Assessing and Expanding the Evidence Base for Project ECHO and ECHO-Like Models: Findings of a Technical Expert Panel
Assessing and Expanding the Evidence Base for Project ECHO and ECHO-Like Models: Findings of a Technical Expert Panel
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DOI：
10.1007/s11606-019-05599-y
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发表时间：
2020-03-01
影响因子：
5.7
通讯作者：
Fischer, Shira H.
中科院分区：
文献类型：
--
作者：
Faherty, Laura J.;Rose, Adam J.;Fischer, Shira H.
背景2003年，ECHO项目（社区卫生保健成果扩展）开始使用技术支持的合作护理模式，帮助农村地区的全科医生管理丙型肝炎。今天，ECHO和ECHO样模型（EELM）已被应用于各种环境和健康状况，但EELM的证据基础是薄，尽管广泛的热情模型。方法2018年4月，召开了一次技术专家小组（TEP）会议，评估EELM的现有证据基础，并确定如何加强EELM。结果TEP成员为未来EELM的实施者和评估者确定了四项策略，以应对进行严格评估的关键挑战：（1）对EELM及其目的有清晰的理解;（2）强调严格报告EELM计划的特点;（3）使用更广泛的研究设计，以填补有关EELM的关键知识差距;（4）通过能力建设和利益相关者参与解决结构性障碍。结论建立一个强大的证据基础，将有助于利用EELM的创新方面，更好地了解如何，为什么，以及在什么情况下EELM改善护理的可及性，质量和交付，同时也提高供应商的满意度和能力。
Background In 2003, Project ECHO (Extension for Community Healthcare Outcomes) began using technology-enabled collaborative models of care to help general practitioners in rural settings manage hepatitis C. Today, ECHO and ECHO-like models (EELM) have been applied to a variety of settings and health conditions, but the evidence base underlying EELM is thin, despite widespread enthusiasm for the model. Methods In April 2018, a technical expert panel (TEP) meeting was convened to assess the current evidence base for EELM and identify ways to strengthen it. Results TEP members identified four strategies for future implementors and evaluators of EELM to address key challenges to conducting rigorous evaluations: (1) develop a clear understanding of EELM and what they are intended to accomplish; (2) emphasize rigorous reporting of EELM program characteristics; (3) use a wider variety of study designs to fill key knowledge gaps about EELM; (4) address structural barriers through capacity building and stakeholder engagement. Conclusions Building a strong evidence base will help leverage the innovative aspects of EELM by better understanding how, why, and in what contexts EELM improve care access, quality, and delivery, while also improving provider satisfaction and capacity.