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跨专业医疗保健专业学生通过远程医疗解决老年人健康社会决定因素的信心。

Interprofessional health care students' confidence toward addressing the social determinants of health for older adults through telehealth.

作者信息

Odiaga Janice A, Little Lauren M, Gierlowski Theresa, Souza Samantha, Taylor Steven

机构信息

Office Interprofessional Education, Rush University, Chicago, IL, USA.

College of Nursing, Rush University, Chicago, IL, USA.

出版信息

Gerontol Geriatr Educ. 2025 Jan-Mar;46(1):92-98. doi: 10.1080/02701960.2024.2426132. Epub 2024 Nov 12.

Abstract

There has been a call to action to integrate the Social Determinants of Health (SDoH) into health care education including interprofessional education. This brief describes a large-scale online interprofessional educational curriculum where students focus on SDoH of older adults through patient-centered, collaborative telehealth experiences. The curriculum was delivered to students ( = 417) from 17 programs within the Colleges of Health Sciences, Medicine, and Nursing at a large Midwestern academic medical center. Students completed all curricular activities in interprofessional teams, composed of five-six students with at least four professions. Student teams completed a series of three telehealth sessions over a 12-week period with 73 older adults living in communities (i.e. Community Health Mentors [CHMs]). CHMs' average age was 71.2 years and all were living with at least one or more chronic conditions. Students completed the before telehealth training and upon completion of the telehealth sessions. Students demonstrated significant increases in perceived confidence within the four SDoH competency domains: 1) identifying, 2) addressing, and referral to both 3) internal and 4) external resources. Reflection, faculty, and client feedback enhanced the student learning experience and outcomes.

摘要

人们呼吁采取行动,将健康的社会决定因素(SDoH)纳入包括跨专业教育在内的医疗保健教育中。本简报介绍了一个大规模的在线跨专业教育课程,学生们通过以患者为中心的协作远程医疗体验,关注老年人的SDoH。该课程面向来自中西部一所大型学术医疗中心健康科学学院、医学院和护理学院17个项目的学生(n = 417)。学生们在跨专业团队中完成所有课程活动,每个团队由五到六名学生组成,至少涉及四个专业。学生团队在12周内与73名居住在社区的老年人(即社区健康导师[CHM])完成了一系列三次远程医疗课程。CHM的平均年龄为71.2岁,所有人都患有至少一种或多种慢性病。学生们在远程医疗培训前以及远程医疗课程结束后完成了[具体内容未给出]。学生们在四个SDoH能力领域的感知信心显著提高:1)识别,2)解决问题,并转介至3)内部和4)外部资源。反思、教师和客户反馈增强了学生的学习体验和成果。

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