PDF(Pubmed)
Abstract：
Social and structural factors play a critical role in driving inequitable health outcomes, resulting in the need for undergraduate medical education to include important care components such as team-based care to address social determinants of health. Research shows that learning strategies such as case-based initiatives are valuable opportunities to impact knowledge of population health, health disparities, and social determinants that impact care. The purpose of this study was to assess the impact of a clinical case-based experience on medical students\' self-efficacy and future intent to use the team-based care necessary to address social determinants of health.
We used a retrospective analysis of program data from 640 third-year medical students who engaged in a case-based experience and small-group debriefing around the impact of team-based care and social determinants of health on patient care during their family medicine clerkship between July 2020 and April 2022.
We found a statistically significant improvement in students\' reported self-efficacy and intent to collaborate with other health care workers (team-based care) to address patient care needs in rural and urban underserved community settings.
Our students reported that a case-based experience coupled with a small-group debriefing was an effective method for teaching them how to use a team-based approach to address social determinants of health.
We used a retrospective analysis of program data from 640 third-year medical students who engaged in a case-based experience and small-group debriefing around the impact of team-based care and social determinants of health on patient care during their family medicine clerkship between July 2020 and April 2022.
We found a statistically significant improvement in students\' reported self-efficacy and intent to collaborate with other health care workers (team-based care) to address patient care needs in rural and urban underserved community settings.
Our students reported that a case-based experience coupled with a small-group debriefing was an effective method for teaching them how to use a team-based approach to address social determinants of health.
摘要：
目标：社会和结构因素在导致不公平的健康结果中起着关键作用，导致本科医学教育需要包括重要的护理组成部分，如基于团队的护理，以解决健康的社会决定因素。研究表明，基于案例的倡议等学习策略是影响人口健康知识的宝贵机会，健康差异,以及影响护理的社会决定因素。这项研究的目的是评估基于临床案例的经验对医学生自我效能感的影响，以及未来使用以团队为基础的护理来解决健康的社会决定因素的意图。
方法：我们对640名三年级医学生的项目数据进行了回顾性分析，这些学生在2020年7月至2022年4月期间从事基于病例的经验和小组汇报，围绕基于团队的护理和健康的社会决定因素对患者护理的影响。
结果：我们发现，在农村和城市服务不足的社区环境中，学生报告的自我效能感和与其他卫生保健工作者合作（基于团队的护理）以满足患者护理需求的意图有统计学上的显著改善。
结论：我们的学生报告说，基于案例的经验加上小组汇报是教他们如何使用基于团队的方法来解决健康的社会决定因素的有效方法。
方法：我们对640名三年级医学生的项目数据进行了回顾性分析，这些学生在2020年7月至2022年4月期间从事基于病例的经验和小组汇报，围绕基于团队的护理和健康的社会决定因素对患者护理的影响。
结果：我们发现，在农村和城市服务不足的社区环境中，学生报告的自我效能感和与其他卫生保健工作者合作（基于团队的护理）以满足患者护理需求的意图有统计学上的显著改善。
结论：我们的学生报告说，基于案例的经验加上小组汇报是教他们如何使用基于团队的方法来解决健康的社会决定因素的有效方法。
