“Disadvantaged patient populations”: A theory-informed education needs assessment in an urban teaching hospital

Recent calls in medical education and health care emphasize equitable care for disadvantaged patient populations (DPP), with education highlighted as a key mechanism to move toward this goal. However, in order to develop effective education strategies we must first better understand the DPP concept. We conducted a theory-informed needs assessment to explore the concept of DPP as understood in our hospital. Using an interpretive qualitative approach informed by principles of critical discourse analysis we conducted focus groups with trainees and staff across professions and groups, as identified in the hospital’s strategic plan, representing “patients experiencing disadvantage.” We identified three main perceptions about DPP: 1) disadvantaged patients require care above and beyond what is normal; 2) the system is to blame for failures in serving disadvantaged patients; and 3) labelling patients is problematic and stigmatizing. In response, patients wanted to be first seen as valuable human beings rather than as a burden or category. Patients appreciated that the DPP concept opened up better access to care, but also felt ‘othered’ by the concept. As a result, patients felt they were not accessing the same level of care in terms of compassion and respect. Our findings suggest potential for three, theory-informed educational approaches to help improve care for patients experiencing disadvantage: 1) sharing authentic and varied stories; 2) fostering dialogue; and 3) aligning assessment approaches with educational approaches. Additionally, we suggest a need to define access beyond the ability to receive services; according to our participants, access must also engender a sense of common humanity and respect.

MANAJEMEN PEMBELAJARAN PENDIDIKAN AGAMA ISLAM BERBASIS NEED ASSESSMENT SMP QORYAH THAYYIBAH SALATIGA

This study aims to reveal the depth of Islamic education learning management need assessment based junior Alternative Qoryah Thayyibah In Salatiga. In line with the formulation of research that has been established, the purpose of this study include: (1) Know and find lesson plans based Islamic education needs assessment in the Junior Alternative Qoryah Thayyibah Kalibening Salatiga. (2) Know and find the implementation of Islamic Education based learning need assessment in the Junior Alternative Qoryah Thayyibah Kalibening Salatiga. (3) Know and find learning evaluation based Islamic education needs assessment in the Junior Alternative Qoryah Thayyibah Kalibening Salatiga. This study used qualitative methods, research design Case Study spikes. These results indicate that: (1) Planning Tawasih (Islamic Education) on SMP Qoryah Thayyibah planning and managing their own students, students who determine or term planning centered on the learner. (2) Implementation of the learning tawasih (PAI) which determines the student, junior high school students Qoryah Thayyibah given the freedom to think and act on the vision and mission of the school that the student be free man, responsible, critical and skilled. (3) System evaluation companion (teacher) in learning tawasih (Islamic Education) is returned to the student or student-centered. Because learning tawasih (Islamic Education) is more concerned with the work of students from the figures the results of any examinations including UAN though. Planning, implementation, evaluation of learning tawasih Principal should organize existing resources and teacher or chaperone in facilitating the learning of students in both learning tawasih in particular (Islamic Education) or learning in other science subjects, should be the attitude and thinking positive and avoid angry very detrimental to many parties.