to those in clinical training. They also demonstrated higher scores on professional responsibilities and societal expectations than students in clinical training, but no significant differences were found in their views on expensive medical services. Students of minorities (non-Jews and migrants) scored higher on professional responsibilities and societal expectations. The scores for professional responsibilities and societal expectations decreased as students progressed in their medical training (Spearman coefficient p = 0.04 and p = 0.01, respectively). This trend was more apparent in males rather than females. MSATU scores declined as students progressed through medical school, with females maintaining more favorable attitudes than males. Medical schools should attempt to maintain the enthusiasm and idealism that students possess as they enter medical training and provide clinical experience with migrant populations that allows for cross-cultural communication.

中文翻译：

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以色列医科学生对未投保移民的医疗态度

由于移民没有医疗保险，无证移民到发达国家引起了实际问题。这项横断面研究旨在评估以色列医学生对未投保移民人口的态度。以色列五所医学院校的参与者根据“医学生对服务欠佳者的态度”（MSATU），在希伯来语中完成了匿名调查问卷，该问卷评估了学生对移民的专业责任感和社会期望的态度。它还评估了学生对移民的看法，认为他们符合昂贵的医疗程序的条件。共有891名学生完成了调查，平均年龄为28岁。大多数是犹太人（N = 816，91.6％）和单身人士（N = 681，68.5％）。与临床培训相比，临床前年龄的参与者可能是女性且未婚。与临床培训的学生相比，他们在职业责任和社会期望方面的得分也更高，但是他们对昂贵的医疗服务的看法没有发现显着差异。少数民族（非犹太人和移民）的学生在职业责任和社会期望方面得分更高。随着学生在医学培训中的进步，职业责任感和社会期望值的得分下降（斯皮尔曼系数p = 0.04和p = 0.01）。这种趋势在男性而非女性中更为明显。随着学生进入医学院学习，MSATU分数下降，女性保持着比男性更高的态度。