An interprofessional urban health elective focused on the social determinants of health.

Autor:	Pinto A; Department of Family and Community Medicine, St. Michael's Hospital, Toronto, Ontario, Canada.; Department of Family and Community Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.; The Upstream Lab, Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada., To M; Faculty of Medicine, Dalhousie University, Nova Scotia, Canada., Rucchetto A; The Upstream Lab, Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada., Sharma M; Maple Leaf Medical Clinic, Toronto, Ontario, Canada.; Casey House, Toronto, Ontario, Canada., Rouleau K; Department of Family and Community Medicine, St. Michael's Hospital, Toronto, Ontario, Canada.; Department of Family and Community Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Jazyk:	angličtina
Zdroj:	Canadian medical education journal [Can Med Educ J] 2018 Nov 12; Vol. 9 (4), pp. e127-e134. Date of Electronic Publication: 2018 Nov 12 (Print Publication: 2018).
Abstrakt:	Background: More than half of the world's population now lives in cities. Health professionals should understand how social factors and processes in urban spaces determine individual and population health. We report on lessons from an interprofessional urban health elective developed to focus on the social determinants of health (SDOH). Methods: An interprofessional committee developed an urban health elective based in downtown Toronto. Course objectives included promoting collaboration to address SDOH, identifying barriers to care, accessing community-based resources, and learning to advocate at individual- and community-levels. Results: Seventeen students from eight disciplines participated during the 2011-2012 academic year. Sessions were co-facilitated with community partners and community members identified as experts based on their personal experience. Topics included housing, income and food security, Indigenous communities in urban spaces, and advocacy. Students collaborated on self-directed projects, which ranged from literature reviews to policy briefs for government. Students particularly valued learning about community agencies and hearing from people with lived experience. Conclusion: The specific health challenges faced in urban settings can benefit from an interprofessional approach informed by the experiences and needs of patient communities. This elective was innovative in engaging students in interprofessional learning on how health and social agencies collaborate to tackle social determinants in urban spaces. Competing Interests: Conflicts of interest: There are no conflicts of interest for any of the authors.
Databáze:	MEDLINE
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