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改善临终关怀可及性的技术:社区医疗成果扩展项目

Technology for improving accessibility of end-of-life care: Extension for Community Healthcare Outcomes Project.

作者信息

Píriz Alvarez Gabriela

机构信息

Hospital Maciel Palliative Care Service - Medical School, Universidad de la República, Montevideo, Uruguay.

出版信息

Curr Opin Support Palliat Care. 2018 Dec;12(4):466-471. doi: 10.1097/SPC.0000000000000390.

DOI:10.1097/SPC.0000000000000390
PMID:30300151
Abstract

PURPOSE OF REVIEW

To describe how Project ECHO works and to analyze what has been published on Project ECHO Palliative Care (Project ECHO PC) over the last 18 months.

RECENT FINDINGS

Only two articles on Project ECHO PC have been published over the last 18 months: a descriptive study of experiences in seven health centers of the United States, the United Kingdom, Uruguay and India; and a quantitative and qualitative study of the impact of the teleECHO clinic on physicians and nurses in Northern Ireland, which reports a significant boost in knowledge acquisition and self-efficacy.

SUMMARY

Project ECHO is an innovative telemedicine strategy, which creates learning communities, which use a standardized methodology and benefits healthcare professionals, particularly primary care providers or practitioners based on remote or rural areas.Since 2011, Project ECHO PC has been implemented in 12 health centers in 4 different countries, with greater growth in 2017. It has facilitated a wider access to professional education, improvements in clinical practice and knowledge acquisition, the development of professional curricula and more confidence and self-efficacy among healthcare professionals. Project ECHO PC is engaged in several international initiatives to aid countries with different degrees of palliative care development.

摘要

综述目的

描述“知识转化协作在线项目”(ECHO项目)的运作方式,并分析过去18个月里关于“ECHO姑息治疗项目”(ECHO PC)已发表的内容。

最新发现

在过去18个月里,仅发表了两篇关于ECHO PC的文章:一篇是对美国、英国、乌拉圭和印度七个医疗中心经验的描述性研究;另一篇是关于远程ECHO诊所对北爱尔兰医生和护士影响的定量和定性研究,该研究报告称知识获取和自我效能感有显著提升。

总结

ECHO项目是一种创新的远程医疗策略,它创建学习社区,采用标准化方法,使医疗保健专业人员,特别是偏远或农村地区的初级保健提供者或从业者受益。自2011年以来,ECHO PC已在4个不同国家的12个医疗中心实施,2017年有更大发展。它促进了更广泛地获得专业教育、改善临床实践和知识获取、制定专业课程,并增强了医疗保健专业人员的信心和自我效能感。ECHO PC参与了多项国际倡议,以帮助处于不同姑息治疗发展程度的国家。

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Spread, participant experience, and implementation of Pallium Canada's Palliative Care ECHO project: a mixed methods study.加拿大姑息治疗ECHO项目的推广、参与者体验及实施:一项混合方法研究
BMC Palliat Care. 2025 Jul 1;24(1):176. doi: 10.1186/s12904-025-01804-4.
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