■健康倡导(HA)涉及有目的的行动,动员,并组织活动,以解决影响个人或社区的健康的社会决定因素。它是医疗实践的基本组成部分,被专业和教育机构视为强制性的。因此,包括在研究生前和研究生医学教育中的健康宣传培训至关重要。
■在这项研究中,我们旨在根据专家意见确定是否需要对家庭医生(FPs)进行HA培训.
■我们与105名学术专家和活跃的FP进行了一项改良的Delphi研究,以探索HA培训需求。使用三轮技术,专家首先回答了五个关于医管局能力的开放式问题,教学和评估方法,学习环境,并融入住院医师培训。在第二轮中,回应中的陈述以5分的李克特量表进行评级,在第三轮中,低于85%共识水平的声明被修订和重新评估。
■小组由41名专家(33名院士,8名从业者)接受邀请并完成研究。在三轮比赛结束时,就医管局能力的38项声明达成共识,15教学方法,8评估方法,和20个用于HA培训的集成。
■HA角色的能力在视角上非常广泛,并显示出与FP\'\'专业\'的共同点,\'专家\'和\'领导者\'角色。强烈建议通过参与过程和对HAFM培训师的培训,将HA培训纵向纳入国家“家庭医学住院医师培训核心课程”。
家庭医生的健康宣传作用所期望的能力显示出与家庭医生的“专业”的共同点,“专家”和“领导者”角色。将健康宣传培训纵向纳入国家一级的家庭医学住院医师培训核心课程非常重要。
UNASSIGNED: Health advocacy (HA) involves purposeful actions to inform, mobilise, and organise activities to address social determinants of health affecting individuals or communities. It is a fundamental component of medical practice, deemed mandatory by professional and educational bodies. Therefore, including health advocacy training in pre- and post-graduate medical education is crucial.
UNASSIGNED: In this
study, we aimed to determine the need for HA training for family physicians (FPs) based on expert opinions.
UNASSIGNED: We conducted a modified Delphi
study with 105 academic experts and active FPs to explore HA training needs. Using a three-round technique, experts first answered five open-ended questions on HA competencies, teaching and assessment methods, learning environments, and integration in residency training. In the second round, statements from the responses were rated on a 5-point Likert scale, in the third round, statements below the 85% consensus level were revised and re-evaluated.
UNASSIGNED: The panel consisted of 41 experts (33 academicians, 8 practitioners) who accepted the invitation and completed the
study. At the end of the three rounds, consensus was reached on 38 statements for HA competencies, 15 for teaching methods, 8 for assessment methods, and 20 for integration for HA training.
UNASSIGNED: Competencies for the HA role are very broad in perspective and show commonalities with the FPs\' \'professional\', \'expert\' and \'leader\' roles. Longitudinally integration of the HA training into the national \'Family Medicine Residency Training Core Curriculum\' through participatory processes and training of FM trainers in HA is strongly recommended.
The competencies expected for the health advocacy role of the family physicians show commonalities with the family physicians’ ‘professional’, ‘expert’ and ‘leader’ roles.It is important to longitudinally integrate health advocacy training into the family medicine residency training core curriculum at the national level.