Northwell Health, Manhasset, NY, USA.
St. Johns School of Pharmacy, Queens, NY, USA.
J Prim Care Community Health. 2022 Jan-Dec;13:21501319221079446. doi: 10.1177/21501319221079446.
Poverty negatively affects the lives and health of the poor. However, health professionals often have limited personal experience and receive little formal education on surviving under conditions of poverty in the United States, which may contribute to suboptimal patient care and outcomes.
We conducted a 3-h, interactive, experiential poverty simulation workshop with an interprofessional group of pre-professional health students to increase their comprehension about the realities of poverty.
As part of the evaluation, participants completed a self-assessment of their attitudes and skills using a Likert scale and open-ended questions; a reflection prompt about how the workshop might affect their professional practice; and a pre- and post-assessment questionnaire.
Participants' attitudes about low-income patients became more favorable; they gained awareness and expressed empathy through the role-play experience. Our analysis revealed increased understanding of social determinants of health, of life challenges that patients face outside of healthcare, and that solutions must be collaborative as the challenges facing poor patients are multifactorial.
The workshop allowed interprofessional students to learn from and with each other about the experiences of poor patients. Future sessions should emphasize interprofessional skill-building and action, potentially in virtual formats.
贫困对贫困人口的生活和健康产生负面影响。然而，卫生专业人员通常在个人经验有限，并且在美国贫困环境下生存方面接受的正规教育很少，这可能导致患者护理和结果不佳。
我们为一组准专业卫生学生进行了 3 小时的互动式体验贫困模拟研讨会，以增加他们对贫困现实的理解。
作为评估的一部分，参与者使用李克特量表和开放式问题对他们的态度和技能进行自我评估；对研讨会如何影响他们的专业实践的反思提示；以及会前和会后的问卷调查。
参与者对低收入患者的态度变得更加有利；他们通过角色扮演体验获得了意识并表达了同理心。我们的分析表明，参与者对健康的社会决定因素、患者在医疗保健之外面临的生活挑战有了更多的了解，并且必须通过合作来解决问题，因为贫困患者面临的挑战是多方面的。
该研讨会使不同专业的学生能够相互学习贫困患者的经历。未来的课程应强调跨专业的技能培养和行动，可能以虚拟形式进行。
