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利用伊朗医学生的社会转诊:通过修订健康实习课程,迈向以社区为导向和关注社会决定因素。

Using social prescribing by Iranian medical students: a step towards community-orientation and social determinants of health by revising the health internship curriculum.

机构信息

Department of Social Medicine and Family, School of Medicine, Dezful University of Medical Sciences, Dezful, Iran.

Department of Medical Physics, School of Medicine, Dezful University of Medical Sciences, Dezful, Iran.

出版信息

BMC Med Educ. 2022 Sep 5;22(1):661. doi: 10.1186/s12909-022-03718-8.

DOI:10.1186/s12909-022-03718-8
PMID:36064520
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9446877/
Abstract

BACKGROUND

In order to meet patients' social needs, including social prescribing in the curriculum of medical students is a necessity.

AIM

Becoming familiarized with the SDH perspective and referral method to link workers (LWs) and the principles of social prescribing (SP).

METHODS

Using Levin's model, the intervention was performed in the field of health of medical students in 2018-2020 for 38 interns in Dezful University of Medical Sciences. Following holding meetings (Plan), a social case was selected and the social version (Act) was developed. Then the other students observed the prescription and identified the strengths and weaknesses (Reflect). Finally, the results were evaluated by Kirk Patrick model.

RESULTS

At the reaction level, 63.14% agreed with the applicability of SP and 68.42% with its usefulness for prospective work; 97.36% believed that familiarity with the community context was essential and 78.93% considered SDH study and SP's necessary. At the learning level, over 90% of the total score was obtained. The results of behavior level included interest, compassion and following up people's problems, the level of results, empowerment and improving unhealthy living conditions of individuals.

CONCLUSION

Promising positive results indicate that SP can be one of the ways of supporting primary health care.

摘要

背景

为了满足患者的社会需求,将社会处方纳入医学生课程是必要的。

目的

熟悉社会决定因素健康(SDH)视角和联系工作者(LWs)的转介方法以及社会处方(SP)的原则。

方法

使用 Levin 模型,于 2018-2020 年在德黑兰医科大学的医学生健康领域对 38 名实习生进行干预。在举行会议(计划)之后,选择一个社会案例并制定社会版本(行动)。然后,其他学生观察处方并确定优点和缺点(反思)。最后,使用 Kirk Patrick 模型进行评估。

结果

在反应层面,63.14%的人同意 SP 的适用性,68.42%的人认为其对未来工作有用;97.36%的人认为熟悉社区环境至关重要,78.93%的人认为需要学习 SDH 和 SP。在学习层面,总分超过 90%。行为层面的结果包括对患者问题的兴趣、同情和关注,以及结果层面的赋权和改善个体的不良生活条件。

结论

有希望的积极结果表明,SP 可以成为支持初级卫生保健的方法之一。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6c8/9446877/ee2da2a8dd63/12909_2022_3718_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6c8/9446877/433802089a6c/12909_2022_3718_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6c8/9446877/43aeb21cb129/12909_2022_3718_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6c8/9446877/e41d053fc980/12909_2022_3718_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6c8/9446877/ee2da2a8dd63/12909_2022_3718_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6c8/9446877/433802089a6c/12909_2022_3718_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6c8/9446877/43aeb21cb129/12909_2022_3718_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6c8/9446877/e41d053fc980/12909_2022_3718_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6c8/9446877/ee2da2a8dd63/12909_2022_3718_Fig4_HTML.jpg

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本文引用的文献

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2
Evaluating the impact of a community-based social prescribing intervention on people with type 2 diabetes in North East England: mixed-methods study protocol.评价基于社区的社会处方干预对英格兰东北部 2 型糖尿病患者的影响:混合方法研究方案。
BMJ Open. 2019 Jan 15;9(1):e026826. doi: 10.1136/bmjopen-2018-026826.
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Evaluability assessments as an approach to examining social prescribing.
评估可评估性作为一种考察社会处方的方法。
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Understanding the effectiveness and mechanisms of a social prescribing service: a mixed method analysis.了解社会处方服务的有效性和机制:一项混合方法分析。
BMC Health Serv Res. 2018 Aug 6;18(1):604. doi: 10.1186/s12913-018-3437-7.
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Social prescribing student champion scheme: a novel peer-assisted-learning approach to teaching social prescribing and social determinants of health.社会处方学生倡导计划:一种教授社会处方和健康社会决定因素的新型同伴辅助学习方法。
Educ Prim Care. 2018 Sep;29(5):307-309. doi: 10.1080/14739879.2018.1483211. Epub 2018 Jul 31.
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BMC Health Serv Res. 2017 Dec 19;17(1):835. doi: 10.1186/s12913-017-2778-y.
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