克服健康差异教育中的独特挑战：一项多机构定性研究。

Surmounting the unique challenges in health disparities education: a multi-institution qualitative study.

机构信息

Department of Epidemiology and Biostatistics, University of Maryland College Park School of Public Health, College Park, MD 20742, USA.

出版信息

J Gen Intern Med. 2010 May;25 Suppl 2(Suppl 2):S108-14. doi: 10.1007/s11606-010-1269-1.

DOI:10.1007/s11606-010-1269-1

PMID:20352503

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2847111/

Abstract

BACKGROUND

The National Consortium for Multicultural Education for Health Professionals (Consortium) comprises educators representing 18 US medical schools, funded by the National Institutes of Health. Collective lessons learned from curriculum implementation by principal investigators (PIs) have the potential to guide similar educational endeavors.

OBJECTIVE

Describe Consortium PI's self-reported challenges with curricular development, solutions and their new curricular products.

METHODS

Information was collected from PIs over 2 months using a 53-question structured three-part questionnaire. The questionnaire addressed PI demographics, curriculum implementation challenges and solutions, and newly created curricular products. Study participants were 18 Consortium PIs. Descriptive analysis was used for quantitative data. Narrative responses were analyzed and interpreted using qualitative thematic coding.

RESULTS

Response rate was 100%. Common barriers and challenges identified by PIs were: finding administrative and leadership support, sustaining the momentum, continued funding, finding curricular space, accessing and engaging communities, and lack of education research methodology skills. Solutions identified included engaging stakeholders, project-sharing across schools, advocacy and active participation in committees and community, and seeking sustainable funding. All Consortium PIs reported new curricular products and extensive dissemination efforts outside their own institutions.

CONCLUSION

The Consortium model has added benefits for curricular innovation and dissemination for cultural competence education to address health disparities. Lessons learned may be applicable to other educational innovation efforts.

摘要

背景

国家多元化医疗专业教育联盟（联盟）由 18 所美国医学院的教育工作者组成，由美国国立卫生研究院资助。主要研究者（PI）在课程实施过程中积累的集体经验教训有可能指导类似的教育工作。

目的

描述联盟 PI 在课程开发、解决方案及其新课程产品方面遇到的自我报告的挑战。

方法

在两个月的时间里，使用包含 53 个问题的结构化三部分问卷从 PI 那里收集信息。问卷涉及 PI 的人口统计学、课程实施挑战和解决方案，以及新创建的课程产品。研究参与者为 18 名联盟 PI。对定量数据进行描述性分析。使用定性主题编码对叙事性回应进行分析和解释。

结果

回复率为 100%。PI 确定的常见障碍和挑战包括：寻找行政和领导支持、保持动力、持续资金、寻找课程空间、接触和参与社区以及缺乏教育研究方法技能。确定的解决方案包括吸引利益相关者、跨校项目共享、倡导以及积极参与委员会和社区，并寻求可持续资金。所有联盟 PI 都报告了新的课程产品，并在其所在机构之外进行了广泛的传播工作。