Postgraduate Medical Education, Faculty of Health Sciences, 70 Barrie Street, Queen’s University, Kingston,ON K7L 3N6, Canada.
Med Teach. 2013 Aug;35(8):e1403-8. doi: 10.3109/0142159X.2013.770134. Epub 2013 Feb 27.
Social accountability in healthcare requires physicians and medical institutions to direct their research, services and education activities to adequately address health inequities. The need for greater social accountability has been addressed in numerous national and international healthcare reviews of health disparities and medical education.
The aim of this work is to better understand how to identify underserved populations and address their specific needs and also to provide physicians and medical institutions with a means by which to cultivate social accountability.
The authors reviewed existing literature and prominent models focusing on social accountability, as well as medical education frameworks, and identified the need to engage underserved stakeholders and incorporate education that includes knowledge translation and reciprocity. The AIDER model was developed to satisfy the need in medical education and practice that is not explicitly addressed in previous models.
The AIDER model (Assess, Inquire, Deliver, Educate, Respond) is a continuous monitoring process that explicitly incorporates reciprocal education and continuous collaboration with underserved stakeholders.
This model is an incremental step forward in helping physicians and medical institutions foster a culture of social accountability both in individual practice and throughout the continuum of medical education.
医疗保健中的社会责任要求医生和医疗机构将其研究、服务和教育活动定向，以充分解决健康不公平问题。在对健康差距和医学教育的众多国家和国际医疗保健审查中，都提到了增强社会责任的必要性。
本工作旨在更好地了解如何识别服务不足的人群并满足他们的具体需求，并为医生和医疗机构提供一种培养社会责任的手段。
作者回顾了现有的关于社会责任以及医学教育框架的文献和突出模型，并确定需要让服务不足的利益相关者参与进来，并纳入包括知识转化和互惠在内的教育。AIDER 模型是为了满足医学教育和实践中的需求而开发的，这些需求在以前的模型中没有明确提出。
AIDER 模型（评估、询问、提供、教育、回应）是一个持续监测的过程，明确纳入了互惠教育和与服务不足的利益相关者的持续合作。
该模型是帮助医生和医疗机构在个体实践和整个医学教育连续体中培养社会责任文化的一个渐进步骤。
