Reflections on project ECHO: qualitative findings from five different ECHO programs.
Reflections on project ECHO: qualitative findings from five different ECHO programs.
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DOI：
10.1080/10872981.2021.1936435
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发表时间：
2021-12
影响因子：
4.6
通讯作者：
Maupome G
中科院分区：
文献类型：
--
作者：
Agley J;Delong J;Janota A;Carson A;Roberts J;Maupome G
ECHO项目（社区卫生保健成果推广）于2003年开发，是一种促进继续教育和专业发展的创新模式。ECHO强调“移动知识，而不是人”。为了实现这一目标，ECHO计划使用虚拟协作和基于案例的学习，让从业人员，包括农村和服务不足地区的从业人员，接受专业培训。欧共体人道处的模式迅速扩大，现已在44个国家使用。关于ECHO功效和有效性的初步研究显示出有希望的结果，但证据仍然有限，适当的研究成果尚未明确界定。为了改善ECHO的证据基础，这项对5个ECHO项目（癌症预防/生存、综合疼痛管理、丙型肝炎、艾滋病毒和LGBTQ+医疗保健）的研究阐明了有关ECHO项目的可操作见解以及未来评估和研究可能取得进展的方向。这是一项符合COCOST标准的定性研究。一名经过培训的采访者对25名独特的、有目的地抽样的ECHO与会者进行了10次采访和5个焦点小组（5个项目中的每个项目进行了2次采访和1个焦点小组）。逐字记录数据，并使用一般归纳法进行分析，然后审查可靠性。我们确定了四个主要类别（加入ECHO的原因，参与ECHO的价值，改善ECHO的方法和参与的障碍），由23个主要代码组成。我们认为，主题饱和，并出现了一个连贯的叙述ECHO讨论。参与者经常表示，他们获得了宝贵的学习经验，从而改变了他们的做法;严格的学习和患者水平的结果试验是必要的。这项研究还发现支持这样一种想法，即应研究ECHO模式在召集实践社区和减少供应商孤立方面的作用。还确定和讨论了其他影响，包括对跨专业教育和模式演变的影响。
Project ECHO (Extension for Community Healthcare Outcomes) was developed in 2003 as an innovative model to facilitate continuing education and professional development. ECHO emphasizes ‘moving knowledge, not people.’ To accomplish this, ECHO programs use virtual collaboration and case-based learning to allow practitioners, including those in rural and underserved areas, to receive specialist training. The ECHO model has expanded rapidly and is now used in 44 countries. Preliminary research on ECHO’s efficacy and effectiveness has shown promising results, but evidence remains limited and appropriate research outcomes have not been clearly defined. To improve the evidence basis for ECHO, this study of 5 ECHO programs (cancer prevention/survivorship, integrated pain management, hepatitis C, HIV, and LGBTQ+ health care elucidated actionable insights about the ECHO programs and directions in which future evaluations and research might progress. This was a qualitative study following COREQ standards. A trained interviewer conducted 10 interviews and 5 focus groups with 25 unique, purposively sampled ECHO attendees (2 interviews and 1 focus group for each of the 5 programs). Data were transcribed verbatim and analyzed using the general inductive approach, then reviewed for reliability. We identified four major categories (reasons to join ECHO, value of participating in ECHO, ways to improve ECHO, and barriers to participation) composed of 23 primary codes. We suggest that thematic saturation was achieved, and a coherent narrative about ECHO emerged for discussion. Participants frequently indicated they received valuable learning experiences and thereby changed their practice; rigorous trials of learning and patient-level outcomes are warranted. This study also found support for the idea that the ECHO model should be studied for its role in convening communities of practice and reducing provider isolation as an outcome in itself. Additional implications, including for interprofessional education and model evolution, were also identified and discussed.
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影响因子：
3.1
作者：
Carlin, Leslie;Zhao, Jane;Furlan, Andrea
通讯作者：
Furlan, Andrea
影响因子：
1.4
作者：
Khatri, Khushbu;Haddad, Marwan;Anderson, Daren
通讯作者：
Anderson, Daren
DOI：
10.1002/chp.20001
发表时间：
2009-12-01
影响因子：
1.8
作者：
Moore, Donald E., Jr.;Green, Joseph S.;Gallis, Harry A.
通讯作者：
Gallis, Harry A.
影响因子：
1.2
作者：
Baillie, Lesley
通讯作者：
Baillie, Lesley
影响因子：
--
作者：
Leech, Nancy L.;Onwuegbuzie, Anthony J.
通讯作者：
Onwuegbuzie, Anthony J.