培训医疗保健工作人员:对乙型肝炎和型肝炎的远程治疗的全球经验
Maria A Corcorran1,2, Karla Thornton3,4, Bruce Struminger3,4
1Division of Allergy and Infectious Diseases, Department of Medicine, University of Washington, Seattle, WA, USA. corcom@uw.edu.
BMC health services research
|August 2, 2023
概括
远程指导计划有效地支持医疗保健工作者在全球范围内管理乙型肝炎和C型肝炎. 尽管存在资金等挑战,但这种模式增强了提供者的知识,并促进了病毒性肝炎的消除.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 公共卫生 公共卫生
- 医学教育 医学教育
背景情况:
- 远程指导提供了一种去中心化的医疗知识传播和医疗保健能力建设方法.
- 本研究考察了全球远程辅导的经验,支持医疗保健工作者在乙型肝炎病毒 (HBV) 和乙型肝炎病毒 (HCV) 护理.
研究的目的:
- 评估全球对HBV和HCV护理的远程辅导计划的实施和影响.
- 根据ECHO项目模型,确定远程辅导计划的优势和障碍.
主要方法:
- 进行了一项全球调查和深入访谈,与美国以外的HBV/HCV远程辅导计划的领导者进行了调查 (其中有一个故意采样的美国计划).
- 项目与ECHO项目模型相关或遵循.
- 描述性统计和专题分析用于调查和采访数据.
主要成果:
- 共有11个项目参与,主要是基于学术医疗中心,由肝脏病学家领导.
- 82%的计划涉及HBV和HCV,每项计划平均有22个讲话站点,主要为初级保健提供者提供服务.
- 主要优势包括集体学习和协作,而资金不足和缺乏保护时间是主要障碍.
结论:
- 项目ECHO远程管理模式在全球范围内成功实施,改善了病毒性肝炎管理的提供者知识.
- 远程辅导的扩大可以显著支持非专业医疗保健工作者,并推进病毒性肝炎消除工作.
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