实施和评估一项试点跨专业培训计划,让医疗团队参与医疗成本对话。

IF 1.6 4区 教育学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES
Jean Edward, Kimberly D Northrip, Mary Kay Rayens, Julia Costich, Andrea Welker, Rachel O'Farrell, John D'Orazio
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引用次数: 0

摘要

简介本研究评估了财务和保险导航援助培训的影响--该培训是一项试点跨专业培训计划,旨在促进护理成本(CoC)对话并解决儿科血液肿瘤诊所中对健康有害的社会健康决定因素:方法: 采用前后研究设计,评估财务和保险导航援助培训对跨专业医疗团队(临床医生、社会工作者、财务导航员和法律倡导者)的知识、态度和行为的影响,这些知识、态度和行为与CoC对话以及筛查、转诊和与跨专业团队成员合作有关。数据通过在基线/培训后、培训后即刻和培训后 12 个月进行的调查收集:大多数医疗团队成员(21 人)表示,他们对可用财务资源(66.7%)和法律资源(86.7%)的认识有所提高,解决社会需求(93.3%)、财务需求(93.3%)以及促进与患者和护理人员进行 CoC 对话(66.7%)的能力也有所提高:讨论:通过培训,参与 CoC 对话、筛查和转诊的态度和行为得到了相对改善。然而,围绕常规筛查和就自付费用展开讨论的实际行为的阳性率较低,这表明有必要消除障碍。研究结果强调了跨专业教育在帮助医疗团队通过有效的 CoC 对话解决健康的社会决定因素方面的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Implementing and Evaluating a Pilot Interprofessional Training Program to Engage Health Care Teams in Cost of Care Conversations.

Introduction: This study evaluated the impact of Financial and Insurance Navigation Assistance-Training - a pilot interprofessional training program to facilitate cost of care (CoC) conversations and address health-harming social determinants of health in a pediatric hematology-oncology clinic.

Methods: A pre-post study design was used to evaluate the impact of Financial and Insurance Navigation Assistance-Training on an interprofessional health care team's (clinicians, social workers, financial navigator, and legal advocates) knowledge, attitudes, and behaviors related to CoC conversations and screening, referring, and collaborating with interprofessional team members. Data were collected via surveys administered at baseline/pretraining, immediate post-training, and 12-month post-training.

Results: Most health care team members (n= 21) reported improvement in their knowledge of available financial (66.7%) and legal resources (86.7%) and ability to address social needs (93.3%), financial needs (93.3%), and facilitate CoC conversations with patients and caregivers (66.7%).

Discussion: Improvements in attitudes and behaviors toward engaging in CoC conversations, screenings, and referrals were relatively improved as a result of the training. However, there was a lower positive rate for actual behaviors around routine screening and initiating discussions on out-of-pocket costs, suggesting a need to address barriers. Study findings highlight the importance of interprofessional education in helping health care teams address social determinants of health through effective CoC conversations.

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来源期刊
CiteScore
3.00
自引率
16.70%
发文量
85
审稿时长
>12 weeks
期刊介绍: The Journal of Continuing Education is a quarterly journal publishing articles relevant to theory, practice, and policy development for continuing education in the health sciences. The journal presents original research and essays on subjects involving the lifelong learning of professionals, with a focus on continuous quality improvement, competency assessment, and knowledge translation. It provides thoughtful advice to those who develop, conduct, and evaluate continuing education programs.
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