Weeks Kristin, Swanson Morgan, Manorot Amanda, Conley Gabriel, Nellis Joseph, Charlton Mary, Reed Alan
Medical Scientist Training Program, Carver College of Medicine, University of Iowa, Iowa City, IA, USA.
Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA, USA.
Adv Med Educ Pract. 2021 Jan 11;12:29-39. doi: 10.2147/AMEP.S285463. eCollection 2021.
Healthcare Delivery Science Education (HDSE) covers important aspects of the business of medicine, including, operations management, managerial accounting, entrepreneurship, finance, marketing, negotiations, e-health and policy/advocacy. We need to investigate and understand practicing physicians' viewpoints on HDSE in order to inform interventions capable of preventing the double loss phenomena and improving medical and continuing medical education opportunities in HDSE. This qualitative study aims to provide a rich, contextualized understanding of the HDSE experiences and interests of physicians practicing in a rural state through the intensive study of particular cases.
We interviewed 18 practicing physicians from a rural, Midwestern state over the telephone about their viewpoints on past experiences obtaining HDSE, interest in HDSE, barriers to pursuing HDSE, and interest in an example HDSE certificate program.
Salient themes in our study were that physicians were interested in HDSE and believed HDSE could lead to improved patient care and practice efficiency. However, many of the respondents had not received longitudinal, diversified, didactic or practical HDSE. Time limited many physicians from pursuing HDSE opportunities. Many physicians in the study were interested in the example HDSE certificate program.
Physicians in our qualitative study were interested in obtaining HDSE and had not received diversified, didactic HDSE in the past. Our research suggests innovative HDSE programs will likely be utilized and pursued if they are developed.
医疗服务科学教育（HDSE）涵盖医学业务的重要方面，包括运营管理、管理会计、创业、金融、营销、谈判、电子健康以及政策/宣传。我们需要调查并了解执业医师对HDSE的看法，以便制定能够防止双重损失现象并改善HDSE中的医学教育和继续医学教育机会的干预措施。这项定性研究旨在通过对特定案例的深入研究，全面、深入地了解在农村州执业的医师的HDSE经历和兴趣。
我们通过电话采访了来自中西部农村州的18名执业医师，询问他们对过去获得HDSE的经历、对HDSE的兴趣、追求HDSE的障碍以及对一个HDSE证书项目示例的兴趣。
我们研究中的突出主题是，医师们对HDSE感兴趣，并认为HDSE可以提高患者护理质量和执业效率。然而，许多受访者没有接受过纵向、多样化、理论性或实践性的HDSE。时间限制使许多医师无法追求HDSE机会。研究中的许多医师对HDSE证书项目示例感兴趣。
我们定性研究中的医师有获得HDSE的兴趣，且过去未接受过多样化的理论性HDSE。我们的研究表明，如果开发创新的HDSE项目，它们可能会被采用和追求。
