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医学专业教学对 PIF 的社会决定因素的影响。

Impact of Teaching Social Determinants of Health on PIF in the Health Professions.

机构信息

University of Wisconsin-Madison, School of Pharmacy, Madison, WI, USA.

Drake University, College of Pharmacy and Health Sciences, Des Moines, IA, USA.

出版信息

Am J Pharm Educ. 2023 Nov;87(11):100544. doi: 10.1016/j.ajpe.2023.100544. Epub 2023 Jun 22.

DOI:10.1016/j.ajpe.2023.100544
PMID:37355032
Abstract

OBJECTIVE

To address the lack of methods for assessing learning on social determinants of health, particularly from a health systems perspective. Using a conceptual framework of professional identity formation applied across 3 professions (athletic training, occupational therapy, and pharmacy), the study aimed to describe students' level of professional identity when applying knowledge of structural factors' impact on health.

METHODS

This study was a deductive content analysis of students' written reflections. Identified themes explored how students explained sociopolitical influences on health as well as their assessed level of professional identity.

RESULTS

Students were inclined to author narratives focused on the ways in which structural factors influence individual outcomes and aspects within the health care system. Most students were assessed to be at the initial levels of professional identity formation, but those with a comparatively higher level of professional identity expressed a commitment to professional behaviors that address social determinants of health.

CONCLUSION

This analysis created a foundation for future pedagogical work in health care system-related structural learning outcomes within and between different health professions. Findings suggest that across professions, most first-year students demonstrated the ability to reconcile different perspectives and were in the early stages of aligning personal values with professional values. The use of reflection has the potential to assess professional identity formation among a range of health professional students.

摘要

目的

解决缺乏评估健康社会决定因素学习的方法的问题,特别是从卫生系统的角度来看。本研究应用跨三个专业(运动训练、职业治疗和药学)的专业身份形成的概念框架,旨在描述学生在应用结构因素对健康影响的知识时的专业身份水平。

方法

这是一项对学生书面反思的演绎内容分析。确定的主题探讨了学生如何解释社会政治因素对健康的影响,以及他们评估的专业身份水平。

结果

学生倾向于撰写以结构因素影响个人结果和医疗保健系统内各个方面为重点的叙述。大多数学生被评估为处于专业身份形成的初始阶段,但那些具有相对较高专业身份的学生表示愿意采取专业行为来解决健康的社会决定因素。

结论

该分析为未来的医疗保健系统相关结构学习成果的教学工作奠定了基础,包括不同健康专业之间的教学工作。研究结果表明,在不同专业中,大多数一年级学生表现出了协调不同观点的能力,并且处于将个人价值观与专业价值观相协调的早期阶段。反思的使用有可能评估一系列卫生专业学生的专业身份形成情况。

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