Hoffman Steven J, Rosenfield Daniel, Nasmith Louise
Faculty of Law, University of Toronto, Canada.
J Allied Health. 2009 Fall;38(3):e75-8.
An international consensus has emerged that interprofessional education (IPE) and other health care reforms are necessary to address the increasing complexity of patients' health needs. Despite overwhelming barriers to its system-wide implementation, health professional students worldwide have organized themselves to promote IPE and have achieved considerable attention. This study seeks to offer insights into what attracts students to IPE and other health care reform initiatives and how advocates of change can stimulate this interest.
Using a qualitative research methodology, 69 students representing 25 disciplines from 22 institutions across North America were interviewed and surveyed on why and how they became interested in IPE.
Students were attracted to the possibility of enhancing patient care (n=17), advancing their careers (n=17) and learning more about the issue (n=15). The participating students first became involved in IPE after they joined a student organization (n=21), attended an IPE conference (n=10) or received personal encouragement to do so from a dean (n=2), instructor (n=3), school administrator (n=7) or peer (n=11). These findings point to several strategies that advocates can use to capitalize on the potential of student advocacy to gain support for IPE and new health care innovations.
This study is the first of its kind to delineate how clinicians, educators, researchers and policymakers can attract students to health care reform initiatives. This work can inform the strategic efforts of advocates to make the idea of IPE and health care reform more attractive to students (as both learners and leaders) and enlist their help in achieving it in the future.
国际上已达成共识,即跨专业教育(IPE)和其他医疗保健改革对于应对患者日益复杂的健康需求是必要的。尽管在全系统实施存在巨大障碍,但全球卫生专业学生已组织起来推动IPE,并获得了相当多的关注。本研究旨在深入了解吸引学生参与IPE和其他医疗保健改革举措的因素,以及变革倡导者如何激发这种兴趣。
采用定性研究方法,对来自北美22所机构的25个学科的69名学生进行了访谈和调查,询问他们对IPE感兴趣的原因及方式。
学生被改善患者护理的可能性(n = 17)、推进其职业发展(n = 17)以及更多地了解该问题(n = 15)所吸引。参与的学生在加入学生组织(n = 21)、参加IPE会议(n = 10)或受到院长(n = 2)、教师(n = 3)、学校管理人员(n = 7)或同伴(n = 11)的个人鼓励后首次参与了IPE。这些发现指出了倡导者可以用来利用学生倡导的潜力以获得对IPE和新医疗保健创新支持的几种策略。
本研究首次阐述了临床医生、教育工作者、研究人员和政策制定者如何吸引学生参与医疗保健改革举措。这项工作可为倡导者的战略努力提供参考,使IPE和医疗保健改革理念对学生(作为学习者和领导者)更具吸引力,并在未来争取他们的帮助以实现这一目标。