3.8 Article

Experience of residents learning about social determinants of health and an assessment tool: Mixed-methods research

Journal

JOURNAL OF GENERAL AND FAMILY MEDICINE
Volume 23, Issue 5, Pages 319-326

Publisher

WILEY
DOI: 10.1002/jgf2.559

Keywords

assessment tool; mixed-method study; postgraduate learning; reflection; social determinants of health

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By learning about the social determinants of health and assessment tools, residents acquired knowledge and skills, reflected on their previous practice, and changed their views. They learned when and how to ask about patients' social conditions and coordinate medical care appropriately. Medical education about the social determinants of health can trigger changes in residents' views.
Background: Educating healthcare professionals about the social determinants of health is important in improving health outcomes of marginalized patients. Residents' experience of learning about the social determinants of health and a clinical assessment tool remains unclear. Methods: Residents participated in an online session about the social determinants of health and the assessment tool. Using the New World Kirkpatrick Model, we obtained data about participants' experience from various perspectives. The data were analyzed using a concurrent triangulation mixed-methods design. Results: The study included 20 out of 30 residents. Their response was good, and self-reported learning scores were increased by the session. They learned when to ask about patients' social conditions, what to ask, and how to coordinate medical care appropriately. Participants reported reflecting on their role as medical professionals and implementing new practices based on their learning, as well as concerns about addressing patients' social conditions. Conclusion: Through learning about the social determinants of health, and assessment tools, residents both acquired knowledge and skills, and reflected on their previous practice, accepted patients as they are, understood difficult patients better, and developed interprofessional collaboration. Medical education about the social determinants of health can trigger changes in residents' views.

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