費用 を 考慮 し て 高価 な 治療 を 提供 する よう 医師 を 訓練 する:体系 的 な 検討
Lorette A Stammen1, Renée E Stalmeijer1, Emma Paternotte2
1Department of Educational Development and Research, Faculty of Health, Medicine, and Life Sciences, Maastricht University, Maastricht, the Netherlands.
JAMA
|December 10, 2015
まとめ
医療従事者は知識の伝達,反省的な実践,そして支援的な環境を通じて高価値で費用を意識したケアを学びます. これらの3つの要因は 効果的な医療教育介入の開発に 鍵となるものです
科学分野:
- 医学教育
- 健康 経済
- 医療管理
背景:
- 医療費の上昇は システムの持続可能性に 挑戦しています
- 医療従事者は高価値で 費用を意識した医療提供の 訓練を必要としています
- 学習の文脈を理解することは 教育的介入の発展に不可欠です
研究 の 目的:
- 高価値で費用意識のあるケアを学ぶことを促進する状況を特定する.
- 医者のための効果的な教育介入の発展を促す.
- 費用意識のある医療における医師教育に影響を与える要因を分析する.
主な方法:
- PubMed,EMBASE,ERIC,およびコクランデータベースからの文献の体系的なレビュー.
- 介入メカニズムに焦点を当てた現実的なレビュー方法論
- 79件のテーマ分析には,再発パターンを特定するための研究が含まれています.
主要な成果:
- 3つの重要な要因が学習を促進します. 知識の伝達 (健康経済学,エビデンス,患者価値),反省的な実践 (フィードバック,意思決定に対する自己反省),そして支援的な環境 (ロールモデル,組織文化).
- 研究対象は 医療従事者,レジデント医師,医学部学生でした
- これらの要因を組み合わせた介入は,より高い効果を示した.
結論:
- 費用対効果の高い医療における 効果的な医師教育には 知識の伝達,反省的な実践,そして 支援的な環境の統合が必要です
- これらの統合された要因は,将来の医療教育プログラムの設計を導くべきです.
- 医療訓練におけるコスト意識は 医療の持続可能性に不可欠です
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