Active patient involvement in the education of health professionals

被引:289
作者
Towle, Angela [1 ,2 ]
Bainbridge, Lesley
Godolphin, William [1 ,3 ]
Katz, Arlene [4 ]
Kline, Cathy [1 ]
Lown, Beth [5 ]
Madularu, Ioana [1 ]
Solomon, Patricia [6 ]
Thistlethwaite, Jill [7 ]
机构
[1] Univ British Columbia, Div Hlth Care Commun, Coll Hlth Disciplines, Vancouver, BC V6T 1Z3, Canada
[2] Univ British Columbia, Dept Med, Fac Med, Vancouver, BC V6T 1Z3, Canada
[3] Univ British Columbia, Dept Pathol, Fac Med, Vancouver, BC V6T 1Z3, Canada
[4] Harvard Univ, Sch Med, Dept Global Hlth & Social Med, Cambridge, MA 02138 USA
[5] Harvard Univ, Sch Med, Dept Med, Cambridge, MA 02138 USA
[6] McMaster Univ, Fac Hlth Sci, Sch Rehabil Sci, Hamilton, ON, Canada
[7] Univ Warwick, Warwick Med Sch, Inst Clin Educ, Warwick, England
关键词
MEDICAL-EDUCATION; SERVICE USER; CARER INVOLVEMENT; PARTICIPATION; COMMUNITY; TEACHERS; SKILLS; REAL;
D O I
10.1111/j.1365-2923.2009.03530.x
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
Context Patients as educators (teaching intimate physical examination) first appeared in the 1960s. Since then, rationales for the active involvement of patients as educators have been well articulated. There is great potential to promote the learning of patient-centred practice, interprofessional collaboration, community involvement, shared decision making and how to support self-care. Methods We reviewed and summarised the literature on active patient involvement in health professional education. Results A synthesis of the literature reveals increasing diversity in the ways in which patients are involved in education, but also the movement's weaknesses. Most initiatives are 'one-off' events and are reported as basic descriptions. There is little rigorous research or theory of practice or investigation of behavioural outcomes. The literature is scattered and uses terms (such as 'patient'!) that are contentious and confusing. Conclusions We propose future directions for research and development, including a taxonomy to facilitate dialogue, an outline of a research strategy and reference to a comprehensive bibliography covering all health and human services. Medical Education 2010: 44: 64-74.
引用
收藏
页码:64 / 74
页数:11
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