A Medical School’s Community Engagement Approach to Improve Population Health

Rodríguez, Lourdes J.; Banks, Tasha; Barrett, Nitakuwa; Espinoza, Marianna; Tierney, William M.

doi:10.1007/s10900-021-00972-7

Cited by 4 publications

(4 citation statements)

References 16 publications

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“…Despite five studies in our review having focused on community members and patients, none conducted a comprehensive evaluation of the programmes' impact on communities/populations served by dental students. Although research on communities might prove challenging, understanding the impact of the programmes on different communities/populations could be beneficial as a means to explore various strategies that can be used for different populations/communities 137 …”

Section: Discussionmentioning

confidence: 99%

“…Although research on communities might prove challenging, understanding the impact of the programmes on different communities/populations could be beneficial as a means to explore various strategies that can be used for different populations/ communities. 137 It is surprising that the majority of studies evaluating the programmes used self-report approaches conducted with students, with patients' perspectives were rarely included. Although the perspectives of dental students are valuable for providing educators with insight into students' experiences in the programme, it is a reasonable expectation that if we evaluate programmes involving patients, their voices will be included.…”

Section: Minimal Community/patient Involvementmentioning

confidence: 99%

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Community‐based education programmes in the context of dental education: A scoping review

Elsheli,

Patrick,

Stokes

2023

Eur J Dental Education

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BackgroundCommunity education programmes are vital tools for teaching skills, such as understanding the larger cultural, economic and social determinants of health and how these factors impact people's health. It is currently unclear whether community education programmes in the field of dentistry deliver adequate value. This review aims to scope, collate and analyse globally published evidence concerning community education programmes in dentistry from inception, to gain an understanding of the intentions for these programmes and establish whether outcomes have shifted over time from the original intentions.MethodsArksey and O'Malley's framework for scoping reviews was employed to guide the reviewers. A systematic search of electronic databases and the reference lists in key papers was conducted.ResultsA systematic search concerning community education in dentistry identified a total of 140 papers for full‐text evaluations. After further exclusions, 115 articles were selected for data charting. There was a lack of clarity in the literature concerning programmes' definitions and strategies for achieving intentions. Origins, intentions and motivations of the programmes were identified. The literature largely focused on assessing students' clinical treatment skills, contradicting the programme's original idea and intentions. Only a few studies incorporated patient and community perspectives, and the majority of assessments were self‐reported, primarily by students.ConclusionsThere is broad interest in integrating community education into dental curricula to teach complex concepts, dental public health principles and to ensure professional skills development. We identified issues in the literature around programme definitions, strategies, measurement approaches and programme success requiring additional research.

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Section: Discussionmentioning

confidence: 99%

Section: Minimal Community/patient Involvementmentioning

confidence: 99%

Community‐based education programmes in the context of dental education: A scoping review

Elsheli,

Patrick,

Stokes

2023

Eur J Dental Education

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“…With respect to improvements in the health outcomes of local populations, the studies reviewed showed a positive impact with medical undergraduates immersing themselves into a community, better community engagement, provision of community-based medicine initiatives and an increase in access to healthcare to underserved groups. The literature showed that the impact of medical schools should not be limited to measureable health outcomes such as improvements in clinical care, but impact that looks at addressing non-clinical barriers to health [ 67 ]. Rodriguez et al (2015) suggest that only 16% of health outcomes are related directly to clinical care, whereas the remaining 84% is accounted for by non-clinical factors such as health behaviours, social and economic factors and the physical environment, suggesting that clinical interventions alone do not improve health outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…Rodriguez et al (2015) suggest that only 16% of health outcomes are related directly to clinical care, whereas the remaining 84% is accounted for by non-clinical factors such as health behaviours, social and economic factors and the physical environment, suggesting that clinical interventions alone do not improve health outcomes. The presence of a new medical school in itself will have limited impact on health equity, but medical schools that actively pursue a community engagement approach to generate ideas, adapt processes and create relationships between itself and the communities it serves help alleviate barriers to healthcare, as well as identify and implement interventions to improving health outcomes thereby mitigating against those barriers [ 67 ].…”

Section: Discussionmentioning

confidence: 99%

What are the impacts of setting up new medical schools? A narrative review

et al. 2022

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Background The growth of the UK’s population together with an aging society with increasingly complex health and social care needs has placed a greater demand on statutory care services. In view of this emerging landscape, the UK Government has sought to increase its medically trained workforce in order to better respond to the demands placed on the health service. Five universities were announced as homes to new medical schools offering undergraduate places to boost the numbers of doctors training in England. The aim of this narrative review was to explore how new medical schools could improve the health outcomes of the local population and evaluate the potential contribution it may make to the local economy, workforce and to research and innovation. Methods A narrative review was undertaken using a systematic approach for the search literature strategy. The articles were evaluated by undertaking a critical assessment evaluating the fitness of a paper for review according to results, methods used to test the hypothesis, conclusions and impact and limitations. Thematic analysis was employed to organise and summarise the findings across a heterogeneous body of literature included in the review. The analysis was developed in an inductive manner and there were not any predefined themes to guide data extraction and analysis. Results Thirty-six articles were selected for inclusion for this narrative review. The review identified six key themes: influence of prior rural exposure, medical school environment and rural enrichment programmes, workforce, health outcomes of local populations, social accountability, economic contribution of medical schools to communities and impact on rural research. Conclusions The studies included found a wealth of information on a wide-range of topics on the expansion of undergraduate education and its implications on the future medical workforce. It was shown that medical schools can have a positive effect on the health, social, economic and research activity of a region, but this literature tended to be heterogeneous in focus without consideration of the inter-connections between the wider societal and economic impacts arising from long-term sustainable change being brought to a region.

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13. Academic Health Centers and the Health of the Population: Modern Mission, Racial Disparities, and the Underserved

Craddock Lee,

2024

Race and Research: Perspectives on Minority Participation in Health Studies, 2nd Ed.

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A Medical School’s Community Engagement Approach to Improve Population Health

Cited by 4 publications

References 16 publications

Community‐based education programmes in the context of dental education: A scoping review

Community‐based education programmes in the context of dental education: A scoping review

What are the impacts of setting up new medical schools? A narrative review

13. Academic Health Centers and the Health of the Population: Modern Mission, Racial Disparities, and the Underserved

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