A comparative study of interprofessional education in global health care

Herath, Chulani; Zhou, Yangfeng; Gan, Yong; Nakandawire, Naomie; Gong, Yanghong; Lu, Zequn

doi:10.1097/md.0000000000007336

Cited by 129 publications

(121 citation statements)

References 63 publications

(77 reference statements)

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“…Involving other HCPs besides pediatricians and general practitioners will be essential for reaching out to older populations and for sending clear messages to the public. Interprofessional collaboration in education and practice was identified as an innovative strategy by the WHO and its partners in diminishing the challenges faced by global health systems [109]. Successful collaboration between different medical societies has already led to the new life-course vaccination plan in Italy [17].…”

Section: Pediatricians As Ambassadors Of Vaccine Culturementioning

confidence: 99%

Life-course immunization as a gateway to health

Philip

Attwell

Breuer

et al. 2018

Expert Review of Vaccines

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Introduction: Extending the benefits of vaccination against infectious diseases from childhood throughout the entire lifespan is becoming an increasingly urgent priority in view of the world's aging population, emergence and reemergence of infectious diseases, and the necessity to invest more on prevention versus cure in global healthcare. Areas covered: This perspective discusses how life-course immunization could benefit human health at all stages of life. To achieve this, the current vaccination paradigm should be changed and all stakeholders have a role to play. Expert commentary: To enhance immunization confidence in the population, it is essential that stakeholders eliminate complacency toward infectious diseases, improve vaccination convenience, remove barriers among different healthcare specialties, and address prevention as a single entity. They must also consider societal and cultural mindsets by understanding and including public viewpoints. A new "4Cs' model encompassing convenience, confidence, complacency, and cultural acceptance is proposed to convert 'vaccine availability' to 'vaccination acceptance' throughout life. Life-course vaccination should become the new social norm of a healthy lifestyle , along with a healthy diet, adequate physical exercise, and not smoking. We are 'all in' to make life-course immunization a gateway for all people to lead longer, healthier lives.

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Section: Pediatricians As Ambassadors Of Vaccine Culturementioning

confidence: 99%

Life-course immunization as a gateway to health

Philip

Attwell

Breuer

et al. 2018

Expert Review of Vaccines

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“…Given the potential of IPP, the Centre for Advancement in Interprofessional Education recommends that students have at least one IPP during their health care degree programme . Despite the benefits, IPP implementation remains limited and disjointed . There are a range of potential reasons for this.…”

Section: Introductionmentioning

confidence: 99%

“…6 Despite the benefits, IPP implementation remains limited and disjointed. 11 There are a range of potential reasons for this. Firstly, IPPs are more challenging logistically than uniprofessional placements as they involve students from at least two different professional programmes.…”

Section: Introductionmentioning

confidence: 99%

‘Bumping along’: a qualitative metasynthesis of challenges to interprofessional placements

et al. 2019

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Context Interprofessional practice is required to manage complex health care needs globally. It is well established that interprofessional placements (IPP) prepare students to work collaboratively, yet IPP implementation remains limited and disjointed. Objectives This review synthesised student, educator and service user perspectives in order to better understand challenges of IPP and provide recommendations for sustainable IPP implementation. Methods A systematic metasynthesis of qualitative literature sourced from databases including CINAHL, Embase and PsycINFO was completed. Studies that incorporated student, educator and/or service user perspectives on IPP experiences were included. We focused specifically on factors limiting implementation of IPP. The presage‐process‐product (3P) theory provided the theoretical framework for inductive synthesis of 41 empirical studies. A confidence rating for findings was formulated using CERQual (confidence in evidence from reviews of qualitative research). Results We developed three themes, which represent key challenges to IPP becoming embedded in placement culture: (i) thin theoretical foundations underpinned IPP, limiting understanding of the learning processes involved; (ii) implementation relied heavily on individual champions, which curtails investment and sustainability when personnel change, and (iii) students, educators and service users were unsure of the function of IPP and their respective roles, leading to uncertainty along with some negative perceptions of this placement approach. Conclusions In line with the 3P theoretical framework, IPP would benefit from explicit connections with educational and change management theories during presage stage IPP requires coordinated leadership and resource investment, and during product stage clear integration of interprofessional learning outcomes in curricula is advised. Addressing the identified challenges across the stages of IPP will support further development of IPP, firmly establishing this approach within placement culture. IPP can them make a significant contribution to the development of a collaborative practice‐ready workforce. This in turn will enhance service user outcomes and safety.

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“…Conventional biomedical care is commonly delivered by teams of professionals with different training and perspectives, including primary care physicians, specialists, nurses, medical assistants, behavioral health clinicians, pharmacists, physical therapists, and so on. Focusing research on optimizing teambased interactions and including TCIM as part of interprofessional education curricula 30 hold potential to improve outcomes across both TCIM and conventional medicine settings.…”

Section: Team-based Carementioning

confidence: 99%

Convergent Points for Conventional Medicine and Whole Systems Research: A User's Guide

Elder

Ijaz

Weeks³

et al. 2019

The Journal of Alternative and Complementary Medicine

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Context: Value-based health care has emerged as a manifestation of the conventional medicine community's awareness of the overlapping needs to both better incorporate patient centeredness into practice and research paradigms and further develop a systemic approach to cost reduction. Background: The origins of the whole systems research (WSR) movement date to the late 1990s, when the U.S. Congress legislated appropriation of funds to stimulate the U.S. National Institutes of Health to evaluate popular traditional, complementary, and integrative medicine (TCIM) practices. Questions immediately arose over how well these forms of practice could be measured through standard randomized controlled trials, and the WSR community began to articulate and adapt innovative methodologies for evaluating TCIM interventions. Discussion: This column explores the potential impact of WSR methods and exemplars on the clinical practice and research communities seeking to successfully implement and measure the complexities of valuebased health care. Four potentially cross-talking themes are specifically discussed: complex behaviorally focused interventions, patient-centered outcomes, team-based care, and resilience and well-being. Conclusion: The time is ripe for clinicians and investigators to capitalize on methodologies, exemplars, and learnings from the WSR literature toward improving care, developing more robust research strategies, and furthering the dialogue between the TCIM and conventional medicine communities.

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A comparative study of interprofessional education in global health care

Abstract: Supplemental Digital Content is available in the text

Cited by 129 publications

References 63 publications

Life-course immunization as a gateway to health

Life-course immunization as a gateway to health

‘Bumping along’: a qualitative metasynthesis of challenges to interprofessional placements

Convergent Points for Conventional Medicine and Whole Systems Research: A User's Guide

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