社会健康整合的经验教训：评估一门面向初级保健提供者的新型社会健康整合与社会风险知情护理在线继续职业发展课程。

Lessons learned on social health integration: evaluating a novel social health integration and social risk-informed care online continuing professional development course for primary care providers.

作者信息

Bojkov Elizabeth, Papajorgji-Taylor Dea, Paolino Andrea R, Dorsey Caitlin N, Barnes Katheen A, Brown Meagan C

机构信息

University of Washington School of Public Health, Seattle, WA, USA.

Kaiser Permanente Northwest Center for Health Research, Portland, OR, USA.

出版信息

BMC Med Educ. 2025 Apr 8;25(1):496. doi: 10.1186/s12909-025-06971-9.

DOI:10.1186/s12909-025-06971-9

PMID:40197279

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11977923/

Abstract

BACKGROUND

Adjusting clinical care to account for social risks and needs is vital to patient-centered care, but little attention has been paid to implementing it in routine practice. Kaiser Permanente co-designed and developed a continuing professional development (CPD) course to orient providers to adjustment activities, or social risk-informed care. We evaluated the dissemination and implementation of this course.

METHODS

We evaluated the dissemination and implementation of the online CPD using the RE-AIM implementation framework and the Kirkpatrick model of evaluation for training and learning programs. Administrative records and completion reports were generated to track dissemination and completion. A pre- and post-survey design was utilized to assess provider changes in knowledge, attitudes, beliefs, and self-efficacy in delivering social risk-informed care, and semi-structured interviews were conducted to describe effectiveness of the online CPD, adoption of social risk-informed care, and sustainability of the online CPD and other Kaiser Permanente social health integration initiatives.

RESULTS

From April 2022-February 2023, 82 individuals completed the online CPD; 52 participants completed the pre-survey and 38 completed the post-survey. A total of 17 interviews were conducted over two phases of qualitative data collection (passive dissemination versus active dissemination). Interviewees felt the online CPD provided foundational knowledge in social health and social risk-informed care but requested more region- and role-specific resources. They also identified several systems-level barriers to social health integration.

CONCLUSIONS

Co-designing medical education courses with various stakeholders is vital to ensuring relevant and effective educational material. However, high-quality, intentionally designed educational material needs to be complemented with multifaceted and targeted implementation strategies to achieve intended provider behavior change and improved patient outcomes.

摘要

背景

调整临床护理以考虑社会风险和需求对以患者为中心的护理至关重要，但在常规实践中实施这一点却很少受到关注。凯撒医疗集团共同设计并开发了一门持续专业发展（CPD）课程，以使医疗服务提供者熟悉调整活动，即社会风险知情护理。我们评估了该课程的传播与实施情况。

方法

我们使用RE-AIM实施框架以及培训和学习项目评估的柯克帕特里克模型，对在线CPD的传播与实施进行了评估。生成行政记录和完成报告以跟踪传播情况和完成情况。采用前后调查设计来评估医疗服务提供者在提供社会风险知情护理方面的知识、态度、信念和自我效能的变化，并进行半结构化访谈以描述在线CPD的有效性、社会风险知情护理的采用情况以及在线CPD和凯撒医疗集团其他社会健康整合举措的可持续性。

结果

2022年4月至2023年2月期间，82人完成了在线CPD；52名参与者完成了预调查，38人完成了后调查。在定性数据收集的两个阶段（被动传播与主动传播）共进行了17次访谈。受访者认为在线CPD提供了社会健康和社会风险知情护理方面的基础知识，但要求提供更多针对地区和角色的资源。他们还指出了社会健康整合在系统层面的几个障碍。