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[适应未来:关于医疗保健数字化方面研讨会的发展,作为医学社会学的一项贡献]

[Fit for the Future: Development of a seminar on aspects of digitization of healthcare as a contribution of Medical Sociology].

作者信息

Waschkau Alexander, Götz Katja, Steinhäuser Jost

机构信息

Institut für Allgemeinmedizin, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Deutschland.

Institut für Allgemeinmedizin, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Deutschland.

出版信息

Z Evid Fortbild Qual Gesundhwes. 2020 Sep;155:48-53. doi: 10.1016/j.zefq.2020.06.006. Epub 2020 Aug 11.

Abstract

INTRODUCTION

Topics regarding the digitization of the healthcare system are hardly being addressed during the undergraduate training of medical students, even though the promotion of skills in this area has been defined as a learning goal in the German National Competence-Based Learning Objectives for Undergraduate Medical Education (NKLM) since 2015. At the same time, telemedicine as one part of digitization is becoming increasingly important in the public perception as a tool supplementing access to care. Therefore, the aim was to give medical students in the fourth pre-clinical semester a first insight into topics of telemedicine and other aspects of digitization in the healthcare sector as part of a seminar.

METHODS

On the basis of the existing literature, we developed the content and a didactic concept for the seminar "The doctor-patient relationship in the field of technological developments" in the Medical Sociology course for undergraduate medical students in their second year at the University of Lübeck. Inspired by Kirkpatrick's four-level model, the students were asked for topics they wished to cover regarding the digitization of healthcare and telemedicine at the start and their attitudes towards and experiences with telemedicine at the end of the seminar.

RESULTS

A total of 184 students from the fourth pre-clinical semester attended the seminar. The survey response rate was 32%. The topics most frequently requested by students were "Legal Framework", "Electronic Patient Record" and "Tele-consultation". 85% of the students rated the topic "digitization of healthcare" as highly relevant for their future profession. Also 85% of the students wished for easy-to-use telemedicine equipment. A third or more of the students reported considerable uncertainty about their ability to evaluate the benefits of health apps.

CONCLUSIONS

The contents of the seminar met the students' demands. In the future, topics relating to the digitization of the health system should be increasingly integrated into undergraduate training; also, the students' feeling uncertain about their ability to assess various telemedical applications should be addressed.

摘要

引言

尽管自2015年起,提升医学领域数字化技能就已被确定为德国本科医学教育国家能力本位学习目标(NKLM)中的一项学习目标,但在医学生的本科培训中,医疗系统数字化相关主题几乎未得到涉及。与此同时,作为数字化一部分的远程医疗,在公众认知中作为一种补充医疗服务获取途径的工具,正变得越来越重要。因此,作为研讨课的一部分,旨在让处于临床前第四学期的医学生初步了解远程医疗主题以及医疗领域数字化的其他方面。

方法

基于现有文献,我们为吕贝克大学本科二年级医学生的医学社会学课程中的“技术发展领域的医患关系”研讨课制定了内容和教学理念。受柯克帕特里克四级模型启发,在研讨课开始时询问学生希望涵盖的有关医疗保健数字化和远程医疗的主题,在研讨课结束时询问他们对远程医疗的态度和体验。

结果

共有184名临床前第四学期的学生参加了该研讨课。调查回复率为32%。学生最常要求的主题是“法律框架”“电子病历”和“远程会诊”。85%的学生认为“医疗保健数字化”主题与他们未来的职业高度相关。同样,85%的学生希望有易于使用的远程医疗设备。三分之一或更多的学生表示,他们对自己评估健康应用程序益处的能力存在很大不确定性。

结论

研讨课的内容满足了学生的需求。未来,与卫生系统数字化相关主题应越来越多地融入本科培训;此外,还应解决学生对自己评估各种远程医疗应用能力感到不确定的问题。

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