从机构和组织的角度探索多个远程辅导ECHO计划的实施:定性研究
M Gabrielle Pagé1,2, Élise Develay2, Annie Talbot2
1Department of Anesthesiology and Pain Medicine, Faculty of Medicine, Université de Montréal, 850 St-Denis, Office S03-910, Montreal, QC, H2X 0A9, Canada, 1 5148908000 ext 31601.
JMIR medical education
|November 13, 2025
概括
实施社区医疗保健成果项目扩展 (ECHO) 需要了解机构视角. 与使命和领导力支持的协调是计划可持续性的关键促进因素.
科学领域:
- 医疗保健管理的管理
- 公共卫生 公共卫生
- 医学教育 医学教育
背景情况:
- 社区医疗保健成果扩展项目 (ECHO) 是一个创新的模式,以增加社区内的医疗保健能力.
- 对于从机构领导层的角度来看,对实施多个ECHO计划的理解有限.
研究的目的:
- 从机构和组织的角度探索影响ECHO项目实施,增长和可持续性的系统特征.
- 在医疗保健系统中识别项目ECHO计划成功部署和长期可行性的促进者和障碍.
主要方法:
- 定性研究涉及重点小组和与3个项目ECHO计划的机构的高管和领导人的个人采访.
- 使用特定于ECHO项目的组织准备和实施工具对字面数据进行分析.
主要成果:
- 执行人员的观点揭示了ECHO计划与机构价值观 (创新,社区贡献,患者护理) 保持一致的重要性.
- 分散管理和部长级支持促进了实施,而临时资金和缺乏可衡量的绩效指标给可持续发展带来了挑战.
- 组织的适应性,快速增长和与机构的使命保持一致是计划充分性的关键.
结论:
- 项目ECHO的成功实施和可持续性取决于组织组件,包括领导层的参与和资源配置.
- 诸如初始资金限制和绩效指标收集等挑战需要长期成功的战略规划.
- 经验教训为其他公共卫生保健系统提供了宝贵的见解,旨在实施类似的创新教育模式.
关键词:
这就是Echo的Echo.扩展社区医疗保健成果障碍物 障碍物 障碍物慢性疼痛是一种慢性疼痛.同时出现的疾病.促进者是指促进者.型肝炎C型肝炎的发生实施实施实施实施实施.质量上的影响是有质量的.可持续性 可持续性 可持续性更多相关视频
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