Dworkin J
Department of Health Social Work, University of Illinois, Chicago 60612.
Public Health Rep. 1992 Nov-Dec;107(6):668-74.
Traditionally, health education for practicing health professionals, as well as members of the public, focuses on the individual and relies on changing personal behavior. However, health care for persons with acquired immunodeficiency syndrome (AIDS), and members of their families, mainly is delivered within health and human services organizations. Providing AIDS education for health care professionals in an organizational or systems context shifts the focus from the individual to the group and from changing a person's behavior to offering health care professionals opportunities for interaction. In an organizational or systems approach, they can address patient care issues collectively, share interdisciplinary knowledge, identify problems of common concern, plan coordinated and integrated responses, and provide mutual support. A strategy for planning AIDS education is proposed for key administrators, supervisors, and care providers, who are the gatekeepers, opinion makers, and role models of organizations. Addressing organizational, community, and health care delivery system issues as part of an education program provides a forum for defining problems and a basis for uniting professionals and developing solutions.
传统上,针对执业卫生专业人员以及公众的健康教育侧重于个人,并依赖于改变个人行为。然而,为获得性免疫缺陷综合征(艾滋病)患者及其家庭成员提供的医疗保健主要是在卫生和公共服务组织内进行的。在组织或系统背景下为卫生保健专业人员提供艾滋病教育,将重点从个人转移到群体,从改变个人行为转变为为卫生保健专业人员提供互动机会。采用组织或系统方法,他们可以共同解决患者护理问题,分享跨学科知识,识别共同关心的问题,规划协调一致和综合的应对措施,并提供相互支持。本文为关键管理人员、主管和护理人员提出了一项艾滋病教育规划策略,他们是组织的把关人、舆论制造者和榜样。将组织、社区和医疗保健提供系统问题作为教育计划的一部分来处理,为界定问题提供了一个论坛,也是团结专业人员并制定解决方案的基础。