关键词: GWEP Project ECHO age‐friendly geriatrics education telehealth

Mesh : Humans Geriatrics / education United States Aged Health Services for the Aged Health Workforce Program Evaluation Community Health Services / organization & administration Surveys and Questionnaires

来  源:   DOI:10.1111/jgs.18959

Abstract:
BACKGROUND: Use of the Project ECHO® (Extension for Community Healthcare Outcomes) model in geriatrics has increased dramatically largely because of the Health Resources and Services Administration-funded Geriatrics Workforce Enhancement Programs (GWEP) utilizing it as a key tool for age-friendly, interprofessional workforce development. This manuscript describes the scope and impact of geriatrics ECHOs under the GWEP.
METHODS: A survey of GWEPs was conducted to measure the reach, foci, evaluation methods, and other characteristics of ECHO networks.
RESULTS: All 48 (100%) GWEPs responded to the survey, and 30 (63%) reported using ECHO. GWEP ECHOs have both rural and urban-underserved reach across the United States, and their hub teams include many health professions. Age-friendly care is incorporated through multiple methods and is taught across foci including primary care, dementia, long term care, and novel topics. GWEP ECHOs have many academic and community partners including Area Agencies on Aging, and reach varied health professions, trainees, and caregivers. Geriatrics ECHOs collect outcomes across the evidence continuum including the community-level outcome of Age-Friendly Health System designation.
CONCLUSIONS: The ECHO model has been widely adopted by GWEPs as a key approach for workforce training in age-friendly care. Project ECHO is a valuable tool to expand interprofessional training for the geriatrics workforce, particularly for interprofessional teams in rural and underserved areas.
摘要:
背景:在老年病学中使用ECHO®项目(社区医疗结果扩展)模型已大大增加,这主要是因为卫生资源和服务管理局资助的老年病学劳动力增强计划(GWEP)将其用作对年龄友好的关键工具,跨专业劳动力发展。本手稿描述了GWEP下老年医学ECHO的范围和影响。
方法:对GWEP进行了调查,以测量范围,焦点,评价方法,以及ECHO网络的其他特征。
结果:所有48个(100%)GWEP对调查做出了回应,30例(63%)使用ECHO报告。GWEPECHO在美国各地都有农村和城市服务不足的地区,他们的中心团队包括许多卫生专业人员。年龄友好型护理通过多种方法被纳入,并在包括初级保健在内的各领域进行教学,痴呆症,长期护理,和新颖的话题。GWEPECHO拥有许多学术和社区合作伙伴,包括老龄化地区机构,接触不同的卫生专业,学员,和照顾者。老年医学ECHO收集整个证据连续体的结果,包括年龄友好型卫生系统指定的社区级结果。
结论:ECHO模型已被GWEP广泛采用,作为年龄友好型护理中劳动力培训的关键方法。项目ECHO是一个有价值的工具,以扩大对老年医学劳动力的跨专业培训,特别是对于农村和服务不足地区的跨专业团队。
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