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成为服务不足患者的领导者——学生运营的免费诊所的重要性。

Becoming a leader for underserved patients-the importance of student run free clinics.

作者信息

Cheney Ann Marie, Baltrushes Noah, Gehlbach Daniel, Navarro Armando

机构信息

Department of Social Medicine Population and Public Health, University of California Riverside, School of Medicine, Riverside, CA, United States.

Undergraduate Medical Education, University of California Riverside, School of Medicine, Riverside, CA, United States.

出版信息

Front Health Serv. 2024 Dec 18;4:1509964. doi: 10.3389/frhs.2024.1509964. eCollection 2024.

Abstract

Many students enter medical school with aspirations of expanding healthcare to underserved communities and reducing healthcare access barriers; yet they lack the leadership skills to achieve this goal. This perspective discusses the role of student-run free clinics in developing medical students' leadership abilities-problem-solving, partnership building, planning, decision-making, and resource acquisition-to address the healthcare needs of marginalized patient populations. It also discusses how fostering leadership skills in the context of serving underserved patients also develops medical students' structural competency and thus awareness of how inequities embedded within hierarchies and social institutions shape health outcomes. We use the example of the development of the Coachella Valley Free Clinic, a student-led and community engaged primary care clinic, to illustrate how student-run free clinics create opportunities for medical students to build leadership skills while addressing the healthcare needs of marginalized patient populations. Medical students, working alongside community health workers and federally qualified healthcare centers, devised a "pop-up" clinic model aimed at delivering care that is both culturally sensitive and linguistically appropriate, thereby addressing health disparities rooted in systemic inequality. As we argue, SRFCs create real-world settings where medical students can develop their leadership skills and understanding of inequities in health ultimately contributing to the broader goal of reducing health inequities by improving healthcare access for underserved patient populations.

摘要

许多学生进入医学院时,怀有将医疗服务扩展到服务不足社区并减少医疗服务获取障碍的抱负;然而,他们缺乏实现这一目标所需的领导技能。本文探讨了学生运营的免费诊所在培养医学生领导能力(解决问题、建立伙伴关系、规划、决策和获取资源)以满足边缘化患者群体的医疗需求方面所起的作用。它还讨论了在为服务不足的患者提供服务的背景下培养领导技能如何也能提升医学生的结构胜任力,进而增强他们对等级制度和社会机构中所嵌入的不平等如何影响健康结果的认识。我们以科切拉谷免费诊所的发展为例,这是一家由学生主导且社区参与的初级保健诊所,来说明学生运营的免费诊所如何为医学生创造机会,在满足边缘化患者群体医疗需求的同时培养领导技能。医学生与社区卫生工作者以及联邦合格医疗中心合作,设计了一种“弹出式”诊所模式,旨在提供具有文化敏感性和语言适宜性的护理,从而解决源于系统性不平等的健康差距问题。正如我们所主张的,学生运营的免费诊所创造了现实世界的环境,医学生可以在其中培养领导技能并理解健康方面的不平等,最终通过改善服务不足患者群体的医疗服务获取机会,为减少健康不平等这一更广泛的目标做出贡献。

相似文献

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A survey of Canadian interprofessional student-run free clinics.加拿大跨专业学生运营的免费诊所调查。
J Interprof Care. 2017 Nov;31(6):781-784. doi: 10.1080/13561820.2017.1346590. Epub 2017 Sep 1.

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