Project Extension for Community Healthcare Outcomes (ECHO) in Multiple Sclerosis: Increasing Clinician Capacity.

Project Extension for Community Healthcare Outcomes (ECHO) in Multiple Sclerosis: Increasing Clinician Capacity.
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DOI:
10.7224/1537-2073.2016-099
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发表时间:
2017-11-01
影响因子:
--
通讯作者:
Scott, John D
Scott, John D
中科院分区:
其他
文献类型:
--
作者:
Johnson, Kurt L;Hertz, Deborah;Scott, John D

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背景技术背景:在太平洋西北部的多发性硬化症(MS)临床医生中进行了一项使用社区医疗结果项目扩展(ECHO)模型的试点计划。该试验是国家多发性硬化症协会和华盛顿大学教师之间的合作。我们的目标是确定使用这种远程医疗模式的可行性,以提高能力和能力的临床医生在农村地区治疗MS的人。方法:13个实践点,24名临床医生被招募参加。视频会议被用来进行每周一次的会议,包括简短的教学案例consultations.RESULTS:大多数参与者完成的结果调查(10 15)表示,他们更有信心在治疗MS患者。他们感到满意的培训,感觉更好地能够照顾他们的病人,并作出了改变,在他们的治疗的基础上的情况下咨询和教学内容。他们重视案例研究和基于案例的教学法,并相互学习,以及从team.CONCLUSIONS:试点MS项目ECHO值得进一步调查其潜在的影响,获得MS护理服务不足的人群。
BACKGROUND: A pilot program using the Project Extension for Community Healthcare Outcomes (ECHO) model was conducted for multiple sclerosis (MS) clinicians in the Pacific Northwest. The pilot was a collaboration between the National Multiple Sclerosis Society and faculty at the University of Washington. The goal was to determine the feasibility of using this telehealth model to increase the capacity and capability of clinicians in rural areas to treat people with MS.METHODS: Thirteen practice sites with 24 clinicians were recruited to participate. Videoconferencing was used to conduct weekly sessions consisting of brief didactics followed by case consultations.RESULTS: Most participants completing the outcome survey (10 of 15) indicated that they were more confident in treating patients with MS. They were satisfied with the training, felt better able to care for their patients, and had made changes in their treatment based on the case consultations and didactic content. They valued the case studies and case-based didactics and learned from each other as well as from the team.CONCLUSIONS: The pilot MS Project ECHO warrants further investigation regarding its potential effect on access to MS care delivery for underserved populations.