A PARTICIPAÇÃO DO PACIENTE NA EDUCAÇÃO MÉDICA: REFLEXÕES SOBRE DISCURSOS E EXPERIÊNCIAS NO REINO UNIDO
DOI:
https://doi.org/10.18310/2446-4813.2015v1n3p21-35Palavras-chave:
Educação médica, Participação do paciente no ensino médico, Relação médico-paciente, Reino UnidoResumo
Este artigo faz uma revisão geral e levanta questões sobre os discursos dominantes da participação do paciente na educação médica no Reino Unido. Chamando atenção para as dimensões negligenciadas de práticas participativas na pesquisa e pedagogia da educação médica, a discussão dos autores aponta as seguintes questões: quem é o “paciente” nestas práticas de participação? A participação aborda questões relacionadas à epistemologia médica? Os autores sugerem que estas questões deveriam ser centrais para qualquer desenvolvimento na pesquisa e prática em educação médica para abordagens da atenção centradas no paciente e nas relações com pacientes para assim serem traduzidas através de uma retórica política, para a prática clínica do cotidiano.Referências
Thompson AGH. The meaning of patient involvement and participation in health care consultations: a taxonomy . Social science & medicine, 64(6); 2006: 1297-1310.
Department of Health. Working for patients. London: Department of Health; 1989.
Department of Health - NHS Executive. Patient partnership building a collaborative strategy. London: Department of Health; 1996.
Department of Health. Saving lives: our healthier nation. London: Department of Health; 1999.
Department of Health. Equity and excellence: liberating the NHS. London: Department of Health; 2010.
Greenhalgh T, Humphrey C, Woodard, F. User involvement in health care. Oxford: Wiley-Blackwell; 2011.
Clyne W, Granby T, Picton C. A competency framework for shared decision-making with patients: achieving concordance for taking medicines. Keele, UK: National Prescribing Centre Plus; 2007.
National Institute for Health and Clinical Excellence. Medicines adherence: involving patients in decisions about prescribed medicines and supporting adherence - quick reference guide. London: NICE; 2009.
Department of Health. Patient and public involvement in the new NHS: report. London: Department of Health; 1999.
Department of Health. The expert patient: a new approach to chronic disease management for the 21st century. London: Department of Health; 2001.
General Medical Council. Tomorrow's doctors: recommendations on undergraduate medical education. London: GMC; 1993.
General Medical Council. Tomorrow's doctors: London: GMC; 2003.
General Medical Council. Tomorrow's doctors: outcomes and standards for undergraduate medical education. London: GMC; 2009.
Mead N, Bower P. Patient-centredness: a conceptual framework and review of the empirical literature. Social science & medicine, 51(7); 2006: 1087-1110.
Charles C, Gafni A, Whelan T. Shared decision-making in the medical encounter: What does it mean? (or it takes at least two to tango). Social science & medicine, 44(5); 1997: 681-692.
Charles C, Gafni A, Whelan T. Decision-making in the physician-patient encounter: Revisiting the shared treatment decision-making model. Social science & medicine, 49(5); 1999: 651-661.
Department of Health. Medical schools: Delivering the doctors of the future. London: Department of Health; 2004.
British Medical Association. Medical Education Subcommittee. Role of the patient in medical education. London: BMA; 2008.
General Medical Council. Patient and public involvement in undergraduate medical education: advice supplementary to Tomorrow's Doctors (2009). London: GMC; 2011.
Spencer J et al. Can patients be teachers? involving patients and service users in healthcare professionals' education. London: The Health Foundation; 2011.
Towle A et al. Active patient involvement in the education of health professionals. Medical education, 44(1); 2010: 64-740.
Tew J, Gell C, Foster S. Learning from experience: involving service users and carers in Mental Health Education and Training. NIMHE/Trent Workforce Development Corporation; 2004.
SPENCER, J. et al. Patient-oriented learning: a review of the role of the patient in the education of medical students. Medical Education, 34:; 2000: 851-857.
