语境面试:一个跨界的患者采访方法,用于社会背景
Amber Cahill1, Matthew Martin2, Bridget Beachy3
1Department of Family Medicine and Community Health, University of Massachusetts Chan Medical School, Worcester, MA, USA.
Medical education online
|February 6, 2024
概括
医学教育需要提高患者采访技巧,以解决健康的社会决定因素. 新的上下文采访 (CI) 方法有助于临床医生了解患者.
科学领域:
- 医学教育 医学教育
- 健康 公平 卫生 公平
- 患者采访 患者采访
背景情况:
- 医疗教育中的当前患者采访方法不足以捕捉动态的生物心理社会模型.
- 传统的社会历史研究并没有完全解决影响健康不平等和健康的社会决定因素的不断变化的因素.
- 需要实时重新评估患者的社会背景,以了解医疗支持的获取.
研究的目的:
- 介绍"上下文采访" (CI),一种新的患者采访方法.
- 评估患者上下文数据在医学教育里程碑中的整合.
- 突出需要加强培训,在患者采访期间引出社会背景.
主要方法:
- 质量审查的认证委员会研究生医学教育里程碑的初级保健专业.
- 基于患者上下文数据的确认,评估,综合和应用的里程碑编码.
- 对里程碑反映实时患者上下文理解程度的分析.
主要成果:
- 大约20%的经过审查的里程碑符合反映面向患者的上下文数据的标准.
- 该审查强调了当前医疗培训中关于社会背景诱导的差距.
- 语境面试 (CI) 是一种实用,半结构化的方法来收集社会背景.
结论:
- 语境面试 (CI) 提供了一种有意识的方法,以提高临床医生对患者社会背景的理解.
- 显然需要在患者采访方面进行更有意义的培训,以纳入健康的社会决定因素.
- 未来的研究应该探索适应版本的CI为本科和研究生医学教育.
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