向健康正义的培训:对美国初级保健住院计划中社区参与培训的审查
概括
社区参与的初级保健培训对于促进健康至关重要,但最佳实践尚不清楚. 一项系统性审查发现当前居民培训文献的质量和变化有限,突出了需要更严格的研究.
科学领域:
- 医学教育研究 医学教育研究
- 初级护理培训培训初级护理培训
- 社区对健康的参与
背景情况:
- 社区参与医学在促进健康方面是有效的.
- 在社区参与医学方面的医生培训缺乏关于最佳实践的共识.
- 在了解如何有效地培训医生进行社区参与的初级保健方面存在差距.
研究的目的:
- 在初级保健住院计划中系统审查有关社区参与活动的文献.
- 评估现有干预措施的质量.
- 确定该领域未来的研究需求.
主要方法:
- 在PubMed,MEDLINE和PsycINFO的系统文献综述.
- 包括英语文章,描述初级保健居民参与社区活动.
- 使用MERSQI评估研究质量,使用MEEQI评估社区参与活动质量.
主要成果:
- 审查了29篇文章 (10篇定量文章,10篇定性文章,9篇混合文章).
- 干预措施在设置,持续时间和目标方面各不相同,结果包括态度,知识,技能和职业选择的变化.
- 平均MERSQI得分为9.0;平均MEEQI得分为6.2,表明质量和可变性有限.
结论:
- 目前关于社区参与的初级保健居民培训的文献质量有限,变化很大.
- 需要更严格的评估方法.
- 未来的研究应该专注于确定有效的课程组件,以培训初级保健医生,特别是针对弱势群体.
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