Evidence map›Paper›PMID 27066826›Full record

ArticleBMC medical education2016

Medical education for equity in health: a participatory action research involving persons living in poverty and healthcare professionals.

Catherine Hudon, Christine Loignon, Cristina Grabovschi, Paula Bush, Mireille Lambert, Émilie Goulet, Sophie Boyer, Marianne De Laat, Nathalie Fournier

Abstract read
In one paragraph

Article in BMC medical education, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Catherine HudonDepartment of Family Medicine and Emergency Medicine, Université de Sherbrooke, 3001 12e avenue Nord, Sherbrooke, QC, Canada. catherine.hudon@usherbrooke.ca.
Christine LoignonDepartment of Family Medicine and Emergency Medicine, Université de Sherbrooke, 3001 12e avenue Nord, Sherbrooke, QC, Canada.
Cristina GrabovschiDepartment of Family Medicine and Emergency Medicine, Université de Sherbrooke, 3001 12e avenue Nord, Sherbrooke, QC, Canada.
Paula BushDepartment of Family Medicine, McGill University, 5858 chemin de la Côte des Neiges, Montreal, QC, Canada.
Mireille LambertCentre de santé et de services sociaux de Chicoutimi, 305 rue Saint-Vallier, Chicoutimi, QC, Canada.
Émilie GouletCharles-LeMoyne Research Centre, 150 Place Charles-LeMoyne, Longueuil, QC, Canada.
Sophie BoyerATD (All Together in Dignity) Fourth World Movement, an international community organization against poverty, 6747 rue Drolet, Montreal, QC, Canada.
Marianne De LaatATD (All Together in Dignity) Fourth World Movement, an international community organization against poverty, 6747 rue Drolet, Montreal, QC, Canada.
Nathalie FournierAcademic Primary Care Unit Charles-LeMoyne, 299 boulevard Sir-Wilfrid-Laurier, Saint-Lambert, QC, Canada.

Funding

Canadian Institutes of Health Research MOP-244854
6 · The paper itself

Abstract

backgroundImproving the knowledge and competencies of healthcare professionals is crucial to better address the specific needs of persons living in poverty and avoid stigmatization. This study aimed to explore the needs and expectations of persons living in poverty and healthcare professionals in terms of medical training regarding poverty and its effects on health and healthcare.

methodsWe conducted a participatory action research study using photovoice, a method using photography, together with merging of knowledge and practice, an approach promoting dialogue between different sources of knowledge. Nineteen healthcare professionals and persons from an international community organization against poverty participated in the study. The first phase included 60 meetings and group sessions to identify the perceived barriers between persons living in poverty and healthcare teams. In the second phase, sub-committees deployed action plans in academic teaching units to overcome barriers identified in the first phase. Data were analysed through thematic analysis, using NVivo, in collaboration with five non-academic co-researchers.

resultsFour themes in regard to medical training were highlighted: improving medical students' and residents' knowledge on poverty and the living conditions of persons living in poverty; improving their understanding of the reality of those people; improving their relational skills pertaining to communication and interaction with persons living in poverty; improving their awareness and capacity for self-reflection. At the end of the second phase, actions were undertaken such as improving knowledge of the living conditions of persons living in poverty by posting social assistance rates, and tailoring interventions to patients' reality by including sociodemographic information in electronic medical records. Our findings also led to a participatory research project aiming to improve the skills and competency of residents and health professionals in regard to the quality of healthcare provided to persons living in poverty.

conclusionsMedical training and residency programs should aim to improve students' and residents' relational skills, more specifically their communication skills, as well as their awareness and capacity for self-reflection, by helping them to identify and recognize their biases, and limitations.

Indexed as

Education, MedicalHealthcare DisparitiesHealth Services AccessibilityHealth Services ResearchNeeds AssessmentPovertyCommunicationCurriculumHumansEquityMedical educationParticipatory researchPovertyPrimary healthcare

Identifiers

PMID27066826
PMCPMC4828813

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.