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口腔医学教育中如何教授健康的社会决定因素?

How are the social determinants of health being taught in dental education?

机构信息

Academic Education, Sydney School of Dentistry, The University of Sydney, Sydney, Australia.

Discipline of Population Oral Health, Sydney School of Dentistry, The University of Sydney, Sydney, Australia.

出版信息

J Dent Educ. 2021 Apr;85(4):539-554. doi: 10.1002/jdd.12487. Epub 2020 Nov 16.

DOI:10.1002/jdd.12487
PMID:33197045
Abstract

INTRODUCTION

The social determinants of health that influence how wellness and illness are experienced within society must be a core component of dental curricula where aspiring dental professionals are taught about the aetiology and social history of dental diseases. Through this scoping review, we examine the current approaches that have been employed to incorporate the social determinants of health within dental curricula.

METHODS

Using a scoping review methodology, we searched the databases Scopus, PubMed, and Embase using keywords relevant to the social determinants of health and dental education.

RESULTS

Following screening and sorting, 36 articles were included within this review. The majority of the articles described research that evaluated outcomes of educational interventions with relevance to the social determinants of health. The remainder of the included studies discussed attitudes and readiness relative to the social determinants of health and how this core competency could be taught effectively.

CONCLUSION

The included literature revealed that the social determinants of health frequently are not the focus of educational activities in dental curricula, with students frequently having little active guidance on how they might make sense of their educational experiences in this domain. The socioeconomic, cultural, political, geographic, and structural barriers that contribute to patients being impacted by the social determinants of health should be explicitly addressed and discussed with students as a foundation element of the dental curriculum.

摘要

简介

影响社会中健康和疾病体验的健康社会决定因素必须成为牙科课程的核心组成部分,在这些课程中,未来的牙科专业人员将学习牙科疾病的病因和社会史。通过本次范围界定审查,我们考察了目前在牙科课程中纳入健康社会决定因素的方法。

方法

我们使用范围界定审查方法,使用与健康社会决定因素和牙科教育相关的关键词,在 Scopus、PubMed 和 Embase 数据库中进行了搜索。

结果

经过筛选和分类,共有 36 篇文章纳入本综述。大多数文章描述了与健康社会决定因素相关的教育干预措施的结果评估研究。其余纳入的研究讨论了与健康社会决定因素相关的态度和准备情况,以及如何有效地教授这一核心能力。

结论

纳入的文献表明,健康社会决定因素通常不是牙科课程教育活动的重点,学生通常很少有关于如何理解自己在这一领域的教育经验的积极指导。应明确解决并与学生讨论导致患者受到健康社会决定因素影响的社会经济、文化、政治、地理和结构性障碍,将其作为牙科课程的基础要素。

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