项目延伸社区医疗保健成果干预评估:研究方法的范围审查
Jennifer Maizel1, Stephanie L Filipp, Gaia Zori
1Dr. Maizel: Department of Health Services Research, Management, and Policy, University of Florida College of Public Health and Health Professions, Gainesville, FL, and Behavioral Health and Health Policy Practice, Westat, Rockville, MD. Ms. Filipp: Department of Pediatrics, University of Florida College of Medicine, Gainesville, FL. Dr. Zori: Department of Health Services Research, Management, and Policy, University of Florida College of Public Health and Health Professions, Gainesville, FL. Dr. Yadav: Department of Health Services Research, Management, and Policy, University of Florida College of Public Health and Health Professions, Gainesville, FL. Mr. Avaiya: National Heart, Lung, and Blood Institute, Bethesda, MD. Ms. Figg: Department of Pediatrics and Division of Endocrinology and Diabetes, Stanford University School of Medicine, Palo Alto, CA. Ms. Hechavarria: Department of Pediatrics, University of Florida College of Medicine, Gainesville, FL. Ms. Roque: Department of Pediatrics, University of Florida College of Medicine, Gainesville, FL. Ms. Anez-Zabala: Department of Pediatrics, University of Florida College of Medicine, Gainesville, FL. Dr. Lal: Department of Pediatrics and Division of Endocrinology and Diabetes, Stanford University School of Medicine, Palo Alto, CA. Dr. Addala: Department of Pediatrics and Division of Endocrinology and Diabetes, Stanford University School of Medicine, Palo Alto, CA. Dr. Haller: Department of Pediatrics, University of Florida College of Medicine, Gainesville, FL. Dr. Maahs: Department of Pediatrics and Division of Endocrinology and Diabetes, Stanford University School of Medicine, Palo Alto, CA. Dr. Walker: Department of Health Services Research, Management, and Policy, University of Florida College of Public Health and Health Professions, Gainesville, FL.
该项目ECHO (扩展社区医疗保健成果) 模型.
科学领域:
- 提供医疗保健服务.
- 远程医疗远程医疗
- 公共卫生干预措施 公共卫生干预措施
背景情况:
- 项目ECHO (扩展社区医疗保健成果) 是一项于2003年建立的全球远程教育模式.
- 由于COVID-19大流行和对远程教育的需求增加,其利用量急剧增加.
- 尽管影响广泛,但对ECHO项目的评估方法的研究仍然有限.
研究的目的:
- 对用于评估ECHO项目干预措施的研究方法进行范围审查.
- 确定所采用的评估方法的范围和类型.
- 确定ECHO项目的评估中存在的差距和未来研究的机会.
主要方法:
- 使用Arksey和O'Malley的框架和PRISMA-ScR检查清单进行了范围审查.
- 分析了评估ECHO项目干预措施的121篇文章.
- 审查的关键方面包括研究设计,时间性,分析方法,数据源和数据水平.
主要成果:
- 干预主要集中在物质使用障碍,传染病,精神疾病和慢性疾病上.
- 常见的评估方法包括队列研究,纵向设计,混合方法和调查.
- 实验研究,随机化和比较小组等严格的设计很少被使用.
结论:
- 需要更严格的评估方法来确定Project ECHO模型的有效性.
- 标准化报告准则对于提高未来ECHO项目干预评估数据的传播至关重要.
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