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越南儿科医生继续医学教育中项目ECHO远程指导模式的应用:初步结果

Use of Project ECHO Telementoring Model in Continuing Medical Education for Pediatricians in Vietnam: Preliminary Results.

作者信息

Nhung Le Hong, Dien Tran Minh, Lan Nguyen Phuong, Thanh Pham Quoc, Cuong Pham Viet

机构信息

Vietnam National Children's Hospital, Hanoi, Vietnam.

Hanoi University of Public Health, Hanoi, Vietnam.

出版信息

Health Serv Insights. 2021 Aug 14;14:11786329211036855. doi: 10.1177/11786329211036855. eCollection 2021.

Abstract

The ECHO (Extension for Community Health Outcomes) model has been introduced and implemented in several hospitals and health programs in Vietnam since 2015. In 2018, Vietnam National Children's Hospital (VNCH) officially implemented the ECHO model to provide continuing medical education (CME) credits on pediatrics topics for medical staff in its satellite hospitals and health centers in the Northern region of Vietnam. This paper presents preliminary results of the ECHO program at VNCH. Methods included pre- and post-program assessments of pediatricians' clinical knowledge, self-efficacy, and professional satisfaction. The analysis compared the differences between pre/post scores descriptively. Knowledge of participants increased by 22.5% points on average. More than 90% of Project ECHO-Pediatrics participants experienced increased confidence. Overall, there was an improvement in participants' self-efficacy in the post-training compared to the pre-training (range 14.7%-22.6% difference from pre-training). All participants improved on their results in the clinical test immediately after the training and maintained it after 3 months. The study demonstrated the ability Project ECHO to improve healthcare worker knowledge and satisfaction.

摘要

自2015年以来,ECHO(社区健康成果扩展)模式已在越南的几家医院和卫生项目中引入并实施。2018年,越南国家儿童医院(VNCH)正式实施ECHO模式,为越南北部地区其附属卫星医院和医疗中心的医务人员提供有关儿科主题的继续医学教育(CME)学分。本文介绍了VNCH的ECHO项目的初步结果。方法包括对儿科医生临床知识、自我效能感和职业满意度进行项目前后评估。分析以描述性方式比较了前后得分之间的差异。参与者的知识平均提高了22.5个百分点。超过90%的ECHO-儿科项目参与者自信心增强。总体而言,与培训前相比,参与者在培训后的自我效能感有所提高(与培训前相比差异在14.7%-22.6%之间)。所有参与者在培训后立即进行的临床测试中成绩都有所提高,并在3个月后保持这一成绩。该研究证明了ECHO项目有能力提高医护人员的知识水平和满意度。

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