开展急诊医师跨专业移民健康教育。

IF 2 3区 医学 Q2 EMERGENCY MEDICINE
Leonardo Garcia Heglund, Katrin Jaradeh, Carolina Ornelas-Dorian, Nicholas Stark, Theresa Cheng, Christopher R Peabody
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引用次数: 0

摘要

背景:截至2021年,美国有4700万移民。移民人口没有保险的比率高于美国公民,导致许多人依赖急诊部门(ED)来满足他们的医疗需求。然而,急诊医生(EP)往往缺乏对这一人群面临的独特挑战的培训,需要教育干预。方法:我们采用Kern的六步法对城市急诊医学住院医师项目实施教育干预,以告知ep现有的移民特定患者资源;教授关于询问、记录和分享移民特定健康信息的社会-医疗-法律最佳实践;提高对ed相关地方政策的认识。我们开发了三种教育干预措施。与法律组织和社区专家合作。评估这些干预措施的成功我们管理一个预处理和post-survey 64 EPs(178年36%的目标学习者)结果:我们发现显著增加信心和知识,改善5分李克特量表平均得分为1.47 (P <所有响应措施)和1.40 (P <配对反应措施),改善考试分数在30.66%的三个知识问题各反应(P <措施),33% (P = .02)配对反应。结论:本研究强调了课程开发中跨专业合作的模式,以及多管齐下的教育方法对改善急诊科移民护理的重要性。该课程为其他急诊科提供了一个框架,旨在解决这一人群的医疗保健不平等问题。未来的研究可以探讨长期的知识保留,详细的教育工具的使用,以及对患者的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Developing Interprofessional Immigrant Health Education for Emergency Physicians.

Background: As of 2021, there were 47 million immigrants in the United States. Immigrant populations are uninsured at higher rates than US citizens, leading many to rely on emergency departments (ED) for their healthcare needs. However, emergency physicians (EP) often lack training on the unique challenges faced by this population, necessitating educational interventions.

Methods: We implemented educational interventions for an urban emergency medicine residency program using Kern's six-step approach for curriculum development to inform EPs of existing immigration-specific patient resources; teach social-medical-legal best practices with regard to asking, documenting, and sharing immigration-specific health information; and increase awareness of ED-relevant local policies. We developed three educational interventions.in collaboration with legal organizations, and community experts. To evaluate the success of these interventions we administered a pre- and post-survey to 64 EPs (36% of 178 targeted learners) RESULTS: We found a significant increase in confidence and knowledge, with an average 5-point Likert scale score improvement of 1.47 (P < .001) in all responses and 1.40 (P < .001) in paired responses, and an improvement in test scores on the three knowledge-based questions of 30.66% (P < .001) in all responses and 33% (P = .02) in paired responses.

Conclusion: This study highlights a model for interprofessional collaboration in curriculum development and the importance of a multipronged educational approach to improve the care of immigrants in the ED. The curriculum offers a framework for other EDs aiming to address healthcare inequities for this population. Future research can explore long-term knowledge retention, detailed educational tool utilization, and the impact on patients.

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来源期刊
Western Journal of Emergency Medicine
Western Journal of Emergency Medicine Medicine-Emergency Medicine
CiteScore
5.30
自引率
3.20%
发文量
125
审稿时长
16 weeks
期刊介绍: WestJEM focuses on how the systems and delivery of emergency care affects health, health disparities, and health outcomes in communities and populations worldwide, including the impact of social conditions on the composition of patients seeking care in emergency departments.
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