对于初级保健提供者来说,ECHO自闭症的价值:建立社区和能力
Jennifer D Smith1,2, Lisa M Vaughn2,3,4,5, Erica Page6
1Division of Developmental and Behavioral Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Journal of developmental and behavioral pediatrics : JDBP
|April 15, 2025
概括
社区医疗保健成果扩展 (ECHO) 自闭症计划提高了初级保健提供者 (PCP) 照顾自闭症谱系障碍 (ASD) 儿童的能力. 它培养了一个支持性的社区,并改善当地环境中的护理服务.
科学领域:
- 医学教育 医学教育
- 自闭症谱系障碍 护理 护理
- 定性研究方法 定性研究方法
背景情况:
- 社区医疗保健成果扩展 (ECHO) 自闭症计划旨在提高初级保健提供者 (PCP) 管理自闭症谱系障碍 (ASD) 患者的能力.
- 量化结果可能无法完全捕捉参与ECHO自闭症计划的好处.
- 需要进行定性探索,以了解PCP的感知和该计划的影响.
研究的目的:
- 从参与PCP的角度探索ECHO自闭症计划的感知,意义和影响.
- 在ECHO自闭症计划中确定关键主题和需要改进的领域.
主要方法:
- 使用了修改后的虚拟群体级别评估,一种参与性定性研究方法.
- 与4名ECHO自闭症参与者进行半结构化采访,以进一步探讨主题.
- 在评估中包括6名PCP,1名家庭成员和5名中心团队成员.
主要成果:
- 六个主要主题出现了:直接的PCP益处",所有人都教,所有人都学习"的方法,社区意识,多学科护理的价值,ASD护理的解密化,以及对患者和家庭的好处.
- 参与者确定了计划增强的5个领域.
- 定性数据揭示了超出定量指标的显著感知价值.
结论:
- ECHO自闭症有效地为PCP建立了一个社区,管理复杂的儿科病例,减少孤立感.
- 该计划增强了PCP在社区环境中为患有自闭症儿童提供高质量,基于证据的护理的能力.
- 声自闭症代表了一种创新模式,可以改善获得专业护理的机会.
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