Mattox Elizabeth A, Yantsides Konstantina E, Germani Maureen Wylie, Parsons Elizabeth C
Pulmonary, Critical Care and Sleep Medicine Section, Hospital and Specialty Medicine Service, Veterans Affairs Puget Sound Health Care System, Seattle, WA, United States.
Health Services Research and Development Center for Innovation, Veterans Affairs Puget Sound Health Care System, Seattle, WA, United States.
Front Health Serv. 2023 Sep 13;3:1217172. doi: 10.3389/frhs.2023.1217172. eCollection 2023.
VA-ECHO (Veterans Affairs -Extension for Community Healthcare Outcomes) provides live, synchronous, continuing education accredited, case-based learning. Sessions deliver up-to-date, evidence-based, practice-relevant, Veteran-focused learning to healthcare team members. The primary goal of VA-ECHO is to increase Veterans' access to high quality care by improving knowledge and skills among VA care providers. Utilizing the RE-AIM framework, descriptive statistics for 23 VA-ECHO programs regarding program effectiveness, adoption, implementation, and maintenance during a five-year period (2018-2022) are reported. VA-ECHO offered 1,462 sessions and 157,238 contact hours, engaging 17,642 participants from 837 VA-based sites (20% rural-based sites). Effectiveness includes information on number and diversity of programs, as well as reported impact on participants' practice. Adoption includes descriptive statistics, including comparison of growth and change compared to prior years. Implementation describes change in the program over time, including the number of specialties offered, and types of continuing education offered. Maintenance includes a narrative regarding sustainability. The discussion focuses on implementation and maintenance strategies the program has used to address participant and VA needs within the RE-AIM framework, including adjustments to the program, iterative qualitative improvement, sustainment strategies, and opportunities for future evaluation.
退伍军人事务部社区医疗成果扩展项目（VA-ECHO）提供经认可的实时同步继续教育及基于案例的学习。课程为医疗团队成员提供最新的、基于证据的、与实践相关的、以退伍军人为重点的学习内容。VA-ECHO的主要目标是通过提高退伍军人事务部医疗服务提供者的知识和技能，增加退伍军人获得高质量医疗服务的机会。利用RE-AIM框架，报告了23个VA-ECHO项目在五年期间（2018 - 2022年）关于项目有效性、采用情况、实施情况和维持情况的描述性统计数据。VA-ECHO提供了1462节课程，共计157238个接触学时，吸引了来自837个退伍军人事务部站点（其中20%为农村站点）的17642名参与者。有效性包括项目数量和多样性的信息，以及对参与者实践的报告影响。采用情况包括描述性统计数据，包括与前几年相比的增长和变化比较。实施情况描述了项目随时间的变化，包括提供的专业数量和继续教育类型。维持情况包括关于可持续性的叙述。讨论重点是该项目在RE-AIM框架内用于满足参与者和退伍军人事务部需求的实施和维持策略，包括对项目的调整、迭代式定性改进、维持策略以及未来评估的机会。
