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为医疗保健系统增添价值:确定医学生在增值系统中的角色。

Adding Value to the Health Care System: Identifying Value-Added Systems Roles for Medical Students.

作者信息

Gonzalo Jed D, Graaf Deanna, Johannes Bobbie, Blatt Barbara, Wolpaw Daniel R

机构信息

1 Penn State College of Medicine, Hershey, Pennsylvania.

2 Pennsylvania State University, State College, Pennsylvania.

出版信息

Am J Med Qual. 2017 May/Jun;32(3):261-270. doi: 10.1177/1062860616645401. Epub 2016 Apr 26.

Abstract

To catalyze learning in Health Systems Science and add value to health systems, education programs are seeking to incorporate students into systems roles, which are not well described. The authors sought to identify authentic roles for students within a range of clinical sites and explore site leaders' perceptions of the value of students performing these roles. From 2013 to 2015, site visits and interviews with leadership from an array of clinical sites (n = 30) were conducted. Thematic analysis was used to identify tasks and benefits of integrating students into interprofessional care teams. Types of systems roles included direct patient benefit activities, including monitoring patient progress with care plans and facilitating access to resources, and clinic benefit activities, including facilitating coordination and improving clinical processes. Perceived benefits included improved value of the clinical mission and enhanced student education. These results elucidate a framework for student roles that enhance learning and add value to health systems.

摘要

为促进卫生系统科学领域的学习并为卫生系统增添价值,教育项目正寻求让学生融入系统角色,但这些角色尚无明确描述。作者试图确定学生在一系列临床场所中的真实角色,并探讨场所负责人对学生履行这些角色的价值的看法。2013年至2015年期间,对一系列临床场所(n = 30)的负责人进行了实地考察和访谈。采用主题分析法确定将学生纳入跨专业护理团队的任务和益处。系统角色类型包括直接有益于患者的活动,如根据护理计划监测患者进展并协助获取资源,以及有益于诊所的活动,如促进协调和改进临床流程。感知到的益处包括提升临床使命的价值和加强学生教育。这些结果阐明了一个有助于促进学习并为卫生系统增添价值的学生角色框架。

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