Centre for Medical Education Research and Scholarship, School of Medicine, University of Queensland, Brisbane, Queensland, Australia.
Med Educ. 2012 Jan;46(1):58-70. doi: 10.1111/j.1365-2923.2011.04143.x.
Interprofessional education (IPE) is not a recent phenomenon and has been the subject of several World Health Organization reports. Its focus is on health professionals and students learning with, from and about one another to improve collaboration and the quality of patient care. The drivers for IPE include new models of health care delivery in the context of an ageing population and the increasing prevalence of long-term chronic disease, in addition to the patient safety agenda. The delivery of complex health care requires a team-based and collaborative approach, although teamwork and collaborative practice are not necessarily synonymous. The rationale for IPE is that learning together enhances future working together.
Systematic reviews of IPE have shown some evidence that IPE fosters positive interaction among different professions and variable evidence that it improves attitudes towards other professionals. Generalisation across published papers is difficult because IPE initiatives are diverse and good evaluation methodology and data are lacking. In terms of constructive alignment from an education viewpoint, there is a need for educators to define learning outcomes and match these with learning activities to ensure that IPE demonstrates added value over uniprofessional learning. Assessment is difficult as pre-qualification professional education focuses on the individual and professional accreditation organisations mandate only for their own professions.
Interprofessional education draws from a number of education, sociology and psychology theories, and these are briefly discussed. The most pressing research questions for the IPE community are defined and the challenges for IPE explored.
跨专业教育(IPE)并非新鲜事物,它已经成为世界卫生组织(WHO)多份报告的主题。其重点是让健康专业人员和学生相互学习、相互协作,以改善协作和患者护理质量。IPE 的推动因素包括在人口老龄化和长期慢性病日益流行的背景下,新的医疗保健模式,以及患者安全议程。复杂的医疗保健服务需要以团队为基础和协作的方法,尽管团队合作和协作实践并不一定是同义词。IPE 的基本原理是,共同学习可以促进未来的共同工作。
对 IPE 的系统评价表明,IPE 确实可以促进不同专业之间的积极互动,并且有证据表明它可以改善对其他专业人员的态度。但由于 IPE 计划多种多样,且缺乏良好的评估方法和数据,因此很难在已发表的论文中进行概括。从教育角度来看,建设性的一致性要求教育者定义学习成果,并将这些成果与学习活动相匹配,以确保 IPE 相对于单一专业学习具有附加值。评估也很困难,因为资格前的专业教育侧重于个人,而专业认证组织只针对自己的专业进行授权。
IPE 借鉴了一些教育、社会学和心理学理论,本文对这些理论进行了简要讨论。为 IPE 社区定义了最紧迫的研究问题,并探讨了 IPE 面临的挑战。