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Health advocacy
Maria Hubinette1, Sarah Dobson2, Ian Scott3
1a Department of Family Practice, University of British Columbia , Canada.
Medical Teacher
|November 22, 2016
Summary
Health advocacy in medicine addresses social determinants of health and health inequities. A new framework clarifies physician roles and guides teaching and assessment for improved health equity.
Area of Science:
- Medical Education
- Public Health
- Health Equity
Background:
- Health advocacy encompasses ensuring access to care, addressing health inequities, and influencing policy.
- Social determinants of health and health inequities are foundational concepts, significantly impacting health outcomes.
- Operationalizing health advocacy within medicine and medical education faces challenges regarding scope and assessment.
Purpose of the Study:
- To introduce a novel framework for health advocacy in medicine.
- To define advocacy types, map activities, and establish shared language.
- To provide a tool for assessing learners and evaluating educational programs.
Main Methods:
- Literature review of current health advocacy instruction and assessment.
- Development of a new conceptual framework for health advocacy.
- Analysis of existing curricular interventions and educational practices.
Main Results:
- Current approaches to health advocacy education are varied and lack standardized assessment.
- The proposed framework delineates advocacy types and activities.
- The framework aims to facilitate communication, collaboration, and evaluation in medical education.
Conclusions:
- A structured framework is needed to guide health advocacy instruction, assessment, and evaluation in medicine.
- Addressing social determinants of health and health inequities requires clear definitions and actionable strategies.
- Further research and implementation are necessary to integrate health advocacy effectively into medical training.
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