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推进初级保健中的公平、多样性、包容性和可及性:综合教育体验模型的发展。

Advancing equity, diversity, inclusivity, and accessibility in primary care: The development of an integrated educational experience model.

机构信息

Bruyère Research Institute, Ottawa, Ontario, Canada.

McGill University, Montreal, Quebec, Canada.

出版信息

Healthc Manage Forum. 2024 Sep;37(5):371-376. doi: 10.1177/08404704241264236. Epub 2024 Jul 24.

Abstract

This article presents the development of the Equity, Diversity, Inclusivity, and Accessibility (EDIA) Cross-Cutting Theme Project within the Team Primary Care (TPC) initiative, aimed at addressing systemic inequities through innovative educational strategies. Grounded in the social accountability of health professions framework, this project aims to equip primary care teams with the knowledge, skills, and attitudes necessary to promote health equity. The EDIA Integrated Educational Experience (IEE) model includes a self-assessment tool, digital learning space, and national mentorship network, providing a comprehensive approach for primary care teams to promote health equity. The IEE model utilizes a layered micro, meso, and macro approach to support cultural transformation within highly complex healthcare environments. Key lessons learned involve trust- and relationship-building processes to help dismantle historical silos and encourage open dialogue. Future efforts focus on implementation, ensuring adaptability, scalability, and sustainability, positioning the model as a catalyst for equitable primary care delivery.

摘要

本文介绍了团队初级保健(TPC)倡议内的公平、多样性、包容性和可及性(EDIA)跨主题项目的发展,该项目旨在通过创新的教育策略解决系统性不公平问题。该项目以卫生专业人员的社会责任框架为基础,旨在使初级保健团队具备促进健康公平所需的知识、技能和态度。EDIA 综合教育体验(IEE)模型包括一个自我评估工具、数字学习空间和国家指导网络,为初级保健团队提供了促进健康公平的综合方法。IEE 模型采用分层的微观、中观和宏观方法,支持在高度复杂的医疗保健环境中进行文化变革。关键经验教训包括信任和关系建立过程,以帮助打破历史隔阂,鼓励开放对话。未来的努力重点是实施,确保适应性、可扩展性和可持续性,使该模型成为公平提供初级保健的催化剂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bd5/11348623/c20a45dfd0ac/10.1177_08404704241264236-fig1.jpg

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