Cooper Helen, Geyer Robert
Department of Community and Child Health, University of Chester, UK.
Soc Sci Med. 2008 Jul;67(1):177-82. doi: 10.1016/j.socscimed.2008.03.041. Epub 2008 Apr 26.
Systematic reviews of health care education have consistently reported a lack of long-term effects, failure to use theory, and inadequate methodological rigour. Such findings have highlighted the lack of a clear causality and predictability in health care education research and therefore the inadequacy of a traditional scientific framework with its focus on analysis, prediction and control. This article argues that in order to develop an effective and standardised framework we must go beyond such a restrictive agenda and toward one that appreciates education as a complex adaptive system. It uses the example of interprofessional education in the UK to showcase its discussion.
对医疗保健教育的系统评价一直报告称存在缺乏长期效果、未运用理论以及方法严谨性不足的问题。这些发现凸显了医疗保健教育研究中缺乏明确的因果关系和可预测性,因此以分析、预测和控制为重点的传统科学框架存在不足。本文认为,为了建立一个有效且标准化的框架,我们必须超越这种限制性议程,转向一个将教育视为复杂适应系统的议程。它以英国的跨专业教育为例来展开讨论。