社区参与式可持续医疗保健教育。

Community-engaged sustainable health care education.

机构信息

University of California, San Francisco, School of Medicine, San Francisco, California, USA.

Center for Faculty Educators, University of California, San Francisco, School of Medicine,, San Francisco, California, USA.

出版信息

Clin Teach. 2021 Feb;18(1):62-68. doi: 10.1111/tct.13234. Epub 2020 Sep 9.

DOI:10.1111/tct.13234

PMID:32909357

Abstract

BACKGROUND

Climate and ecological changes substantially impact human health. Sustainable health care education (SHE) teaches health professions students about the interdependence of ecosystems and human health, the health sector's impact on the environment, and sustainable solutions for both ecosystems and human health. Yet little is understood about the methods used to facilitate SHE learning within the local context. Community-engaged medical education (CEME), a concept used in medicine and other health professions, underscores the relationship between the community served and education, which is both interdependent and reciprocal. Our objective was to characterise how SHE could be made relevant to the local context and the health of the community.

METHODS

Qualitative content analysis was used to explore the perspectives of faculty members, community experts and health professions students on the relationship between SHE and CEME. Semi-structured interviews were conducted with 51 participants between March 2016 and May 2017.

RESULTS

Participants highlighted that it was vital for students to become familiar with real-world, locally relevant issues by collaborating with community members and identifying opportunities for engagement. For optimal learning, CEME experiences should be accompanied by relevant curricular changes. Educational partnerships with local organisations, societies and activists provide continuing opportunities for dialogue about, and integration of, SHE.

DISCUSSION

The integration of SHE through CEME will draw the community voice into the curriculum and will compel students to connect CEME SHE learning to their continuing education. The credible and respected role of the health professionals and health professions institutions provide a foundation for the development of community partnerships and the promotion of SHE. The integration of SHE through CEME will draw the community voice into the curriculum and will compel students to connect CEME SHE learning to their continuing education.

摘要

背景

气候和生态变化对人类健康有重大影响。可持续卫生保健教育（SHE）教导卫生专业学生了解生态系统和人类健康的相互依存关系、卫生部门对环境的影响以及生态系统和人类健康的可持续解决方案。然而，对于在当地背景下促进 SHE 学习所使用的方法，我们知之甚少。社区参与医学教育（CEME）是医学和其他健康专业中使用的一个概念，强调了所服务社区与教育之间的相互依存和互惠关系。我们的目标是描述如何使 SHE 与当地背景和社区健康相关。

方法

采用定性内容分析方法探讨了教师、社区专家和卫生专业学生对 SHE 与 CEME 之间关系的看法。2016 年 3 月至 2017 年 5 月期间，对 51 名参与者进行了半结构式访谈。

结果

参与者强调，学生通过与社区成员合作并确定参与机会，熟悉现实世界中本地相关问题至关重要。为了实现最佳学习效果，CEME 体验应伴随着相关课程的改变。与当地组织、社团和活动家建立教育伙伴关系，为 SHE 的对话和整合提供了持续的机会。

讨论

通过 CEME 整合 SHE 将把社区声音纳入课程，并迫使学生将 CEME SHE 学习与他们的继续教育联系起来。卫生专业人员和卫生专业机构的可信和受尊敬的角色为发展社区伙伴关系和促进 SHE 提供了基础。通过 CEME 整合 SHE 将把社区声音纳入课程，并迫使学生将 CEME SHE 学习与他们的继续教育联系起来。