一个研究生医学导向干预专注于当地卫生不平等
Emily Caldarelli1, Jennifer J Hess2, Eleanor Weaver3
1is a Doctoral Candidate, Peabody College of Vanderbilt University, and Director of GME Accreditation, Temple University Hospital.
Journal of graduate medical education
|August 28, 2023
概括
这项研究开发并实施了医疗住院人员的健康公平课程,表明它是可行的和可接受的. 该计划改善了居民对健康的社会驱动因素的知识,技能,行为和态度.
科学领域:
- 医学教育 医学教育
- 健康 公平 卫生 公平
- 健康的社会决定因素
背景情况:
- 了解健康的社会驱动因素对于高质量的患者护理至关重要.
- 许多医疗住院定向缺乏关于健康,不平等和社区特定护理的社会决定因素的内容.
- 解决这些差距对于培养有能力,有社会意识的医生至关重要.
研究的目的:
- 开发和实施一个新的,以患者为中心的医疗住院医疗平等导向课程.
- 评估这个新课程的可行性和可接受性.
- 评估与居民在健康公平方面的知识,技能,行为和态度 (KSBA) 相关的初步自我报告结果.
主要方法:
- 由教师和社区卫生公平冠军共同开发的课程.
- 内容侧重于不平等和种族主义的当地历史,利用教学,视频和虚拟现场参观.
- 在范德比尔特大学医疗中心对270名入住住者进行了半天的治疗,并进行了匿名的前后调查.
主要成果:
- 调查前的响应率为80% (N=216);调查后的响应率为51.1% (N=138).
- 与健康公平相关的居民自我报告的KSBA在调查前和调查后的显著改善.
- 在与当地历史和特定人口健康问题有关的KSBA中观察到的最大改善.
结论:
- 卫生公平导向课程是可行的,可接受的入门医疗居民.
- 该课程有效地改善了居民关于健康公平问题的自我报告的KSBA.
- 这种新的方法提高了居民的准备,以解决健康的社会驱动因素,并减少健康差异.
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