Desired Educational Outcomes of Disability-Related Training for the Generalist Physician: Knowledge, Attitudes, and Skills
Desired Educational Outcomes of Disability-Related Training for the Generalist Physician: Knowledge, Attitudes, and Skills
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DOI：
10.1097/acm.0b013e3182264a25
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发表时间：
2011-09-01
影响因子：
7.4
通讯作者：
Eddey, Gary E.
中科院分区：
文献类型：
--
作者：
Minihan, Paula M.;Robey, Kenneth L.;Eddey, Gary E.
成年残疾人在获得高质量初级保健服务方面面临的问题是长期存在的，破坏了国家改善这一群体健康状况的努力。通过向医生提供与残疾相关的培训来解决这一问题的努力受到了限制，因为有关全科医生需要了解哪些知识来护理残疾患者的信息有限。作者通过探索知识、态度和技能领域对患者导向行为的贡献并总结经验数据，考虑了残疾相关培训对通才的预期结果。由于残疾反映了个人、人际、机构、社区和社会因素之间复杂的相互作用，全科医生可以通过多层次的干预措施促进和保护成年残疾人的健康。因此，作者使用社会生态框架，一种认识到个人与环境之间复杂关系的健康促进方法，来描述初级保健背景下推荐的知识，态度和技能。角色模型的重要性，谁证明了这三个领域，它们之间的相互作用，并在评估中的问题进行了讨论。这一明确界定的建议教育成果的残疾相关的培训知识，态度和技能，将支持努力更好地准备通才医生在培训和实践中照顾成年残疾人，并评估这些培训策略。
The problems adults with disabilities face obtaining quality primary care services are persistent and undermine national efforts to improve the health status of this group. Efforts to address this issue by providing disability-related training to physicians are hampered by limited information about what generalist physicians need to know to care for patients with disabilities. The authors consider the desired outcomes of disability-related training for generalists by exploring the contributions of the domains of knowledge, attitudes, and skills to patient-directed behavior and summarizing the empirical data.Because disability reflects a complex interplay among individual, interpersonal, institutional, community, and societal factors, generalist physicians can promote and protect the health of adults with disabilities by interventions at multiple levels. Thus, the authors use the social-ecological framework, an approach to health promotion that recognizes the complex relationships between individuals and their environments, to delineate the recommended knowledge, attitudes, and skills in the context of primary care. The importance of role models who demonstrate the three domains, the interactions among them, and issues in evaluation are also discussed. This clear delineation of the recommended educational outcomes of disability-related training in terms of knowledge, attitudes, and skills will support efforts to better prepare generalist physicians-in training and in practice-to care for adults with disabilities and to evaluate these training strategies.