Impact of the TeleECHO model: Rapid identification and treatment of syphilis.

Kelli Garber, Emily Hochwald, Grace Barthold, Frankie Speerhas, Tina Gustin
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Abstract

Abstract: Syphilis is a growing concern globally, affecting adult men and women as well as the fetus of infected mothers. Nationally, syphilis disproportionately affects Black and Hispanic women compared with White women, and younger women are reported to experience a disproportionate burden of syphilis with the highest disparities. Syphilis can be difficult to diagnose, particularly if the health care provider is not well-versed in risk factors and signs and symptoms of the disease. TeleECHO is a telementoring model that has been employed worldwide to educate providers on a wide array of health-related topics. The model unites clinical experts and community partners with learners in distant sites to extend knowledge and expertise to those providing frontline care. This case study depicts the successful identification and treatment of syphilis in an unhoused woman seeking care at a free and charitable clinic whose interprofessional staff and providers had recently attended a TeleECHO on syphilis. The impact of the TeleECHO knowledge sharing and the collaboration enabled by local community partnerships developed through the ECHO are highlighted while providing guidance on the diagnosis and treatment of syphilis.

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TeleECHO模型的影响:梅毒的快速识别和治疗。
摘要梅毒是一种日益受到全球关注的疾病,不仅影响成年男性和女性,也影响感染母亲的胎儿。在全国范围内,与白人妇女相比,梅毒对黑人和西班牙裔妇女的影响不成比例,据报道,年轻妇女患梅毒的负担不成比例,差异最大。梅毒可能很难诊断,特别是如果卫生保健提供者不熟悉疾病的危险因素和体征和症状。TeleECHO是一种远程监控模式,已在世界范围内用于就一系列广泛的健康主题对提供者进行教育。该模式将临床专家和社区合作伙伴与远程站点的学习者联合起来,将知识和专业知识扩展到提供一线护理的人员。本案例研究描述了在一家免费慈善诊所寻求治疗的无家可归妇女的梅毒的成功识别和治疗,该诊所的跨专业工作人员和提供者最近参加了梅毒TeleECHO。在提供梅毒诊断和治疗指导的同时,强调了TeleECHO知识共享的影响以及通过该项目建立的地方社区伙伴关系所促成的协作。
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来源期刊
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16.70%
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期刊介绍: The Journal of the American Association of Nurse Practitioners (JAANP) is a monthly peer-reviewed professional journal that serves as the official publication of the American Association of Nurse Practitioners. Published since 1989, the JAANP provides a strong clinical focus with articles related to primary, secondary, and tertiary care, nurse practitioner education, health policy, ethics and ethical issues, and health care delivery. The journal publishes original research, integrative/comprehensive reviews, case studies, a variety of topics in clinical practice, and theory-based articles related to patient and professional education. Although the majority of nurse practitioners function in primary care, there is an increasing focus on the provision of care across all types of systems from acute to long-term care settings.
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