Zwarenstein Merrick, Reeves Scott, Perrier Laure
Institute for Clinical & Evaluative Sciences and Knowledge Translation Program, Continuing Education and Department of Health Policy, Management and Evaluation, at the Faculty of Medicine, University of Toronto, Canada.
J Interprof Care. 2005 May;19 Suppl 1:148-65. doi: 10.1080/13561820500082800.
In this paper we scanned and summarized the empirical research evidence and found that the effects of pre-licensure interprofessional education on patient/client care are unknown. In contrast, for post-licensure collaboration interventions, there is a growing body of evidence suggesting positive effects on the delivery of care. The coverage of this latter evidence, however, is patchy, being especially weak in primary care. In interprofessional education, where policy level interventions have been value driven for the last half century, we have identified a base of evidence for the effectiveness of certain post-licensure collaboration interventions; this evidence is lacking for pre-licensure interprofessional education. If interventions and policies for both pre-licensure interprofessional education and post-licensure collaboration are implemented without accompanying rigorous evaluation research, we will remain mired in this same uncertainty into the future.
在本文中,我们对实证研究证据进行了梳理和总结,发现执照前跨专业教育对患者/客户护理的影响尚不清楚。相比之下,对于执照后协作干预措施,越来越多的证据表明其对护理服务有积极影响。然而,后一种证据的覆盖并不全面,在初级护理领域尤为薄弱。在跨专业教育方面,过去半个世纪以来政策层面的干预一直是由价值观驱动的,我们已经找到了一些关于某些执照后协作干预措施有效性的证据基础;而执照前跨专业教育则缺乏此类证据。如果在没有严格评估研究的情况下实施执照前跨专业教育和执照后协作的干预措施及政策,我们将在未来仍深陷这种不确定性之中。