Nieman L Z, Jones J G
J Med Educ. 1983 Dec;58(12):934-40. doi: 10.1097/00001888-198312000-00003.
In this report, the authors describe the current status of home visit training programs in family medicine education in U.S. and Canadian medical schools. Thirty-two percent of the 137 medical schools with programs in family medicine provide opportunities for students to visit patients in their homes. In most of these schools, visits are mandatory, are made by one student, occur at more than one level of study, and require a written report by the student. Information gathered during the visit becomes part of the patient's medical record and is shared with health care providers. Physician participation in the visit is more frequently optional and an alternative to the participation of nonphysician faculty members or allied health professionals. Ninety-four percent of the respondents whose schools have programs report that students, faculty members, and patients have positive attitudes toward the visit. Suggestions for improving and/or designing home visit programs are provided based on the data accumulated during the study.
在本报告中，作者描述了美国和加拿大医学院校家庭医学教育中家访培训项目的现状。在137所设有家庭医学项目的医学院校中，32%为学生提供了家访患者的机会。在这些学校中的大多数，家访是强制性的，由一名学生进行，在多个学习阶段开展，并且学生需要撰写书面报告。家访期间收集的信息成为患者病历的一部分，并与医疗服务提供者共享。医生参与家访更多时候是可选择的，可替代非医生教员或专职医疗人员的参与。其所在学校设有该项目的94%的受访者表示，学生、教员和患者对家访持积极态度。基于研究期间积累的数据，提供了改进和/或设计家访项目的建议。
