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让我们不要重新发明轮子:利用学习和实践共同体来解决 SDOH 问题并促进健康公平。

Let's Not Reinvent the Wheel: Using Communities of Learning and Practice to Address SDOH and Advance Health Equity.

机构信息

Department of Family and Community Medicine, College of Medicine, University of Illinois at Chicago, Chicago, Illinois

School of Nursing, George Washington University, Washington, DC.

出版信息

Ann Fam Med. 2023 Feb;21(Suppl 2):S95-S99. doi: 10.1370/afm.2917.

DOI:10.1370/afm.2917
PMID:36849478
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9970674/
Abstract

BACKGROUND

Despite advances in knowledge and science, evidence indicates that health care disparities and inequities continue to exist across diverse populations. Educating and training the next generation of health professionals to focus on addressing social determinants of health (SDOH) and advancing health equity is a key priority. This aim requires educational institutions, communities, and educators to strive for change in health professions education, to attain the goal of creating transformative educational systems that better meet the public health needs of the 21st Century.

PURPOSE AND OUTCOMES

Communities of practice (CoPs) are groups of people who share a concern or a passion for something they do and learn how to do it better as they interact regularly. The National Collaborative for Education to Address Social Determinants of Health (NCEAS) CoP is focused on integrating SDOH into the formal education of health professionals. The NCEAS CoP is one model to replicate how health professions educators can work together for transformative health workforce education and development. The NCEAS CoP will continue to advance health equity by sharing evidence-based models of education and practice that address SDOH and help build and sustain a culture of health and well-being through sharing models for transformative health professions education.

CONCLUSIONS

Our work is an example that shows we can build partnerships across communities and professions, thereby freely sharing ideas and curricular innovations that address the systemic inequities that continue to fuel persistent health disparities and inequities, and contribute to moral distress and burnout of our health professionals.

摘要

背景

尽管知识和科学取得了进步,但有证据表明,医疗保健差距和不平等现象仍然存在于不同人群中。教育和培训下一代医疗保健专业人员,使其专注于解决健康的社会决定因素(SDOH)并促进健康公平,是当务之急。这一目标要求教育机构、社区和教育工作者努力改变医疗保健专业教育,以实现创建变革性教育系统的目标,从而更好地满足 21 世纪公共卫生的需求。

目的和成果

实践社区(CoP)是指一群对他们所做的事情或对他们所热衷的事情有共同关注或热情的人,他们通过定期互动来学习如何更好地完成任务。国家合作教育以解决健康的社会决定因素(NCEAS)CoP 专注于将 SDOH 纳入医疗保健专业人员的正规教育。NCEAS CoP 是一种复制医疗保健专业教育者如何共同努力实现变革性卫生人力教育和发展的模式。NCEAS CoP 将继续通过分享解决 SDOH 的基于证据的教育和实践模式,并通过分享变革性医疗保健专业教育模式来帮助建立和维持健康和福祉文化,从而推进健康公平。

结论

我们的工作是一个例证,表明我们可以在社区和专业之间建立伙伴关系,从而自由地分享解决继续加剧持续健康差距和不平等现象的系统性不平等问题的想法和课程创新,并有助于减轻我们的医疗保健专业人员的道德困境和倦怠。

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引用本文的文献

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本文引用的文献

1
Developing Primary Care-Based Recommendations for Social Determinants of Health: Methods of the U.S. Preventive Services Task Force.制定基于初级保健的健康社会决定因素建议:美国预防服务工作组的方法。
Ann Intern Med. 2020 Sep 15;173(6):461-467. doi: 10.7326/M20-0730. Epub 2020 Jul 14.
2
Medicine as a Community of Practice: Implications for Medical Education.作为实践共同体的医学:对医学教育的启示
Acad Med. 2018 Feb;93(2):185-191. doi: 10.1097/ACM.0000000000001826.
3
CDC Health Disparities and Inequalities Report - United States, 2013. Foreword.《2013年美国疾病控制与预防中心健康差异与不平等报告》。前言。
MMWR Suppl. 2013 Nov 22;62(3):1-2.