患者对医生能力的看法:对CanMEDS框架的验证
Ahmad A El Lakis1, Ahmad El Issawi2, Jana Al Tahan3
1Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
PLOS global public health
|December 30, 2025
概括
患者对医疗能力的看法至关重要. 这项研究验证了CanMEDS在黎巴嫩的作用,发现社会经济因素和位置影响患者对医生技能优先考虑.
科学领域:
- 医学教育研究 医学教育研究
- 健康 专业 教育 卫生 专业 教育
- 以患者为中心的护理
背景情况:
- 像CanMEDS这样的能力框架对于医疗培训和问责制至关重要.
- 现有的验证往往忽视了患者的识别和对这些框架的优先考虑.
- 了解患者的观点是将医学教育与社会期望保持一致的关键.
研究的目的:
- 在黎巴嫩,从患者的角度验证七个CanMEDS角色.
- 检查社会人口统计学因素如何调节患者认可和优先考虑CanMEDS角色.
- 通过结合患者获得的见解,为基于能力的医学教育提供信息.
主要方法:
- 在403名黎巴嫩成年人中进行了一项横截面在线调查.
- 一个103项工具评估了CanMEDS角色的认可和强制排名.
- 心理测量评估包括探索性和确认性因子分析,可靠性由克伦巴赫的α和麦当劳的 ω评估.
主要成果:
- 探索性和确认性分析支持了CanMEDS角色的七个因素结构,具有很好的适应性和高的内部一致性.
- 社会人口统计学因素显著影响了角色认可和优先级:男性认可医疗专家不如女性;更高的收入与医疗专家认可相关;低教育预测专业,领导和奖学金的优先级较低.
结论:
- 患者的观点可以验证和完善医疗能力框架,如CanMEDS.
- 社会人口统计学因素,包括收入,教育和位置,塑造了患者对医生角色的优先考虑.
- 将来自患者的信号整合到医学教育中,可以增强社会问责制和社区协调.
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