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一门关注健康社会决定因素的跨专业城市健康选修课。

An interprofessional urban health elective focused on the social determinants of health.

作者信息

Pinto Andrew, To Matthew, Rucchetto Anne, Sharma Malika, Rouleau Katherine

机构信息

Department of Family and Community Medicine, St. Michael's Hospital, Toronto, Ontario, Canada.

Department of Family and Community Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.

出版信息

Can Med Educ J. 2018 Nov 12;9(4):e127-e134. eCollection 2018 Nov.

Abstract

BACKGROUND

More than half of the world's population now lives in cities. Health professionals should understand how social factors and processes in urban spaces determine individual and population health. We report on lessons from an interprofessional urban health elective developed to focus on the social determinants of health (SDOH).

METHODS

An interprofessional committee developed an urban health elective based in downtown Toronto. Course objectives included promoting collaboration to address SDOH, identifying barriers to care, accessing community-based resources, and learning to advocate at individual- and community-levels.

RESULTS

Seventeen students from eight disciplines participated during the 2011-2012 academic year. Sessions were co-facilitated with community partners and community members identified as experts based on their personal experience. Topics included housing, income and food security, Indigenous communities in urban spaces, and advocacy. Students collaborated on self-directed projects, which ranged from literature reviews to policy briefs for government. Students particularly valued learning about community agencies and hearing from people with lived experience.

CONCLUSION

The specific health challenges faced in urban settings can benefit from an interprofessional approach informed by the experiences and needs of patient communities. This elective was innovative in engaging students in interprofessional learning on how health and social agencies collaborate to tackle social determinants in urban spaces.

摘要

背景

目前全球一半以上的人口居住在城市。卫生专业人员应了解城市空间中的社会因素和进程如何决定个人和人群的健康状况。我们报告了一门跨专业城市健康选修课所获得的经验教训,该课程旨在关注健康的社会决定因素(SDOH)。

方法

一个跨专业委员会在多伦多市中心开设了一门城市健康选修课。课程目标包括促进合作以解决健康的社会决定因素、识别医疗保健的障碍、获取社区资源以及学习在个人和社区层面进行倡导。

结果

来自八个学科的17名学生在2011 - 2012学年参与了该课程。课程由社区合作伙伴和基于个人经验被认定为专家的社区成员共同主持。主题包括住房、收入和食品安全、城市空间中的原住民社区以及倡导活动。学生们合作开展自主项目,范围从文献综述到为政府撰写政策简报。学生们特别重视了解社区机构以及听取有实际生活经历者的讲述。

结论

城市环境中面临的特定健康挑战可受益于一种由患者社区的经验和需求所推动的跨专业方法。这门选修课在让学生参与关于健康和社会机构如何合作以解决城市空间中的社会决定因素的跨专业学习方面具有创新性。

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