Programme of Human Resources for Health, Sciez-sur-Léman, France.
Med Educ. 2018 Jan;52(1):96-102. doi: 10.1111/medu.13394. Epub 2017 Sep 7.
As the purpose of medical education is to produce graduates able to most effectively address people's health concerns, there is general agreement that coordination with the health care system is essential. For too long, coordination has been dealt with in a subjective manner with only few landmarks to ensure objective and measurable achievements. Over the last 30 years, since the Edinburgh Declaration on medical education, progress has been made, namely with the concept of social accountability.
The social accountability approach provides a way to plan, deliver and assess medical education with the explicit aim to contribute to effective, equitable and sustainable health system development. It is based on a system-wide scope exploring issues from identification of people's and society's health needs to verification of the effects of medical education in meeting those needs. A wide international consultation among medical education leaders led to the adoption of the Global Consensus on Social Accountability of Medical Schools.
Benchmarks of social accountability are in the process of being conceived and tested, enabling medical schools to steer medical education in a more purposeful way in relation to determinants of health. A sample of schools using the social accountability approach claims to have had a positive influence on health care system performance and people's health status.
Improved coordination of medical education and other key stakeholders in the health system is an important challenge for medical schools as well as for countries confronted with an urgent need for optimal use of their health workforce. There is growing interest worldwide in defining policies and strategies and supporting experiences in this regard.
医学教育的目的是培养能够最有效地解决人们健康问题的毕业生，因此人们普遍认为与医疗保健系统协调是至关重要的。长期以来，协调工作一直以主观的方式进行，只有少数基准来确保客观和可衡量的成果。自 30 年前的爱丁堡宣言以来，在医学教育方面已经取得了进展，即社会问责制的概念。
社会问责制方法提供了一种规划、提供和评估医学教育的方法，其明确目的是为有效、公平和可持续的卫生系统发展做出贡献。它基于一个系统范围的方法，从确定人们和社会的健康需求到验证医学教育在满足这些需求方面的效果，探索问题。医学教育领导人之间的广泛国际协商导致了全球医学院校社会问责制共识的通过。
社会问责制的基准正在构思和测试中，使医学院能够更有目的地引导医学教育，以应对健康决定因素。一批使用社会问责制方法的学校声称对医疗保健系统绩效和人们的健康状况产生了积极影响。
改善医学教育与卫生系统中其他主要利益攸关方的协调是医学院以及面临迫切需要优化其卫生人力利用的国家的一项重要挑战。全球对制定政策和战略以及支持这方面经验的兴趣日益浓厚。
