Ross Simone J, Preston Robyn, Lindemann Iris C, Matte Marie C, Samson Rex, Tandinco Filedito D, Larkins Sarah L, Palsdottir Bjorg, Neusy Andre-Jacques
School of Medicine and Dentistry, Anton Breinl Research Centre for Health Systems Strengthening, James Cook University, Australia; Training for Health Equity Network, Belgium, .
Educ Health (Abingdon). 2014 May-Aug;27(2):116-26. doi: 10.4103/1357-6283.143727.
The Training for Health Equity Network (THEnet), a group of diverse health professional schools aspiring toward social accountability, developed and pilot tested a comprehensive evaluation framework to assess progress toward socially accountable health professions education. The evaluation framework provides criteria for schools to assess their level of social accountability within their organization and planning; education, research and service delivery; and the direct and indirect impacts of the school and its graduates, on the community and health system. This paper describes the pilot implementation of testing the evaluation framework across five THEnet schools, and examines whether the evaluation framework was practical and feasible across contexts for the purposes of critical reflection and continuous improvement in terms of progress towards social accountability.
In this pilot study, schools utilized the evaluation framework using a mixed method approach of data collection comprising of workshops, qualitative interviews and focus group discussions, document review and collation and analysis of existing quantitative data.
The evaluation framework allowed each school to contextually gather evidence on how it was meeting the aspirational goals of social accountability across a range of school activities, and to identify strengths and areas for improvement and development.
The evaluation framework pilot study demonstrated how social accountability can be assessed through a critically reflective and comprehensive process. As social accountability focuses on the relationship between health professions schools and health system and health population outcomes, each school was able to demonstrate to students, health professionals, governments, accrediting bodies, communities and other stakeholders how current and future health care needs of populations are addressed in terms of education, research, and service learning.
健康公平培训网络（THEnet）是一群追求社会问责制的多元化健康专业学校组成的团体，它开发并试点测试了一个综合评估框架，以评估在实现具有社会问责制的健康专业教育方面的进展。该评估框架为学校提供了标准，用于评估其在组织和规划、教育、研究和服务提供以及学校及其毕业生对社区和卫生系统的直接和间接影响方面的社会问责水平。本文描述了在五所THEnet学校试点实施评估框架的情况，并探讨该评估框架在不同背景下对于批判性反思和在社会问责进展方面持续改进是否切实可行。
在这项试点研究中，学校采用混合方法收集数据来使用评估框架，包括举办研讨会、进行定性访谈和焦点小组讨论、审查和整理文件以及分析现有定量数据。
评估框架使每所学校能够根据具体情况收集证据，证明其在一系列学校活动中如何实现社会问责的理想目标，并确定优势以及改进和发展的领域。
评估框架试点研究展示了如何通过批判性反思和全面的过程来评估社会问责制。由于社会问责制关注健康专业学校与卫生系统及健康人群结果之间的关系，每所学校都能够向学生、健康专业人员、政府、认证机构、社区和其他利益相关者展示如何在教育、研究和服务学习方面满足人群当前和未来的医疗保健需求。
