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美国监狱和卫生方面的培训 学术卫生专业教育:一个范围审查
Marvin So1,2, Donte Fields3, Nneka Ajoku4
1University of Minnesota Medical School, Minneapolis, Minnesota, USA.
卫生专业对惩戒健康的教育是有限的,大多数研究只评估初步的学习者反应和知识,而不是行为变化或长期结果. 课程也显示了重要的内容差距.
科学领域:
- 医学教育 医学教育
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
背景情况:
- 大规模监禁导致严重的健康不平等.
- 医疗保健提供者对惩戒健康的知识有限.
- 医疗保健专业人员在惩戒卫生方面的教育计划需要改进.
研究的目的:
- 进行对美国学术卫生专业教育计划关于惩戒健康的范围审查.
- 识别监狱卫生教育中的差距.
- 为了指导未来的课程改进.
主要方法:
- 对同行评审研究 (1975-2021) 的范围审查.
- 研究编码为特征,学习者结果 (Kirkpatrick模型),并与专业立场陈述保持一致.
- 对校正卫生课程中内容差距的分析.
主要成果:
- 综述中包括了27篇文章.
- 学习者结果主要衡量"反应" (93%) 和"学习" (52%),对"行为" (11%) 或"长期结果" (0%) 的评估很少.
- 在普遍情况,伦理/法律考虑和医疗保健系统管理方面发现了重大内容缺口.
结论:
- 目前的惩戒卫生教育计划存在重大差距.
- 现有的评估侧重于较低的学习水平,忽视行为和长期影响.
- 解决劳动力培训问题至关重要,但不足以实现被监禁人口的健康公平.
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