国外将健康的社会决定因素纳入医学教育对我国的启示*程静1李洁雪1张冬梅1丁宏1摘要：健康的社会决定因素（socialdeterminantsofhealth，SDH）纳入医学教育，是以健康为中心，弥合公共卫生与临床医学教育裂痕、卫生系统协调发展的需要。各学校将其纳入医学教育的形式和教育侧重点各不相同，有的以短期课程形式，有的将其融入临床实习，有的以专设项目形式贯穿教育教学环节，覆盖领域也各有侧重。以SDH教育为切入点推动了教学方法变革，参与式的课堂、实践中的体验式学习、批判性反思、协作学习等转化式学习方式，为SDH纳入医学教育实践提供了良好的方法支撑。未来需进一步关注消除课程壁垒、整合教育教学过程的教育模式变革。关键词：健康的社会决定因素，医学教育，转化式学习中图分类号：R-05文献标识码：A文章编号：1002-0772(2024)09-0066-04DOI：10.12014/j.issn.1002-0772.2024.09.14IncorporatingSocialDeterminantsofHealthintoMedicalEducationAbroad:ImplicationsforChinaCHENGJing1,LIJiexue1,ZHANGDongmei1,DINGHong1．1.SchoolofHealthManagement,AnhuiMedicalUniversity,Hefei230032,ChinaAbstract：Theintegrationofsocialdeterminantsofhealth(SDH)intomedicaleducationrespondstotheneedtoprioritizehealth,bridgethegapbetweenpublichealthandclinicalmedicineeducation,andpromotethecoordinateddevelopmentofhealthcaresystems.VariousschoolsadoptdifferentformatsandeducationalemphasesforincorporatingSDHintomedicaleducation,rangingfromshort-termcourses,integrationintoclinicalrotations,tospecializedprogramsrunningthroughalleducationalstages,witheachfocusingondifferentdomains.UsingSDHeducationasanentrypointpromotespedagogicalinnovation,fosteringparticipatoryclassrooms,experientiallearninginpractice,criticalreflection,collaborativelearning,andothertransformativelearningmethods,providingstrongmethodologicalsupportfortheintegrationofSDHintomedicaleducationpractice.Futureeffortsshouldfocusoneliminatingcurriculumbarriersandintegratingeducationalmodelsthroughouttheteachingandlearningprocess.KeyWords：socialdeterminantsofhealth,medicaleducation,transformativelearning健康的社会决定因素（socialdeterminantsofhealth，SDH）是经济、社会、环境和社会心理等所有影响健...
