Division of General Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7110, USA.
J Gen Intern Med. 2010 May;25 Suppl 2(Suppl 2):S130-5. doi: 10.1007/s11606-009-1214-3.
The Institute of Medicine recommends that clinicians receive training to better understand and address disparities. While disparities in health status are primarily due to inequities in social determinants of health, current curricula largely focus on how to teach about disparities within the health care setting. Learners may more fully understand and appreciate how social contextual factors contribute to disparities through instruction about disparities in community settings. Community-based teaching about health disparities may be advantageous for learners, medical institutions, and participating communities. This manuscript aims to guide medical educators in teaching students and residents about health disparities through community-based activities, including service learning and research.
美国医学研究所建议临床医生接受培训,以更好地理解和解决差异问题。虽然健康状况的差异主要是由于健康的社会决定因素存在不平等,但目前的课程主要集中在如何在医疗保健环境中教授差异。通过在社区环境中讲授差异,学习者可能会更全面地理解和欣赏社会背景因素对差异的影响。在社区层面开展有关健康差异的教学可能对学习者、医疗机构和参与社区都有好处。本文旨在指导医学教育工作者通过基于社区的活动(包括服务学习和研究)向学生和住院医师教授健康差异。