Jha V et al. Strategies and interventions for the involvement of real patients in medical education: A systematic review. Medical Education, 43(1); 2009: 10-20.
Bleakley A, Bligh J. Students learning from patients: let’s get real in medical education. Advances in Health Sciences Education, 13(1); 2008: 89 -107.
Howe A, Anderson J. Involving patients in medical education. British Medical Journal, 327; 2003: 326-328.
Wykurz G, Kelly D. Developing the role of patients as teachers: literature review. British Medical Journal, 325(7368); 2002: 818-821.
Collins J P, Harden RM . AMEE medical education guide n. 13: real patients, simulated patients and simulators in clinical examinations. Medical Teacher, 20(6); 1998: 508-521.
Barrows HS. An overview of the uses of standardized patients for teaching and evaluating clinical skills. Academic Medicine, 68(6); 1993: 443-451.
Bleakley A, Bligh J, Browne J. Medical education for the future: identity, power and location. London: Springer; 2011.
Bell K et al. When only the realthing will do: Junior medical students' learning from real patients. Medical Education, 43(11); 2009:1036-1043.
Donetto S. Medical students’ views of power in doctor–patient interactions: the value of teacher–learner relationships. Medical Education, 44(2); 2010: 187-196.
Haidet P, Stein HF. The role of the Student‐Teacher relationship in the formation of physicians. Journal of General Internal Medicine, 21(Supl.1); 2006: 16.
Tiberius, R. G.; Sinai, J.; Flak, E. A. The role of teacher-learner relationships in medical education. In: Norman GR, Van Der Vleuten C, Newble D. (Ed.). International handbook of research in medical education Dordrecht, Netherlands: Kluwer Academic Publisher; 2002: 463-497.
Freire P. Pedagogy of the oppressed. London: Penguin; 1996.
Freire P. Education for critical consciousness. London: Continuum; 2007.
Donetto S. Medical students and patient-centred clinical practice: the case for more critical work in medical schools. British Journal of the Sociology of Education, 33(3); 2012: 431-449.
Donetto S, Cribb A. Beyond binaries in medical knowledge: a call for epistemological reflexivity. Interface-Comunicação, Saúde, Educ Botucatu, 15(38); 2011: 924-925.
Donetto S, Cribb A. Researching involvement in health care practices: interrupting or reproducing medicalization? Journal of Evaluation in Clinical Practice, 17(5); 2011: 907-912.
Beach MC, Inui T. A constructive reframing. Journal of General Internal Medicine, 21(supl.1); 2006: 3-8.
Tresolini CP, Pew-Fetzer Task F. Health professions education and relationship-centered care: report of the Pew-Fetzer task force on advancing psychosocial health education. San Francisco, CA: Pew Health Professions Commission; 1994.
Biesta G. Why “what works” won’t work: evidence‐based practice and the democratic deficit in educational research. Educational Theory, 57(1); 2007: 1-22.
Hammersley M. Some questions about evidence-based practice in education. Paper presented at the Symposium on Evidence-Based Practice in Education at the Annual Conference of the British Educational Research Association, University of Leeds, England, Sept . 2001.
Hogg C, Williamson C. Whose interests do lay people represent? Towards an understanding of the role of lay people as members of committees. Health Expectations, 4(1); 2001: 2-9.
Sinding C et al. Of time and troubles: Patient involvement and the production of health care disparities. Health, 16(4); 2012 :400-417.
Towle A, Godolphin W. A meeting of experts: the emerging roles of non-professionals in the education of health professionals. Teaching in Higher Education, 16(5); 2011: 495-504.
Avritzer L. New public spheres in Brazil: local democracy and deliberative politics. International Journal of Urban and Regional Research, 30(3); 2006:623-637.
Gandin LA, Apple MW. Challenging neo-liberalism, building democracy: Creating the citizen school in Porto Alegre, Brazil. Journal of Educ Policy, 17(2); 2002: 259-279.
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