利用创新的Echo(扩展社区医疗保健结果)技术改善初级保健中肌肉骨骼教育的提供

Katharine Spalding, I. Ryans, N. Heron
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摘要

背景:扩展社区卫生保健成果(ECHO)是一个利用视频会议技术培训社区初级保健提供者的项目,以改善和标准化广泛地理区域内的护理。这种方法尚未在英国进行试验,以提高初级保健服务在管理普通肌肉骨骼(MSK)投诉方面的能力。目的:目的是评估在北爱尔兰为全科医生(全科医生)引入为期一年的MSK ECHO教育计划的影响。设计和设置:每月举行一次会议,包括教学和案例讨论。每次会议平均持续90分钟。一个由当地全科医生领导的教育工作者组成的“中心”,在二级医疗机构的同事的支持下,通过视频会议技术与贝尔法斯特周围的全科医生联系起来。方法:所涵盖的主题是由参与者在开始时选择的,涵盖了初级保健中常见的MSK投诉。开始时进行初步问卷调查,并在结束时对评估问卷进行比较。结果:10名全科医生在项目启动一年后完成了评估。在全科医生检查一系列身体个别部位时,自信得分的加权平均值由基线3.45上升至4.08。在诊断和治疗一些常见的MSK投诉方面,自我评估的能力有所提高,整个为期一年的项目的费用为14,980英镑。结论:这项试验显示了12个月的ECHO干预如何提高GP内许多MSK能力的自我效能。这些初步结果表明,ECHO是为在职全科医生提供研究生教育的一种经济、有效的解决方案。
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Improving the Delivery of Musculoskeletal Education in Primary Care Using the Innovative Echo (Extension for Community Healthcare Outcomes) Technology
Background: Extension for Community Healthcare Outcomes (ECHO) is a programme that employs videoconferencing technology to train community-based primary care providers to improve and standardize care across a wide geographical region. This method has not yet been trialled in the UK for improving the capacity of primary care services in managing common musculoskeletal (MSK) complaints. Aim: The aim was to assess the impact of introducing a year-long MSK ECHO education programme in Northern Ireland for general practitioners (GPs). Design and setting: Monthly sessions were held consisting of teaching and case based discussions. Each session lasted on average 90 minutes. A ‘hub’ consisting of local GP lead educators, supported by colleagues from secondary care, where linked to GPs around Belfast using video conferencing technology. Methods: Topics covered were chosen by participants at the start and covered common MSK complaints in primary care. An initial questionnaire was performed at the start and compared to an evaluation questionnaire at the end. Results: Ten GPs completed the evaluation one year after the project was initiated. The weighted average of the selfconfidence scores in examining a range of individual body parts in general practice increased from a baseline of 3.45 to 4.08. There was an increase in self-assessed ability in diagnosing and treating a number of common MSK complaints and the whole year-long programme was delivered for £ 14,980. Conclusion: This trial shows how a 12-month ECHO intervention can improve self-efficacy in a number of MSK capacities within GP. These preliminary results suggest that ECHO is an affordable, effective solution for providing postgraduate education to working GPs.
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