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[运用社会处方履行社会责任:台北医学大学系统的案例研究]

[Using Social Prescribing to Practice Social Responsibility: A Case Study in the Taipei Medical University System].

作者信息

Chen Yu-Da

机构信息

MD, Attending Physician, Department of Family Medicine, Taipei Medical University Hospital, Taiwan, ROC.

出版信息

Hu Li Za Zhi. 2022 Jun;69(3):25-30. doi: 10.6224/JN.202206_69(3).05.

Abstract

The Ministry of Education launched the University Social Responsibility (USR) Program in 2018. Since then, universities have actively promoted inter-disciplinary cooperation and implemented high-end knowledge to meet community needs. Universities are using social responsibility to enhance the level of social participation engaged in by their students to achieve the sustainable development goals set by the United Nations. The aim of this paper was to share the experience of the Taipei Medical University (TMU) system in practicing social responsibility by integrating TMU resources with those of TMU-affiliated hospitals. The USR program at Taipei Medical University promotes the reform of school governance through encouraging university faculties to collaborate with hospital physicians to develop a specific curriculum that implements an innovative social-prescribing model. This curriculum is designed to provide opportunities for students to step out the classroom and into the community. Through clinical observations, home visits, and community service, students gain a deep understanding of community health issues from residents in the surrounding neighborhoods. Medical humanities education is achieved through students' involvement in both patient individual care and community health issues. In addition, faculties guide students in reflective learning from holistic healthcare perspectives. Students are encouraged to use evidence-based methods to develop innovative models of care in the community. Medical staff participation in this program helps ensure that social prescribing to community residents accurately reflects professional assessments. These prescriptions refer patients to local health promotion units involved in community collaboration. The medical university students build a bridge between the medical system and the community to implement the goals of health education. The impact of social prescribing on the social determinants of health is known to be significantly greater than that of medicine prescriptions. The expected outcomes of this project are to reduce the health inequalities experienced by vulnerable groups in the community and to share Taiwan's experiences with the academic community worldwide.

摘要

教育部于2018年启动了大学社会责任(USR)计划。自那时以来,各大学积极推动跨学科合作并运用高端知识来满足社会需求。大学正利用社会责任来提高学生的社会参与水平,以实现联合国设定的可持续发展目标。本文旨在分享台北医学大学(TMU)系统通过整合TMU资源与附属医院资源来践行社会责任的经验。台北医学大学的USR计划通过鼓励大学教师与医院医生合作制定特定课程来推动学校治理改革,该课程实施一种创新的社会处方模式。此课程旨在为学生提供走出课堂、走进社区的机会。通过临床观察、家访和社区服务,学生从周边社区居民那里深入了解社区健康问题。医学人文教育通过学生参与患者个体护理和社区健康问题得以实现。此外,教师从整体医疗保健角度引导学生进行反思性学习。鼓励学生运用循证方法在社区中开发创新护理模式。医务人员参与该计划有助于确保向社区居民开具的社会处方准确反映专业评估。这些处方将患者转介至参与社区合作的当地健康促进单位。医科大学生在医疗系统和社区之间搭建桥梁,以实现健康教育目标。众所周知,社会处方对健康的社会决定因素的影响远大于药物处方。该项目的预期成果是减少社区弱势群体所经历的健康不平等现象,并与全球学术界分享台湾的经验。

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