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将质量和患者安全概念融入医学课程。黎巴嫩的基线评估。

Integrating quality and patient safety concepts in medical curricula. Baseline assessment in Lebanon.

作者信息

Natafgi Nabil, Saliba Miriam, Daya Rami, El-Jardali Fadi

机构信息

Department of Health Management and Policy, American University of Beirut, Lebanon.

出版信息

J Med Liban. 2012 Apr-Jun;60(2):77-87.

Abstract

PURPOSE

Hospital accreditation places emphasis on the role of health professionals in quality of patient care. Training physicians in quality and patient safety influences quality improvement efforts in healthcare. Little is known about the attitudes and knowledge of medical students towards the concepts of quality of care, patient safety and accreditation. The objective of this study was to determine the extent to which Lebanese medical students are aware of and familiar with these aforementioned concepts.

METHODS

The study adopted a cross-sectional research design on a sample of (148 participants) graduating medical students from four major universities in Lebanon. A semi-structured self-completion questionnaire was developed to assess students' knowledge towards: (A) quality concepts; (B) quality tools ; (C) patient safety & risk management; (D) accreditation ; and (E) policies & procedures/guidelines. Two statistical tests, MANOVA (parametric) and Kruskal-Wallis (nonparametric) were used to analyze the data.

RESULTS

Study results showed that 85% of medical students did not receive any course about quality and patient safety, although 93% considered them to be important and called for their integration into curricula. Lowest mean scores were recorded for the theme on quality concepts and tools (1.60 +/- 0.81 and 1A.49 +/- 0.71 respectively). Respondents from sampled universities showed a general lack of knowledge of the themes studied.

CONCLUSIONS

Quality, patient safety and accreditation are important disciplines that need to be incorporated into medical curricula. This would be a positive step towards enabling future physicians to meet the changing needs of the constantly evolving healthcare system.

摘要

目的

医院评审强调卫生专业人员在患者护理质量中的作用。对医生进行质量和患者安全方面的培训有助于推动医疗保健领域的质量改进工作。关于医学生对医疗质量、患者安全和评审概念的态度及知识了解甚少。本研究的目的是确定黎巴嫩医学生对上述概念的知晓和熟悉程度。

方法

本研究采用横断面研究设计,对黎巴嫩四所主要大学的148名即将毕业的医学生样本进行调查。编制了一份半结构化的自填式问卷,以评估学生对以下方面的知识:(A)质量概念;(B)质量工具;(C)患者安全与风险管理;(D)评审;以及(E)政策与程序/指南。使用了两种统计检验方法,即多变量方差分析(参数检验)和克鲁斯卡尔 - 沃利斯检验(非参数检验)来分析数据。

结果

研究结果显示,85%的医学生未接受过任何关于质量和患者安全的课程,尽管93%的学生认为这些课程很重要,并呼吁将其纳入课程体系。质量概念和工具主题的平均得分最低(分别为1.60±0.81和1.49±0.71)。来自抽样大学的受访者对所研究主题普遍缺乏了解。

结论

质量、患者安全和评审是重要学科,需要纳入医学课程。这将是朝着使未来医生能够满足不断发展的医疗保健系统不断变化的需求迈出的积极一步。

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