How team-based are rural or underserved clinics where AHEC scholars train?

Q3 Social Sciences Journal of Interprofessional Education and Practice Pub Date : 2024-08-06 DOI:10.1016/j.xjep.2024.100723

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Abstract

Background

Interprofessional collaborative practice is an important feature of delivering high quality patient-centered care. Understanding what students learn during their clinical rotations about how healthcare teams function, particularly in rural and underserved settings is important for addressing health disparities in these populations.

Purpose

To determine the extent to which healthcare teams located in rural or underserved clinics that host AHEC Scholars engage in teamwork and team-based care.

Methods

The 15-item Assessment for Collaborative Environments (ACE-15) instrument, measuring interprofessional teamwork and team cohesion was administered to team members at 17 rural or underserved clinics and demographic information was collected.

Results

Several significant differences in mean ACE-15 scores were found among team types, clinic types and settings: community-based clinics scored higher compared to their university-based counterparts and clinics in rural settings scored higher compared to those in urban settings. Primary care-based teams scored higher compared to non-primary care-based teams.

Conclusions

Training students within healthcare teams across multiple settings and locations is paramount to their preparation for interprofessional work.

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AHEC 学者接受培训的农村或服务不足的诊所的团队基础如何？

背景跨专业合作实践是提供以患者为中心的高质量医疗服务的重要特征。了解学生在临床轮转期间所学到的关于医疗团队如何运作的知识，尤其是在农村和医疗服务不足的环境中，对于解决这些人群的健康差异问题非常重要。目的确定在农村或医疗服务不足的诊所中，接待 AHEC 学者的医疗团队在多大程度上参与团队合作和基于团队的护理。方法对 17 家农村或服务欠缺诊所的团队成员使用 15 个项目的协作环境评估（ACE-15）工具，测量跨专业团队合作和团队凝聚力，并收集人口统计学信息。结果发现不同团队类型、诊所类型和环境的 ACE-15 平均得分存在若干显著差异：社区诊所的得分高于大学诊所，农村诊所的得分高于城市诊所。结论在多种环境和地点的医疗团队中对学生进行培训，对于他们为跨专业工作做好准备至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Interprofessional Education and Practice Social Sciences-Education

CiteScore

1.60

自引率

0.00%

发文量

期刊介绍： Journal of Interprofessional Education & Practice, a quarterly online-only journal, provides innovative ideas for interprofessional educators and practitioners through peer-reviewed articles and reports. Each issue examines current issues and trends in interprofessional healthcare topics, offering progressive solutions to the challenges facing the profession. The Journal of Interprofessional Education & Practice (JIEP) is affiliated with University of Nebraska Medical Center and the official journal of National Academies of Practice (NAP) and supports its mission to serve the public and the health profession by advancing education, policy, practice & research.