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2025 ; 12
(ä): 23821205251348015
Nephropedia Template TP
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English Wikipedia
Challenges and Facilitators for Physicians and Medical Schools to Promote Social
Accountability in Rural Communities: A Scoping Review and Thematic Analysis
#MMPMID40585967
Wasim A
; Abud A
; Wang Y
; Tavakoli E
; Moreno-Gris A
; Joshi S
; Wang A
; Neasadurai A
; Shaw N
J Med Educ Curric Dev
2025[Jan]; 12
(ä): 23821205251348015
PMID40585967
show ga
BACKGROUND: Social accountability aligns the health demands and priorities of the
community and the commitment of medical schools. Existing literature has proposed
contextually distinctive interventions encompassing geographical initiatives,
institutions and communities, and systematic categorizations for the
implementation of social accountability in a rural setting. Research concerning
social accountability implementation strategies has been insufficient. This study
provides an overview of the existing literature surrounding the social
accountability practice of physicians and medical schools, in rural settings,
through evidence of the barriers and facilitators inherent to these communities.
METHODS: This scoping review of 53 studies was conducted to determine challenges
and facilitators associated with promoting social accountability in rural
settings that are faced by physicians and medical schools. The review was
consistent with the Arksey and O'Malley framework and included a search of Web of
Science, MEDLINE, CINAHL, Scopus, and Embase to identify peer-reviewed articles
on the topic from inception until April 1, 2024. Articles were screened against
eligibility criteria, and important study characteristics and findings were
extracted. A thematic analysis and narrative synthesis approach was used to
analyze the data and report the results. RESULTS: A total of 2698 abstracts were
identified, 180 full-text articles were reviewed, and 53 articles were identified
as eligible for inclusion in the review. Strategies used and problems inherent in
promoting social accountability across physician practice and medical education
are reported. CONCLUSIONS: This scoping review synthesizes existing evidence on
the barriers and facilitators of social accountability practices in rural
settings globally. The identified literature captures recurring themes of medical
infrastructure inadequacy, community immersion curriculum design, targeted
admission, geographical isolation, and institutional or peer support.