项目ECHO模型实施的促进者和障碍: 8个ECHO实施小组的观点
M Kathryn Allison1,2, Cari A Bogulski2,3, Hannah C McCoy2
1Department of Health Behavior and Health Education, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
项目ECHO telementoring改善了服务不足地区的医疗教育. 解决安排和资金等实施障碍是最大限度地提高出席率和覆盖率的关键.
科学领域:
- 医疗保健教育卫生保健教育
- 医疗电话辅助 医疗电话辅助
- 实施科学 实施科学
背景情况:
- 项目ECHO是一个领先的远程辅导模型,用于继续医学教育,特别是在农村/贫困地区.
- 虽然ECHO的有效性得到了证据,但其实施的决定因素需要进一步研究.
研究的目的:
- 评估项目ECHO模型实施的促进者和障碍者.
主要方法:
- 虚拟聚焦小组由来自美国八个ECHO项目实施小组的29名个人组成.
- 实施研究综合框架 (CFIR) 指导了实施经验,促进者和障碍物的探索.
主要成果:
- 参与者对ECHO的虚拟,以学习者为中心,以案例为基础的方法表示赞赏.
- 主要促进者包括熟练的演讲者,平衡教学与案例讨论,以及ECHO研究所的支持.
- 障碍包括安排挑战和可持续性资金;定制会议长度,频率和参与者数量可以提高参与度.
结论:
- 积极解决发现的障碍,可以优化ECHO项目的实施.
- 定制计划将利用资源,最大限度地提高出席率,扩大覆盖范围,并改善医疗保健结果.
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