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考察学历层次对医疗保健提供者对跨专业协作看法的影响:一项试点研究。

Examining the Influence of Academic Degree Level on Health Care Providers' Perceptions of Interprofessional Collaboration: A pilot study.

机构信息

University of Michigan School of Dentistry

Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry.

出版信息

J Dent Hyg. 2022 Aug;96(4):28-36.

Abstract

Health care provider perceptions of interprofessional collaboration (IPC) have been well documented, however barriers to provider participation persist. The purpose of this pilot study was to examine differences in health care providers' perceptions of IPC based on the academic degree level. Licensed health care providers with faculty appointments at a four-year university-based setting were invited to participate in an electronic survey. Attitudinal questions in the survey instrument were based on the Theory of Planned Behavior and the Social Cognitive Theory and assessed perceptions, attitudes, norms, and self-efficacy toward IPC. Descriptive statistics were used to analyze the data. Respondents (n=179) included faculty in medicine (29%), dentistry (23%), nursing (13%), dental hygiene (11%), physical therapy (8%), and pharmacy (7%). Ninety percent of respondents agreed or strongly agreed that IPC is important for improving patient health outcomes. Respondents across all degree levels were significantly more comfortable taking recommendations on patient treatment from another health care provider with a doctoral degree as compared to a health care provider with an associate degree, with mean scores declining from 5.58 to 4.58 (=0.000). While all respondents valued IPC in improving patient outcomes, their perceptions of other health care providers' level of academic degree may play a role in their willingness to truly collaborate with them. Despite an institution's positive culture of IPC, bias and stereotypes regarding the level of academic degree need to be addressed. Results indicate that while health care providers with lower academic degrees may be valuable contributors to the IPC team, their academic degree could be a barrier to their meaningful inclusion.

摘要

医疗保健提供者对跨专业合作(IPC)的看法已经有了充分的记录,但提供者参与的障碍仍然存在。本试点研究的目的是根据学术学位水平,检查医疗保健提供者对 IPC 的看法的差异。邀请在四年制大学环境中有教职的持照医疗保健提供者参加电子调查。调查工具中的态度问题基于计划行为理论和社会认知理论,评估了对 IPC 的看法、态度、规范和自我效能感。使用描述性统计数据对数据进行分析。受访者(n=179)包括医学(29%)、牙科(23%)、护理(13%)、牙科保健(11%)、物理治疗(8%)和药学(7%)专业的教师。90%的受访者同意或强烈同意 IPC 对于改善患者健康结果很重要。与具有副学士学位的医疗保健提供者相比,所有学位水平的受访者都更愿意接受具有博士学位的其他医疗保健提供者对患者治疗的建议,平均得分从 5.58 下降到 4.58(=0.000)。虽然所有受访者都重视 IPC 对改善患者结果的价值,但他们对其他医疗保健提供者的学术学位水平的看法可能会影响他们与他们真正合作的意愿。尽管机构具有积极的 IPC 文化,但仍需要解决有关学术学位水平的偏见和刻板印象。结果表明,虽然学历较低的医疗保健提供者可能是 IPC 团队的有价值的贡献者,但他们的学历可能成为他们被纳入的障碍。

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