在越南，利用 ECHO 项目扩大儿科医生的能力：可行性、可接受性和可持续性。
Feasibility, acceptability, and sustainability of Project ECHO to expand capacity for pediatricians in Vietnam.
机构信息
Vietnam National Children's Hospital, No. 18/879 La Thanh Street, Hanoi, Vietnam.
OnCare Medical Technology Company Limited, No. 77/508 Lang Street, Hanoi, Vietnam.
出版信息
BMC Health Serv Res. 2021 Dec 9;21(1):1317. doi: 10.1186/s12913-021-07311-5.
BACKGROUND
The Project Extension for Community Healthcare Outcomes (ECHO) model is considered a platform for academic medical centers to expand their healthcare workforce capacity to medically underserved populations. It has been known as an effective solution of continuing medical education (CME) for healthcare workers that used a hub-and-spoke model to leverage knowledge from specialists to primary healthcare providers in different regions. In this study, we aim to explore the views of healthcare providers and hospital leaders regarding the feasibility, acceptability, and sustainability of Project ECHO for pediatricians.
METHODS
This qualitative study was conducted at the Vietnam National Children's Hospital and its satellite hospitals from July to December 2020. We conducted 39 in-depth interviews with hospital managers and healthcare providers who participated in online Project ECHO courses. A thematic analysis approach was performed to extract the qualitative data from in-depth interviews.
RESULTS
Project ECHO shows high feasibility when healthcare providers find motivated to improve their professional knowledge. Besides, they realized the advantages of saving time and money with online training. Although the courses had been covered fully by the Ministry of Health's fund, the participants said they could pay fees or be supported by the hospital's fund. In particular, the expectation of attaining the CME-credited certificates after completing the course also contributes to the sustainability of the program. Project ECHO's online courses should be improved if the session was better monitored with suitable time arrangements.
CONCLUSIONS
Project ECHO model is highly feasible, acceptable, and sustainable as it brings great benefits to the healthcare providers, and is appropriate with the policy theme of continuing medical education of the Ministry of Health. We recommend that further studies should be conducted to assess the impact of the ECHO program, especially for patient and community outcomes.
背景
社区医疗保健成果拓展项目（ECHO）模式被认为是学术医疗中心扩大医疗保健人员对医疗资源匮乏人群服务能力的平台。它作为医疗工作者继续教育（CME）的有效解决方案而广为人知，采用的是一种轮辐式模型，利用专家的知识来为不同地区的初级保健提供者提供服务。在这项研究中，我们旨在探讨医疗保健提供者和医院管理者对儿科医生开展 ECHO 项目的可行性、可接受性和可持续性的看法。
方法
这项定性研究于 2020 年 7 月至 12 月在越南国家儿童医院及其卫星医院进行。我们对参与在线 ECHO 项目课程的医院管理人员和医疗保健提供者进行了 39 次深入访谈。采用主题分析方法从深入访谈中提取定性数据。
结果
当医疗保健提供者发现提高专业知识的积极性时，ECHO 项目显示出高度的可行性。此外，他们意识到在线培训可以节省时间和金钱。尽管这些课程已全部由卫生部资金覆盖，但参与者表示他们可以支付费用或由医院资金支持。特别是完成课程后获得 CME 认证证书的期望也有助于该项目的可持续性。如果课程得到更好的监控并安排合适的时间，ECHO 的在线课程可以得到改进。
结论
ECHO 模式具有高度的可行性、可接受性和可持续性，因为它为医疗保健提供者带来了巨大的利益，并且符合卫生部继续教育政策的主题。我们建议进一步开展研究，评估 ECHO 项目的影响，特别是对患者和社区的影响。
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