在基于能力的医学教育 (CBME) 中重新定义专业精神以改善健康公平:一项定性研究
Linda Bakunda1, Rachel Crooks2, Nicole Johnson3
1Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.
MedEdPublish (2016)
|November 27, 2024
概括
这项研究重新定义了医疗专业主义,将公平应得的群体放在中心,并纳入了反压迫和反种族主义的原则. 新定义旨在解决医疗保健中的系统性不平等问题,以改善患者和专业经验.
科学领域:
- 医学教育 医学教育
- 健康 公平 卫生 公平
- 专业精神 研究 研究 专业精神
背景情况:
- 系统性损害和不平等不成比例地影响到医疗保健中应得到公平的群体.
- 目前对医疗专业的定义需要修订,以解决这些差异的根本原因.
- 基于能力的医学教育需要医生更新的专业能力.
研究的目的:
- 重新定义CanMEDS专业主义定义,将公平应得的群体的观点作为中心.
- 制定基于共识的医疗专业主义定义,包括反压迫原则.
- 通过修订专业能力,识别和消除医疗保健不平等的根本原因.
主要方法:
- 进行了两阶段的定性研究.
- 个别的半结构面试与来自配资值得的群体的参与者进行.
- 使用重点小组的修改名义小组技术促进了与社区成员和医疗保健提供者建立共识.
主要成果:
- 出现了四个主要主题:边缘化的医疗保健,以公平为导向的专业领域,结构性专业性和支持提高专业性.
- 这些主题为基于共识的定义提供了信息,强调反压迫,反种族主义,问责制,安全和公平.
- 这些发现强调了对医疗专业的更具包容性和公平的方法的需要.
结论:
- 建议对医疗专业的新定义,将反压迫和反种族主义作为基本能力.
- 这一修订后的定义对于临床实践和医学教育至关重要,以促进公平的医疗保健.
- 该研究为解决系统性伤害和促进医疗行业内的健康公平提供了一个框架.
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