与服务用户合作,选择致力于健康平等和社会正义的精神病学居民
Sacha Agrawal1, Gina Nicoll2, Rachel H Carr3
1S. Agrawal is assistant professor, Department of Psychiatry, University of Toronto, and psychiatrist, Centre for Addiction and Mental Health, Toronto, Ontario, Canada; ORCID: https://orcid.org/0000-0002-2007-7289 .
学术精神病学正在改善居民选择,以促进健康公平. 与服务用户的合作重塑了招生过程,优先考虑社会正义和多样化的经验,以实现在精神卫生保健中更公平的未来.
科学领域:
- 医学教育 医学教育
- 精神病学是一个精神病学.
- 健康 公平 卫生 公平
背景情况:
- 学术精神病学有历史的边缘化个人的心理健康状况.
- 医学教育开始纳入结构能力和文化安全等概念.
- 公平的医疗服务提供需要仔细考虑医疗人员的多样性和价值观.
研究的目的:
- 描述一般成人精神病学中修订后的住院选拔流程的实施.
- 让有过心理健康和/或物质使用问题的个人 (服务用户) 参与居民选择.
- 培养新入住精神病医疗人员对健康平等和社会正义的承诺.
主要方法:
- 在多伦多大学 (2016-2021) 的服务用户和教师之间的合作.
- 自2019年以来,由服务用户共同领导的工作组反复改进了选择过程.
- 修订个人信件和面试日写提示和评估标题,以关注社会正义和宣传.
- 服务用户直接参与与教师和居民一起审查候选人申请.
主要成果:
- 修订后的选择过程成功地整合了服务用户的观点.
- 编写提示和标签被重新设计,以强调健康平等和社会正义.
- 服务用户积极参与评价候选人,表现出有意义的参与.
结论:
- 有意义的服务用户参与可以有效地重塑医学教育选择过程.
- 优先考虑服务用户需求需要长期的机构承诺和权力共享.
- 加强服务用户参与对于推进精神病学中的健康公平至关重要.
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