美国印第安人/阿拉斯加原住民的丙型肝炎治疗：对印第安卫生服务提供者使用ECHO（社区医疗成果扩展）项目的调查。

Treating hepatitis C in American Indians/Alaskan Natives: A survey of Project ECHO(®) (Extension for Community Healthcare Outcomes) utilization by Indian Health Service providers.

作者信息

Pindyck Talia, Kalishman Summers, Flatow-Trujillo Lainey, Thornton Karla

机构信息

Division of Infectious Diseases, Department of Internal Medicine, School of Medicine, The University of New Mexico (UNM), Albuquerque, NM, USA.

Department of Family and Community Medicine, School of Medicine, The University of New Mexico (UNM), Albuquerque, NM, USA; Project ECHO, Albuquerque, NM, USA.

出版信息

SAGE Open Med. 2015 Oct 28;3:2050312115612805. doi: 10.1177/2050312115612805. eCollection 2015.

DOI:10.1177/2050312115612805

PMID:26770809

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4679318/

Abstract

BACKGROUND

American Indians/Alaskan Natives have a high mortality associated with hepatitis C virus, yet treatment rates are low. The ECHO (Extension for Community Healthcare Outcomes) model(™), a videoconferencing technology for primary care providers, is underutilized at Indian Health Service facilities.

PURPOSE

To ascertain Indian Health Service providers' benefit of and barriers to utilizing hepatitis C virus TeleECHO clinics.

METHODS

We electronically sent an Active Participant Survey to Indian Health Service providers utilizing hepatitis C virus TeleECHO clinic and a Non-Participant Survey to other Indian Health Service providers interested in this clinic.

RESULTS

In total, 100% of Active Participant Survey respondents perceive moderate to major benefit of hepatitis C virus TeleECHO clinic in managing hepatitis C virus, and 67% of Non-Participant Survey respondents reported lack of administrative time as the major barrier to utilizing this resource.

CONCLUSION

Indian Health Service providers participating in hepatitis C virus TeleECHO clinic perceive this resource as highly beneficial, but widespread utilization may be impractical without allocating time for participation.

摘要

背景

美国印第安人/阿拉斯加原住民因丙型肝炎病毒感染导致的死亡率较高，但治疗率却很低。社区医疗成果推广（ECHO）模式（™）是一种面向初级保健提供者的视频会议技术，在印第安卫生服务机构中未得到充分利用。

目的

确定印第安卫生服务提供者使用丙型肝炎病毒远程ECHO诊所的益处和障碍。

方法

我们以电子方式向使用丙型肝炎病毒远程ECHO诊所的印第安卫生服务提供者发送了一份积极参与者调查问卷，并向对该诊所有兴趣的其他印第安卫生服务提供者发送了一份非参与者调查问卷。

结果

总体而言，100%的积极参与者调查问卷受访者认为丙型肝炎病毒远程ECHO诊所在管理丙型肝炎病毒方面有中度至重大益处，67%的非参与者调查问卷受访者表示缺乏行政时间是使用该资源的主要障碍。

结论

参与丙型肝炎病毒远程ECHO诊所的印第安卫生服务提供者认为该资源非常有益，但如果不分配参与时间，广泛使用可能不切实际。

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