Abstract：
Project Extension for Community Healthcare Outcomes (ECHO) enables healthcare providers to share knowledge and best practices via telementoring. The ECHO model builds provider capacity and improves care for patients with a variety of health conditions. This study describes a Canada-wide National ECHO pilot project in the area of geriatric mental health and reports on the program\'s impact on providers\' care practices. A mixed-methods approach was used to analyze surveys completed by participating healthcare providers. Program evaluation measured satisfaction, achievement of learning objectives, awareness of issues related to geriatric mental health, and comfort and self-efficacy working with older adults. The program led to a statistically significant increase in participants\' awareness of issues related to support for older adults with mental illness and comfort and self-efficacy in managing these patients in their own practice. The National ECHO pilot project was successful in building healthcare providers\' capacity to care for older adults with mental health issues and positively impacting their practice. These findings support using the ECHO model to provide ongoing geriatric mental health education for clinicians from across Canada and beyond.
摘要：
社区医疗保健成果项目扩展（ECHO）使医疗保健提供者能够通过远程通信共享知识和最佳实践。ECHO模型建立了提供者的能力，并改善了对各种健康状况患者的护理。这项研究描述了加拿大范围内的国家ECHO老年心理健康领域的试点项目，并报告了该计划对提供者护理实践的影响。混合方法方法用于分析参与的医疗保健提供者完成的调查。项目评估测量满意度，实现学习目标，对老年人心理健康相关问题的认识，以及与老年人一起工作的舒适性和自我效能感。该计划导致参与者对与支持患有精神疾病的老年人以及在自己的实践中管理这些患者时的舒适度和自我效能感有关的问题的认识在统计学上显着增加。国家ECHO试点项目成功地建立了医疗保健提供者的能力，以照顾有心理健康问题的老年人，并对他们的实践产生积极影响。这些发现支持使用ECHO模型为来自加拿大及其他地区的临床医生提供持续的老年心理健康教育。
