University of California, San Francisco, USA.
San Francisco State University, CA, USA.
Med Care Res Rev. 2024 Oct;81(5):384-394. doi: 10.1177/10775587241251868. Epub 2024 May 31.
Primary care practitioners (PCPs) are the first point of contact for most patients with suspected dementia and have identified a need for more training and support around dementia diagnosis and care. This qualitative study examined the Alzheimer's Disease-Extension for Community Healthcare Outcomes (AD-ECHO) program. AD-ECHO was designed to strengthen PCP capacity in dementia through bimonthly virtual meetings with a team of dementia experts. We conducted 24 hr of direct observations at AD-ECHO sessions and interviewed 14 participants about their experiences participating. Using thematic analysis, we found that participants valued the supportive learning environment and resources; knowledge gained empowered them to take more action around dementia; they identified ways of disseminating knowledge gained into their practice settings, and many desired ongoing AD-ECHO engagement. However, most identified time as a barrier to participation. AD-ECHO has the potential to strengthen the primary care workforce's knowledge and confidence around dementia care.
初级保健医生（PCP）是大多数疑似痴呆症患者的第一接触点，他们已经认识到需要在痴呆症诊断和护理方面进行更多的培训和支持。这项定性研究考察了阿尔茨海默病社区医疗成果扩展（AD-ECHO）项目。AD-ECHO 的设计目的是通过与一组痴呆症专家每两个月举行一次虚拟会议，加强 PCP 对痴呆症的诊治能力。我们在 AD-ECHO 会议上进行了 24 小时的直接观察，并对 14 名参与者进行了有关他们参与经验的访谈。通过主题分析，我们发现参与者重视支持性的学习环境和资源；获得的知识使他们能够在痴呆症方面采取更多行动；他们确定了将获得的知识传播到实践环境中的方法，许多人希望继续参与 AD-ECHO。然而，大多数人认为时间是参与的障碍。AD-ECHO 有可能增强初级保健劳动力在痴呆症护理方面的知识和信心。
