呼吁采取行动:一项教师调查,为学生运营诊所的未来努力提供信息
Nina Piazza1, Alyssa Bruehlman2
1University of Rochester Department of Family Medicine, Rochester, NY.
PRiMER (Leawood, Kan.)
|February 26, 2024
概括
学生经营的诊所 (SRC) 在组织和服务方面各不相同,主要为无保险和非英语患者提供服务. 这些重要诊所的患者经验和结果需要进一步研究,以建立最佳实践.
科学领域:
- 医学教育 医学教育
- 公共卫生 公共卫生
- 医疗保健提供 医疗保健提供
背景情况:
- 现有的关于学生经营诊所 (SRC) 的研究主要考察学生的观点,忽视了关键的患者经验.
- 需要了解SRC的国家格局,包括其操作规范和患者人口统计数据.
研究的目的:
- 收集全国各地学生经营诊所的组织,患者人口统计和护理服务的初步数据.
- 确定SRC运营当前的做法和潜在的改进领域.
主要方法:
- 一项试点研究调查了来自美国各地学生经营诊所的教师领导.
- 一个38个问题的调查被电子分发给学生运行免费诊所教师协会 (SRFCFA) 的成员.
主要成果:
- 大多数SRC每周在不同地点运作,利用电子医疗记录,每年学生领导轮换.
- 诊所主要为无保险和非英语人口提供服务,在护理的一致性和随访方面有不同的结果.
- 大多数教师领导人并不认为学习者体验优先于患者护理.
结论:
- 全国范围内的SRC的设计和运行高度可变,缺乏标准化.
- 对患者经验和结果的有限理解阻碍了SRC最佳实践的发展.
- 未来的研究必须优先收集患者的观点和结果,特别是考虑到SRC服务的弱势群体.
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