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Am Psychol ; 2019 Aug 08.
Artigo em Inglês | MEDLINE | ID: mdl-31393143


The integration of behavioral health in primary care is critical for addressing worldwide concerns for access to, and quality of, health care services for physical and mental health promotion, prevention, and disease management. Clearly, promoting knowledge exchange internationally is critical to progress. In late 2015, the American Psychological Association convened an interdisciplinary summit on global approaches to integrated health care, bringing together 82 health care professionals (nurses, primary care physicians, psychologists, psychiatrists, and social workers) and scholars from diverse disciplines in medicine, psychology, economics, health policy, public health, and demography; participants came from 10 countries. The Global Summit provided an opportunity to share best practices and innovation in patient-centered integrated health care internationally. In this article, Global Summit participants from different countries reflect on the recommendations for future interprofessional endeavors across the following themes: build international interprofessional communities for change; advocate for, and promote social equity with, a population health and patient focus; advance research and program evaluation in integrated care; advance interprofessional training and education in integrated care; and develop financially sustainable models for integrated primary care. Building upon these recommendations and reflecting on current advancement in health care policy and integrated care research, new directions are suggested for clinicians, researchers, administrators, and policymakers working toward the advancement of integrated care to improve health care services globally. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

London J Prim Care (Abingdon) ; 6(6): 131-5, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25949734


Approaches to evaluating the care of patients with long-term conditions first need to be framed around defining outcomes that 'matter to people', rather than those that are focused on disease and easily measurable. Secondly, approaches to evaluating such care should be organised with the ability to 'deliver what matters to people' - such models of care must allow for the opportunity to maximise the impact of primary care. Finally, any approach to evaluation must also 'enable the delivery of what matters to people', including approaches to promote self-care, well-being and interprofessional workforce development organised around educational networks.

Educ Prim Care ; 24(6): 418-26, 2013 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-24196598


PURPOSE: The purpose of this paper is to describe the results of an evaluation of teaching health coaching to GP trainees for use in consultations with patients. DESIGN: Fourteen GP trainees were invited to attend a coaching skills training course. Each trainee was asked to apply coaching skills to up to four patients with long-term conditions. The evaluation used observation, surveys, review of trainee portfolios, and interviews with GP trainees, patients, and other stakeholders. FINDINGS: This evaluation found that it is feasible and useful to train GPs in health coaching. It had positive benefits for GP trainees, their patients, and the wider system. Lessons were also learned about the timing of the training, the style and content, the challenges of practising coaching skills within clinical practice, and selecting the most appropriate patients for coaching. LIMITATIONS: This is a small pilot with a keen group of GP trainees. Further research is needed to determine if such an approach provides meaningful changes to patient outcomes and whether such approaches are cost-effective.

Comunicação , Medicina Geral/educação , Promoção da Saúde/métodos , Relações Médico-Paciente , Ensino/métodos , Competência Clínica , Objetivos , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Satisfação do Paciente , Projetos Piloto , Autoeficácia
Br J Hosp Med (Lond) ; 70(5): 290-3, 2009 May.
Artigo em Inglês | MEDLINE | ID: mdl-19451876


Workplace-based assessment is now widespread throughout medicine. If carried out well, such assessments reconnect teaching and testing to the benefit of the learner. But workplace-based assessment brings a unique set of challenges to medical education and requires fresh thinking about how we consider and construct assessment programmes.

Competência Clínica/normas , Educação Médica Continuada , Avaliação de Desempenho Profissional/métodos , Corpo Clínico Hospitalar/educação , Avaliação Educacional/métodos , Humanos , Corpo Clínico Hospitalar/normas , Local de Trabalho
Br J Gen Pract ; 55(515): 461-7, 2005 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-15970071


With the redesign of general practice training implicit in the Department of Health's programme of reform, Modernising Medical Careers, there is the opportunity to bring summative assessment and the MRCGP examination together into a unified assessment framework for licensing. It is likely that assessment in the workplace will play a central role in such a process. Workplace assessment is of high validity and has the potential to reconnect teaching and testing in general practice. Five principles to underpin the design of a workplace assessment are proposed, namely that it should be: competency-based, developmental, evidential, locally assessed, and triangulated. Successful implementation of workplace assessment will not only serve to reduce the current testing burden on trainees, but will also harness the involvement of medical teachers. In doing so, general practice has the opportunity to create a powerful tool for professional development.

Educação Médica Continuada , Medicina de Família e Comunidade/normas , Licenciamento em Medicina , Avaliação Educacional , Avaliação de Desempenho Profissional/métodos , Medicina de Família e Comunidade/educação , Humanos , Reino Unido