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跨专业教育在医疗保健中的效果:系统评价和荟萃分析。

The effectiveness of interprofessional education in healthcare: A systematic review and meta-analysis.

机构信息

Department of Clinical Sciences, College of Medicine, University of Sharjah, Sharjah, United Arab Emirates.

St George's University of London, Cranmer Terrace, London, UK.

出版信息

Kaohsiung J Med Sci. 2018 Mar;34(3):160-165. doi: 10.1016/j.kjms.2017.12.009. Epub 2018 Jan 9.

Abstract

Interprofessional education (IPE) emphasizes collaborative practice that aims at promoting the working relationships between two or more healthcare professions. However, there is paucity of literature about the effectiveness of IPE program in the healthcare. This systematic review and meta-analysis aims to objectively determine the effectiveness of IPE in that field in terms of the improvement of students' knowledge, skills and attitudes. The databases of OVID, ISI Knowledge of Science, and Medline (PubMed) were searched for the full-text English language articles published during 2000-2016 using the MeSH terms "interprofessional education" AND "healthcare professionals" AND "multi-professional" AND "impact" AND "effectiveness" OR "collaborative practice" OR "medical students" in Endnote X7. A systematic search finally selected 12 articles for detailed review and meta-analysis. The effect summary value of 1.37 with confidence interval of 0.92-1.82 identifies statistically significant effectiveness of intervention by IPE program in healthcare. The Z test value of 5.99, significant at 5% level of significance, also shows a significant impact of IPE intervention as calculated by the random-effects model. This meta-analysis shows a positive impact and effectiveness of educational intervention by IPE program in various disciplines of healthcare. However, analysis of further clinical trials may be helpful in identifying the effect of IPE program on the students' clinical competence.

摘要

跨专业教育(IPE)强调协作实践,旨在促进两个或多个医疗保健专业之间的工作关系。然而,关于医疗保健中 IPE 计划的有效性的文献很少。本系统评价和荟萃分析旨在客观地确定该领域 IPE 在提高学生知识、技能和态度方面的有效性。使用 MeSH 术语“跨专业教育”和“医疗保健专业人员”和“多专业”和“影响”和“效果”或“协作实践”或“医学生”,在 OVID、ISI 知识科学和 Medline(PubMed)数据库中搜索 2000 年至 2016 年期间发表的全文英文文章,使用 Endnote X7。系统搜索最终选择了 12 篇文章进行详细审查和荟萃分析。效应总结值为 1.37,置信区间为 0.92-1.82,表明 IPE 计划在医疗保健方面的干预具有统计学上的显著效果。Z 检验值为 5.99,在 5%的显著水平上显著,也表明 IPE 干预的影响是通过随机效应模型计算的。这项荟萃分析表明,IPE 计划在医疗保健的各个学科中具有积极的教育干预效果和有效性。然而,进一步的临床试验分析可能有助于确定 IPE 计划对学生临床能力的影响。

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