Service-learning and patient safety in medical education: a pretest-posttest study with a complementary expert perspective.
6 affiliations
- 1Centro de Investigación en Empresa, Sociedad y Tecnología-ESTec, Facultad de Ciencias de la Educación, Universidad Tecnológica Indoamérica, Ambato, Ecuador.
- 2Universidad Bolivariana del Ecuador, Durán, Ecuador.
- 3Graduate School of Business, Universidad ESAN, Santiago de Surco, Lima, Peru.
- 4Universidad Espíritu Santo, Samborondón, Ecuador.
- 5Facultad de Ciencias Sociales y Humanísticas, Escuela Superior Politécnica del Litoral, ESPOL, Guayaquil, Ecuador.
- 6Center for Evidence Ecosystems, Implementation Science, and Decision-Making (CIDES), Facultad de Ciencias de la Salud y Bienestar Humano, Universidad Tecnológica Indoamérica, Ambato, Ecuador.
Abstract
Home- and community-based services (HCBS) may support quality of life among older adults when expected services are perceived as available. This study examined whether the number of expected HCBS perceived as available was associated with self-rated quality of life (QOL) contemporaneously and at the next scheduled survey wave. We analyzed longitudinal data from the Longitudinal Healthy Longevity Survey. Contemporaneous analyses included 24,180 person-wave observations from 8,699 individuals and used individual fixed-effects linear probability models with survey-year effects. Prospective analyses included 20,974 adjacent-wave pairs from 13,386 individuals and adjusted for baseline QOL, covariates, and origin-year effects. Sensitivity analyses examined alternative outcome scales, model specifications, interval length, service domains, and subgroup interactions. In the contemporaneous model, one additional expected perceived as available was associated with a 0.00841 higher probability of good/very good QOL (95% CI: 0.00408-0.01275). In the baseline-adjusted prospective analysis, the coefficient was 0.00338 (p = 0.089), decreasing to 0.00094 (p =0.662) when restricted to three-year intervals. Prospective findings varied by model and outcome specification. More expected HCBS perceived as available was associated with better contemporaneous self-rated QOL. Prospective evidence was weaker and sensitive to analytical specification. Findings should be interpreted as associations rather than causal effects and do not establish actual service use or objectively verified service provision.
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BibTeX
@article{nuneznaranjo2026servicelearning,
title = {{Service-learning and patient safety in medical education: a pretest-posttest study with a complementary expert perspective.}},
author = {Aracelly Núñez-Naranjo and Mauricio Carvache-Franco and Angeles Carrera-Criollo and Orly Carvache-Franco and Wilmer Carvache-Franco and Jaime Angamarca-Iguago},
journal = {Frontiers in medicine},
year = {2026},
month = oct,
doi = {10.3389/fmed.2026.1948734},
url = {https://europepmc.org/article/MED/42953102},
note = {CC BY},
}
RIS
TY - JOUR
TI - Service-learning and patient safety in medical education: a pretest-posttest study with a complementary expert perspective.
AU - Aracelly Núñez-Naranjo
AU - Mauricio Carvache-Franco
AU - Angeles Carrera-Criollo
AU - Orly Carvache-Franco
AU - Wilmer Carvache-Franco
AU - Jaime Angamarca-Iguago
PY - 2026
DA - 2026/10/14
JO - Frontiers in medicine
DO - 10.3389/fmed.2026.1948734
UR - https://europepmc.org/article/MED/42953102
AB - Home- and community-based services (HCBS) may support quality of life among older adults when expected services are perceived as available. This study examined whether the number of expected HCBS perceived as available was associated with self-rated quality of life (QOL) contemporaneously and at the next scheduled survey wave. We analyzed longitudinal data from the Longitudinal Healthy Longevity Survey. Contemporaneous analyses included 24,180 person-wave observations from 8,699 individuals and used individual fixed-effects linear probability models with survey-year effects. Prospective analyses included 20,974 adjacent-wave pairs from 13,386 individuals and adjusted for baseline QOL, covariates, and origin-year effects. Sensitivity analyses examined alternative outcome scales, model specifications, interval length, service domains, and subgroup interactions. In the contemporaneous model, one additional expected perceived as available was associated with a 0.00841 higher probability of good/very good QOL (95% CI: 0.00408-0.01275). In the baseline-adjusted prospective analysis, the coefficient was 0.00338 (p = 0.089), decreasing to 0.00094 (p =0.662) when restricted to three-year intervals. Prospective findings varied by model and outcome specification. More expected HCBS perceived as available was associated with better contemporaneous self-rated QOL. Prospective evidence was weaker and sensitive to analytical specification. Findings should be interpreted as associations rather than causal effects and do not establish actual service use or objectively verified service provision.
SN - 2296-858X
ER -