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本文引用的文献

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Framework for building primary care capacity to address the social determinants of health.建立基层医疗能力的框架,以解决健康的社会决定因素。
Can Fam Physician. 2017 Nov;63(11):e476-e482.
2
Teaching the Social Determinants of Health: A Path to Equity or a Road to Nowhere?教授健康的社会决定因素:通向公平的道路还是死胡同?
Acad Med. 2018 Jan;93(1):25-30. doi: 10.1097/ACM.0000000000001689.
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The role of people living with HIV as patient instructors - reducing stigma and improving interest around HIV care among medical students.艾滋病毒感染者作为患者指导者的作用——减少耻辱感并提高医学生对艾滋病毒护理的关注度。
AIDS Care. 2017 Apr;29(4):524-531. doi: 10.1080/09540121.2016.1224314. Epub 2016 Aug 31.
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Taking action on the social determinants of health in clinical practice: a framework for health professionals.在临床实践中针对健康的社会决定因素采取行动:卫生专业人员框架
CMAJ. 2016 Dec 6;188(17-18):E474-E483. doi: 10.1503/cmaj.160177. Epub 2016 Aug 8.
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Medical education, social responsibility and praxis: Responding to the needs of all children.医学教育、社会责任与实践:回应所有儿童的需求。
Paediatr Child Health. 2016 Jun-Jul;21(5):252-4. doi: 10.1093/pch/21.5.252.
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Homelessness in the Medical Curriculum: An Analysis of Case-Based Learning Content From One Canadian Medical School.医学课程中的无家可归问题:对一所加拿大医学院基于案例学习内容的分析
Teach Learn Med. 2016;28(1):35-40. doi: 10.1080/10401334.2015.1108198.
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Swimming 'upstream' to tackle the social determinants of health.逆流而上应对健康的社会决定因素。
BMJ Qual Saf. 2016 Mar;25(3):138-40. doi: 10.1136/bmjqs-2015-005008. Epub 2016 Jan 7.
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Training tomorrow's physician-advocates.
Med Educ. 2015 Aug;49(8):752-4. doi: 10.1111/medu.12764.
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From office tools to community supports: The need for infrastructure to address the social determinants of health in paediatric practice.从办公工具到社区支持:儿科实践中解决健康社会决定因素所需的基础设施。
Paediatr Child Health. 2014 Apr;19(4):195-9. doi: 10.1093/pch/19.4.195.
10
Improving collaboration between public health and primary healthcare.加强公共卫生与初级医疗保健之间的协作。
Healthc Pap. 2013;13(3):41-8; discussion 85-9. doi: 10.12927/hcpap.2014.23685.

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.

PMID:30498552
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6260510/
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。