社会医学教育促进巴勒斯坦的结构转型

IF 4.9 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Social Science & Medicine Pub Date : 2024-09-18 DOI:10.1016/j.socscimed.2024.117332

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引用次数: 0

摘要

导言社会医学是一门以社会健康的社会和结构性驱动因素为中心的独特研究领域，在过去的几十年里，它已越来越多地被纳入医学专业教育。在巴勒斯坦，由于巴勒斯坦的地理、教育、文化和健康状况支离破碎，将社会医学方法融入专职医护学生的学习中仍然难以实现。材料和方法30 名来自加沙地带、约旦河西岸和美国的学生聚集在巴勒斯坦比尔宰特大学社区和公共卫生学院，参加为期三周的社会医学体验课程。该课程引入了重要的社会和结构框架，并利用生物社会模式进行培训和教育，其中包括反思性知识获取和实践。课程前和课程后的评估提供了反馈意见，并深入了解了学生群体的知识、态度和学习发展情况。结果参与者的经历突出了课程批判反思性质的重要性以及通过实践进行实践的重要性。学生们认为，召集来自不同地区的巴勒斯坦人以及关注以巴勒斯坦人为中心的观点是该课程的基础。结论巴勒斯坦社会医学课程提供了一个以巴勒斯坦人的叙述为中心的课程，该课程侧重于关键的结构框架，以确定和澄清各种支离破碎的巴勒斯坦健康经历之间的总体联系。该课程为开展有意义的非殖民化教育、合作和实践提供了一个模式和第一步，同时也进一步证明了在健康团结中动员的力量以及社会医学运动的变革力量。

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Social medicine education towards structural transformation in Palestine

Introduction

Social medicine, a field of study that uniquely centers the social and structural drivers of health in society, has been increasingly integrated into medical professional education over the last several decades. In Palestine, due to the fragmentation of Palestinian geographies, education, culture, and health, integrating a social medicine approach for allied health care students has remained elusive. We seek to introduce the theoretical underpinnings and practical implementation of an experiential Palestine social medicine course.

Materials and methods

30 Students from the Gaza Strip, West Bank, and the United States convened at the Institute of Community and Public Health at Birzeit University, Palestine, for a three-week experiential social medicine course. The course introduced critical social and structural frameworks and utilized a biosocial model for training and education that included reflective knowledge acquisition and praxis. Pre- and post-course evaluations provided feedback and insight into the knowledge, attitudes, and learning evolution of the student cohort.

Results

Participant experiences highlighted the importance of the critical reflective nature of the course and importance of practice through praxis. Students identified the convening of Palestinians from different regions and the focus on Palestinian-centered perspectives as foundational for the course. Tensions highlighted included the challenges and distress in identifying tangible next steps in addressing the identified structural determinants of Palestinian health.

Conclusion

The Palestine social medicine course provided a Palestinian narrative-centered course that focused on critical structural frameworks to identify and clarify the overarching connections of various, fractured Palestinian health experiences. This course provides a model, and first step, towards meaningful decolonial education, partnership, and praxis, while also providing further evidence of the power of mobilizing in health solidarity and the transformative power of the social medicine movement.

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来源期刊

Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

9.10

自引率

5.60%

发文量

762

审稿时长

38 days

期刊介绍： Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.