Human Behavior and Experience in Health and Illness

人类在健康和疾病方面的行为和经验

• 批准号: 7541392
• 负责人: RITA CHARON
• 金额: $ 26.58万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-03-15 至 2010-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7541392
• 关键词: Acute; Address; Adopted; Affective; Alcohol consumption; Attitude; Behavior; Behavior Therapy; Behavioral; Behavioral Medicine; Belief; Chronic; Chronic stress; Clinical; Clinical effectiveness; Community Health; Competence; Complex; Consensus; Consultations; Data; Development; Diet; Dimensions; Disease; Eating; Economic Factors; Economics; Education; Educational Curriculum; Educational process of instructing; Effectiveness; Ethics; Face; Faculty; Fatty acid glycerol esters; Future; Goals; Habits; Health; Health Policy; Health Professional; Health Promotion; Health Services Accessibility; Health Status; Health behavior; Healthcare; Housing; Human; Immune system; Individual; Interview; Knowledge; Life; Life Style; Marshal; Medical; Medical Students; Medical center; Medicine; Mentors; Methods; Motivation; Muscle; Nursing Faculty; Patients; Personhood; Persons; Physician' s Role; Physicians; Poverty; Process; Psychological Factors; Public Health; Publications; Publishing; Research; Research Personnel; Research Training; Resources; Risk; Schools; Scientist; Self Care; Self Perception; Sick Role; Smoking; Social Interaction; Social support; Stream; Stress; Structure; Students; Substance abuse problem; Surgeon; System; Taxes; Techniques; Terminal Disease; Trust; Universities; Unsafe Sex; Work; behavioral/social science; body-mind; career; clinical practice; college; design; evidence base; experience; fetal; health belief; health care delivery; improved; medical schools; meetings; mind body interaction; racism; role model; sedentary; skills; social; social science research; teacher

Acute, chronic, and terminal illnesses all have powerful social, cultural, behavioral, economic, and relational dimensions. Persons do not get sick or well alone, and doctors do not practice medicine in a void. The College of Physicians and Surgeons (P&S) of Columbia University is determined to improve its teaching of evidence-based knowledge and methods from the social and behavioral sciences that illuminate the human experiences of health and illness and equip future doctors to influence health-related behaviors of patients and colleagues. It must become evident to all P&S graduates that a physician cannot practice effective medicine without a nuanced and muscular understanding of health beliefs, cultures of illness, mind-body connections, social structures of health care, clinical relationships, and self-awareness. This project adopts three strategies to reach these goals: 1) intensive faculty development to improve clinician-educators' ability to convey content material and practical skills in social and behavioral medicine to students; 2) inclusion of social scientists and behavioral scientists among those who teach these aspects of health care to students and faculty; 3) enhanced visibility of social and behavioral scientists at the medical center as researchers, teachers, and mentors/role-models for medical students contemplating careers in these fields. The existing Clinical Practice course at P&S will, with support, be bolstered with human and financial resources to integrate currently fragmented curricular material, to extend required curriculum into third and fourth years of medical school, and to draw upon the extensive social and behavioral science resources of Columbia University currently not used at all in medical student teaching. The envisioned teaching will improve medical students' ability to bring about behavioral change in their patients, their capacity to form authentic and ethical relationships with patients and colleagues, their competence to practice medicine reflectively, and their commitment to their own health. This project will galvanize the medical center to recognize and face the complex weave of human motivations, desires, and habits that constitute health and illness behavior. By encouraging healthy behaviors in their patients and reflective practice among themselves, P&S physicians will improve the health of the public and the vitality of the profession.

急性，慢性和绝症都有强大的社会，文化，行为，经济和关系 方面。人不会生病或单独生病，医生不会在空白中练习药物。这 哥伦比亚大学的医师与外科医生学院（P＆S）决心改善其教学 迹象和行为科学的基于证据的知识和方法来照亮人类 健康和疾病的经历，并为未来的医生装备影响患者与健康相关的行为 和同事。所有P＆S毕业生都必须显而易见，医生不能有效地练习 对健康信念，疾病培养，心身的细微理解而没有细微和肌肉的理解 联系，卫生保健的社会结构，临床关系和自我意识。这个项目采用 达到这些目标的三种策略：1）强化教师发展以提高临床医生的能力 向学生传达社会和行为医学中的内容材料和实践技能； 2）包含 社会科学家和行为科学家在向学生讲授医疗保健的这些方面的人中 和教师； 3）作为研究人员，医学中心的社会和行为科学家的知名度提高了 医学生的老师和导师/角色模型正在考虑这些领域的职业。现有 P＆S的临床实践课程将在支持的情况下得到人力和财务资源的支持 整合当前零散的课程材料，以将需要课程扩展到第三年和第四年 医学院，并利用哥伦比亚的广泛社会和行为科学资源 目前，大学目前根本没有用于医学学生教学。设想的教学将改善医学 学生有能力改变患者的行为，形成真实和道德的能力 与患者和同事的关系，他们反思性地练习医学的能力及其 对自己健康的承诺。 该项目将使医疗中心镀锌，以认识并面对人类的复杂编织 构成健康和疾病行为的动机，欲望和习惯。通过鼓励健康 P＆S医生在患者中的行为和反思性实践，将改善健康状况 公众和专业的活力。