Newcomb Dana, Nixon Phil, Moss Perrin, Kapoor Vishal
Children's Health Queensland, AU.
Primary Care Clinical Unit, Faculty of Medicine, The University of Queensland, AU.
Int J Integr Care. 2022 Jul 6;22(3):1. doi: 10.5334/ijic.6531. eCollection 2022 Jul-Sep.
Attention Deficit Hyperactivity Disorder (ADHD) accounts for a high proportion of paediatric outpatient visits in Australia. Shared care by general practitioners (GPs) would deliver more timely care, closer to home, however GPs indicated the need for interprofessional training support. This study describes the use of Project ECHO, a guided practice model, to support GPs with ADHD management, by connecting them virtually with an interprofessional team of paediatric specialists using a structured methodology.
A retrospective pre/post-knowledge and self-efficacy survey across twenty-seven aspects of ADHD management was administered, using a seven-point Likert scale.
Significant improvement (p < 0.001) in provider self-efficacy was demonstrated across all tested domains.
Use of the ECHO model™ by an interprofessional team of paediatric specialists achieved an increase in GP knowledge and self-efficacy in the local management of children and young people with complex healthcare needs. Learnings indicate viability to expand the application of the ECHO model™ to address fragmentation for other priority populations across the Australian healthcare and human service sector landscape.
Use of the ECHO model™ to support and train GPs was successful. Integration of care was achieved through strengthened partnerships between content and context experts, and the ECHO model™'s case-based learning methodology.
注意力缺陷多动障碍（ADHD）在澳大利亚儿科门诊就诊中占比很高。全科医生（GP）进行共享护理可以提供更及时的护理，且离家更近，然而全科医生表示需要跨专业培训支持。本研究描述了使用“拓展医疗服务远程协作计划（ECHO）项目”（一种指导性实践模式），通过结构化方法将全科医生与儿科专家跨专业团队进行虚拟连接，以支持他们对ADHD进行管理。
采用七点李克特量表，对ADHD管理的27个方面进行了回顾性的知识和自我效能感前后调查。
在所有测试领域中，提供者的自我效能感均有显著提高（p < 0.001）。
儿科专家跨专业团队使用ECHO模型™提高了全科医生对有复杂医疗需求的儿童和青少年进行本地管理的知识和自我效能感。经验表明，扩大ECHO模型™的应用以解决澳大利亚医疗保健和人类服务领域其他优先人群的医疗服务碎片化问题是可行的。
使用ECHO模型™来支持和培训全科医生是成功的。通过加强内容专家与背景专家之间的伙伴关系以及ECHO模型™基于案例的学习方法，实现了护理整合。
