Moving healthcare professionals - a whole system approach to embed physical activity in clinical practice
Moving healthcare professionals - a whole system approach to embed physical activity in clinical practice
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DOI：
10.1186/s12909-019-1517-y
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发表时间：
2019-03-15
影响因子：
3.6
通讯作者：
Varney, Justin
中科院分区：
文献类型：
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作者：
Brannan, Michael;Bernardotto, Matteo;Varney, Justin
背景医疗保健专业人员是支持个人行为改变的关键信息提供者，尽管在赋予临床医生促进工作中的身体活动和健康方面取得了一些进展，但仍然缺乏贯穿整个医学教育旅程的有效策略。本报告提供了一个概述从移动医疗专业人员计划（MHPP），一个全系统的教育方法嵌入预防和身体活动促进到临床practice.MethodsThe MHPP模型整合教育资源到医学教育的三个核心领域：本科教育，研究生教育和继续专业发展。干预措施旨在通过现有的教育方法螺旋式发展，而不是作为额外的特殊学习单元或附加课程，从而减少接触方面的自我选择偏见。干预措施包括螺旋本科教育材料，电子学习，嵌入式研究生资源和面对面的对等education.ResultsTo日期的MHPP模型已被应用在两个关键领域，体育活动和健康和工作。英格兰公共卫生部和英格兰体育部合作开展的体育活动计划为17，105名医疗保健专业人员提供了面对面的培训，在近四分之三的英国医学院中嵌入了材料，并监督了超过95，000个电子学习模块，这些模块在两年半的时间内完成。目前正在对该模式的各个要素进行评价，目的是显示在知识、技能和实践方面的改进。计划进一步评估病人的impacts.ConclusionsThe MHPP模型提供了一个连贯的全系统的方法嵌入到现有的医疗保健教育模式的公共卫生行动，并因此提供了一个快速变化的框架，以及上游实施，以支持今天和明天的临床医生。
BackgroundHealthcare professionals are key informants to support individual behaviour change, and although there has been some progress in empowering clinicians to promote physical activity and health at work, an effective strategy overarching the whole medical educational journey is still lacking. This report provides an overview from the Moving Healthcare Professionals programme (MHPP), a whole-system educational approach to embed prevention and physical activity promotion into clinical practice.MethodsThe MHPP model integrates educational resources into three core domains of medical education: undergraduate education, postgraduate education and continuing professional development. The interventions are designed to spiral through existing educational approaches rather than as additional special study modules or bolt-on courses, thus reducing self-selection bias in exposure. Interventions include spiral undergraduate education materials, e-learning, embedded post-graduate resources and face-to-face peer-to-peer education.ResultsTo date the MHPP model has been applied in two key areas, physical activity and health and work. The physical activity programme in a partnership between Public Health England and Sport England has delivered face-to-face training to 17,105 healthcare professionals, embedded materials in almost three quarters of English medical schools and overseen >95,000 e-learning modules completed over two and half years. Evaluation of the individual elements of the model is ongoing and aims to show improvements in knowledge, skills and practice. Further evaluation is planned to assess patient impact.ConclusionsThe MHPP model offers a coherent whole-system approach to embed public health action into existing healthcare education models, and as such provides a framework for rapid change as well as upstream implementation to support the clinicians of today and tomorrow.