is Academic Advisory Staff, Children's National Hospital, and Clinical Associate Professor of Pediatrics, The George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
is Program Manager, Health Promotion and Disease Prevention, Child Health Advocacy Institute, Children's National Hospital, Washington, DC, USA; and.
J Grad Med Educ. 2023 Dec;15(6):718-725. doi: 10.4300/JGME-D-23-00373.1.
There are few published resources to guide content of health disparities curricula. To train physicians to effectively address disparities, the needs and expectations of the local community need to be considered. To obtain community insight about factors influencing health disparities and important components of a health disparities curriculum for residents. This qualitative study consisted of 5 focus groups held in 2019; 4 included local community members, and the fifth was of leaders from local agencies serving these communities. Each focus group was professionally led and transcribed. Using an inductive approach to content analysis, the authors created codes from the transcripts. They then categorized the codes to support the development of themes. Sixty-five community members participated in the 4 focus groups, and 10 community leaders participated in the fifth. Overall, 6 themes emerged from the data: (1) A healthy community is a community with access; (2) system-inflicted stress weighs heavily on health; (3) communities have internal strengths; (4) racism affects care delivery; (5) respectful bedside manner is necessary to build trust and better health outcomes; and (6) experience the community to learn and appreciate strengths and needs. This study illustrates that the community's input provides insights on what to include in a health disparities curriculum and serves as a model for incorporation of the community perspective in curriculum development.
几乎没有发表的资源可以指导健康差异课程的内容。为了培训医生有效解决差异问题,需要考虑当地社区的需求和期望。为了了解影响健康差异的因素以及居民健康差异课程的重要组成部分,本研究采用定性研究方法,于 2019 年进行了 5 次焦点小组讨论;其中 4 次包括当地社区成员,第 5 次是为服务这些社区的当地机构的领导。每个焦点小组都由专业人员主持并记录。研究人员采用归纳法对转录内容进行分析,从记录中创建代码,然后对代码进行分类,以支持主题的发展。共有 65 名社区成员参加了 4 次焦点小组讨论,10 名社区领导参加了第 5 次。总体而言,数据中出现了 6 个主题:(1)健康的社区是一个有机会获得医疗服务的社区;(2)体制带来的压力对健康影响很大;(3)社区有内在的优势;(4)种族主义影响医疗服务的提供;(5)礼貌的态度对于建立信任和改善健康结果是必要的;(6)体验社区以了解和欣赏优势和需求。本研究表明,社区的意见为健康差异课程的内容提供了启示,并为课程开发中纳入社区视角提供了范例。