癌症护理的ECHO项目:提供者结果评估的范围审查。
Project ECHO for Cancer Care: a Scoping Review of Provider Outcome Evaluations.
发表日期:2023 Mar 31
作者:
Sanjeev Arora, Heidi Rishel Brakey, Jessica L Jones, Nancy Hood, Jesus E Fuentes, Lucca Cirolia
来源:
Best Pract Res Cl Ob
摘要:
ECHO 项目的遥控指导模式已经用于扩大特定癌症护理的可及性已经有10年了。该范围性评估旨在确定该模式的提供者成果并综合 Moore 等人(2009)的持续医学教育成果框架中现有研究的结果。我们搜索了两个大型研究数据库和 Project ECHO 工作人员维护的收藏品,寻找于 2016 年 12 月至 2021 年 11 月之间发表的集中于癌症 ECHO 计划、涉及原始数据收集的文章,共确定了 25 篇文章纳入本次范围性评估研究。大多数文章报告与项目参与相关的结果,包括出勤率、满意度和学习成果。但是,不到一半的文章报告了提供者实践的变化情况。结果表明,集中于癌症护理的 ECHO 项目在参与度和学习成果方面都取得了广泛的参与和改进。此外,还有证据表明,与 HCV 疫苗接种和指导性护理相关的实践得到了改进。我们强调了最佳实践的例子,以及改进癌症 ECHO 程序提供者成果评估的机会。© 2023。作者根据美国癌症教育协会的专属许可。
The Project ECHO model of telementoring has been used for the past 10 years to expand access to specialized cancer care. This scoping review identifies evidence for the model's ability to improve provider outcomes, synthesizing findings from existing studies within Moore et al.'s (2009) framework for continuing medical education outcomes. We search two large research databases and a collection maintained by Project ECHO staff for articles that focus on cancer ECHO programs, involve primary data collection, and were published between December 1, 2016, and November 30, 2021. We identified 25 articles for inclusion in our scoping review. Most articles reported results for outcomes related to program participation: attendance, satisfaction, and learning. Yet, just under half reported changes in provider practices. Results demonstrate widespread participation and improved learning resulting from ECHO programs focused on cancer care. There is also evidence of improved practices related to HCV vaccination and palliative care. We highlight examples of best practices as well as opportunities to improve provider outcome evaluations for cancer ECHO programs.© 2023. The Author(s) under exclusive licence to American Association for Cancer Education.