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Education Materials on Multiple Chronic Conditions for the Healthcare Workforce: What Exists and What is Needed?
Methodology: An environmental scan identified existing training resources across the education spectrum (undergraduate through continuing education) for medicine, nursing, social work, pharmacy and health navigators. Methods included review of peer-reviewed and gray literature searches of academic and accreditation body websites, and interviews with 25 expert stakeholders. Data sources were analyzed for MCC-specific training materials, recommended curricula and competencies, and gaps in health profession training on complex patients.
Results: The few MCC-specific training materials are concentrated in nursing and medicine. However, other curricula focus on MCC-related competencies such as care coordination, self-management, care transitions, and patient/family engagement. Stakeholders identified interprofesional or team-based care, effective communication and motivational interviewing, and trust as key skills needed to deliver high-quality care to persons with MCC.
Conclusion/Discussion: The evaluation offers guidance on the curricula and competency needs of the workforce to effectively care for people with MCC. A shift from profession-specific to interprofessional training and from fact-based to transformative behavior-changing learning are two areas that should be incorporated into healthcare curricula to improve care and outcomes for persons with MCC.
Learning Areas:
Administer health education strategies, interventions and programsChronic disease management and prevention
Implementation of health education strategies, interventions and programs
Public health or related education
Learning Objectives:
Assess existing curricula and training materials that address multiple chronic conditions;
Describe domains and key competencies or skills needed to care for patients with multiple chronic conditions; and Identify preliminary gaps in healthcare professional curriculum and training
Keyword(s): Curricula, Chronic Disease Management and Care
Qualified on the content I am responsible for because: I helped design the environmental scan, and assisted with the overall methodology for the OASH MCC Workforce project. I recently worked on a large federal contract focusing on multiple chronic conditions with the Agency for Healthcare Research and Quality.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.