Telementoring of primary care providers delivering hepatitis C treatment in New York City: Results from Project INSPIRE
Telementoring of primary care providers delivering hepatitis C treatment in New York City: Results from Project INSPIRE
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DOI：
10.1002/lrh2.10056
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发表时间：
2018-07-01
影响因子：
3.1
通讯作者：
Schackman, Bruce R.
中科院分区：
文献类型：
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作者：
Teixeira, Paul A.;Bresnahan, Marie P.;Schackman, Bruce R.
简介：近年来，针对丙型肝炎病毒（HCV）感染的高效、易于管理且相对无毒的治疗方法的出现，为临床医生在非专科环境中治疗HCV提供了机会，并提供了适当的支持。INSPIRE项目为HCV患者提供护理协调，并由HCV专家为缺乏HCV治疗经验的初级保健提供者提供基于网络的疾病管理和治疗培训计划（远程监控）。每周远程会议使用教学和基于案例的方法，指导非HCV供应商如何识别和评估HCV治疗候选人，并规定适当的treatment.Methods：我们使用混合的方法来评估远程服务，包括供应商调查和半结构化访谈。定量数据进行了分析，使用描述性统计，定性数据进行了分析，以确定占主导地位的themes.Results：供应商的调查结果表明，提高能力，以确定和评估HCV治疗的候选人，并增加与同行和患者分享知识的信心。访谈显示，对远程监护服务和INSPIRE项目总体满意度很高。远程监护服务被认为增强了提供者的知识，信心和能力，以治疗自己的HCV感染的患者，而不是必须将他们转介给HCV专家，从而有利于护理的连续性。供应商报告与其他INSPIRE供应商和专业成长的满意度，通过telementoring service.Conclusions获得新的知识和技能，使用现成的网络会议技术，telementoring可以促进专家和初级保健提供者之间的知识转移，促进连续性的照顾病人和提供者的满意度。
Introduction: The recent availability of highly effective, easily administered, and relatively nontoxic treatments for hepatitis C virus (HCV) infection provides an opportunity for clinicians to treat HCV in nonspecialist settings with appropriate support. Project INSPIRE provides care coordination to HCV patients and a web-based training program (telementoring) on disease management and treatment by HCV specialists to primary care providers inexperienced in HCV treatment. Weekly telementoring sessions use a didactic and case-based approach to instruct non-HCV providers on how to identify and assess HCV treatment candidates and prescribe appropriate treatment.Methods: We used mixed methods to assess the telementoring service, including provider surveys and semistructured interviews. Quantitative data were analyzed using descriptive statistics, and qualitative data were analyzed to identify dominant themes.Results: Provider survey responses indicated an increased ability to identify and evaluate HCV treatment candidates and increased confidence in sharing knowledge with peers and patients. Interviews revealed a high degree of satisfaction with the telementoring service and Project INSPIRE overall. The telementoring service was viewed as having enhanced providers' knowledge, confidence, and ability to treat their own HCV-infected patients rather than having to refer them to an HCV specialist with resulting benefits for continuity of care. Providers reported comradery and collegiality with other INSPIRE providers and satisfaction with professional growth from attaining new knowledge and skills via the telementoring service.Conclusions: Using readily available web conferencing technology, telementoring can facilitate knowledge transfer between specialists and primary care providers, facilitating continuity of care for patients and increased provider satisfaction.