对阿片类药物使用障碍的初级保健团队学习会的评估
Cory B Lutgen1,2, Elisabeth Callen1,2, Elise Robertson1,2
1DARTNET Institute, Aurora, Colorado, USA.
项目ECHO培训显著提高了临床医生的对治疗阿片类药物使用障碍 (OUD) 的信心和知识. 这种以团队为基础的方法显示出扩大OUD护理和弥合治疗差距的前景.
科学领域:
- 医学教育 医学教育
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
背景情况:
- 阿片类药物使用障碍 (OUD) 治疗受限于缺乏合格的临床医生.
- 在接受过OUD管理培训的医疗保健专业人员中存在很大的差距.
- 初级保健机构对于扩大获得OUD治疗的机会至关重要.
研究的目的:
- 评估社区医疗保健成果扩展项目 (ECHO项目) 在培训OUD的初级保健团队方面的有效性.
- 评估以团队为基础的OUD培训对临床医生的信心和知识的影响.
- 为了确定最受益于这种教育模式的特定OUD治疗领域.
主要方法:
- 在12个月内进行了12个1小时的虚拟Project ECHO会议.
- 包括20个实践和130名医疗保健团队成员.
- 通过基线,终点和会后调查收集数据,使用描述性统计和非参数测试进行分析.
主要成果:
- 在个人,团体和角色层面上观察到自我报告的信心和知识的显著增加.
- 在治疗与芬太尼相关的问题,同时发生的型肝炎,办公室治疗和行为健康方面出现了最大的改善.
- 基于团队的学习有效地提高了参与者在关键OUD护理领域的能力.
结论:
- 像ECHO项目这样的团队教育模式可以有效地提高临床医生的OUD护理的信心和知识.
- 这种方法有可能弥合OUD患者的关键护理差距.
- 可访问的,以团队为基础的学习加强了OUD患者的护理服务和医疗团队中的角色认可.
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