Kirsh Susan R, Schaub Kimberley, Aron David C
VA HSR&D Center for Quality Improvement Research, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, Ohio 44106, USA.
Qual Manag Health Care. 2009 Jul-Sep;18(3):217-24. doi: 10.1097/QMH.0b013e3181aea27d.
Interprofessional practice has increasingly been recognized as important for chronic illness care. Recently, several health care professional-accrediting bodies have called for integration of interprofessional care and education. The shared medical appointment (SMA) is an interprofessional practice model that provides an educational opportunity.
A description of this innovative educational model, the challenges associated with the implementation, and the evaluation are presented.
Mixed quantitative and qualitative analysis were utilized.
Preliminary evaluation suggests that SMAs promote improved trainee/student understanding of both the complexity of diabetes care and the seriousness of the illness, along with an increased confidence in the ability to communicate with providers from other disciplines.
Further research to determine the efficacy of SMAs as an interprofessional training venue is needed that focuses on comprehensive assessment, necessary dose of exposure, and identification of barriers to overcome operational issues.
跨专业实践日益被认为对慢性病护理至关重要。最近，一些医疗保健专业认证机构呼吁将跨专业护理与教育相结合。共享医疗预约（SMA）是一种提供教育机会的跨专业实践模式。
介绍这种创新的教育模式、实施过程中遇到的挑战以及评估情况。
采用定量与定性混合分析方法。
初步评估表明，共享医疗预约促进了实习医生/学生对糖尿病护理复杂性和疾病严重性的更好理解，同时增强了与其他学科医护人员沟通的信心。
需要进一步开展研究，以确定共享医疗预约作为跨专业培训场所的效果，重点关注全面评估、必要的接触量以及识别克服操作问题的障碍。
