项目ECHO计划的混合方法评估,用于基于证据的状细胞疾病管理
Cami Mosley1, Christina Bennett Farrell1, Charles T Quinn1,2
1Cincinnati Comprehensive Sickle Cell Center, Division of Hematology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA.
概括
项目ECHO (扩展社区健康成果) 培训显著提高了医疗保健提供者对治疗状细胞疾病 (SCD) 的信心. 这种电话辅助模式改善了SCD患者获得专家护理和最佳实践的机会.
科学领域:
- 医疗教育 医学教育
- 血液学 血液学 血液学
- 公共卫生 公共卫生
背景情况:
- 状细胞疾病 (SCD) 在获得基于证据的护理方面存在重大挑战.
- 像STORM这样的供应商网络对于传播专业知识至关重要.
研究的目的:
- 评估ECHO项目 (扩展社区健康成果) 作为管理SCD的医疗保健提供者的教育策略的有效性.
- 评估远程辅导对提供者的信心和有关SCD管理的知识的影响.
主要方法:
- 一种混合方法的方法,将年度调查和半结构面试与参与STORM TeleECHO计划 (2016-2021) 的医疗保健提供者相结合.
- 对定性数据使用了专题分析,而对定量调查数据则评估了自我报告的信心变化.
主要成果:
- 在管理成人SCD患者,识别疾病修饰疗法的候选人,并处方这些治疗中,观察到提供者信心的统计显著增加.
- 质量主题突出了增加的信心,综合的最佳实践,加强对专家和网络的访问,高质量的教育,以及更强烈的社区意识.
结论:
- 项目ECHO是一个可访问和有效的教育工具,可以明显增加提供者对治疗状细胞疾病的信心和知识.
- 远程辅导模式通过赋予医疗保健提供者权力,成功地弥合了SCD患者专业护理的差距.
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