通过全球卫生住院培训计划,增加对欠缺服务的社区的照顾.
Claire Zeigler1,2, Zachary G Jacobs3, Sara U Schwanke Khilji4,5
1Associate Professor of Medicine, Division of Hospital Medicine, Director for Global Health, Oregon Health & Science University, School of Medicine, Portland, OR, USA.
全球卫生培训计划显著提高了居民对服务不足的人口的知识和准备. 这种教育可能有助于解决这些关键领域的医生短缺问题.
科学领域:
- 医学教育 医学教育
- 全球健康 全球健康
- 健康 公平 卫生 公平
背景情况:
- 全球卫生教育对于解决健康差距至关重要.
- 服务不足地区的医生短缺需要增加培训接触.
- 全球卫生学者计划 (GHSP) 是为了满足这些需求而开发的.
研究的目的:
- 评估GHSP对居民感知的准备能力的影响.
- 评估该计划对居民服务于服务不足的人口的意图的影响.
主要方法:
- 对GHSP干预的观察混合方法评估.
- 纵向培训涵盖了伦理学,健康公平,结构性决定因素,种族主义,殖民主义和基于系统的实践.
- 选修轮换包括当地服务不足的诊所,部落/IHS站点和博茨瓦纳;使用了16项调查和定性分析.
主要成果:
- 在前COVID队列中,在培训后感知知识的显著增加被观察到.
- 在COVID队列中的居民的基线得分更高.
- 定性数据证实GHSP具有变革性;69.7%的现有实习生表示有中度至非常高的意图在服务不足的环境中实践,而40.9%的毕业生在这样的环境中实践.
结论:
- GHSP提供变革性的教育体验,增强居民的全球健康知识.
- 该计划显示了减轻医生劳动力短缺在服务不足的地区的潜力.
- 该干预措施对居民的准备和意图在服务不足的环境中进行实践产生了积极的影响.
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