PDF(Pubmed)
Abstract：
UNASSIGNED: The study aims to investigate the patient perspective on the pathway from healthcare practitioners\' presentations of their cases at a Project ECHO (Extension for Community Healthcare Outcomes) tele-clinic to the management of those patients\' chronic pain.
UNASSIGNED: Managing patients with chronic and complex pain constitutes a prevalent, stressful challenge in the primary care setting. Primary care physicians typically have received little training in treating such patients and, until recently, have relied heavily on opioid and other pharmaceutical therapies as part of their regimen. Project ECHO Ontario Chronic Pain and Opioid Stewardship is an interprofessional telementoring program connecting pain specialists to primary care practitioners with the aim of supporting them in managing their patients with chronic pain, although the patients concerned do not generally participate in the telementoring sessions. While a number of papers have described the benefits accruing to healthcare professionals through participating in Project ECHO, there has been little exploration concerning patients\' perceptions of their care subsequent to case presentation.
UNASSIGNED: Using data from in-depth interviews with 20 patients along with their associated case presentation forms and the recommendations following the presentation, we look at the alignment of patient and practitioner views and inquire about the patient\'s perceptions of how Project ECHO affects them.
UNASSIGNED: Results suggest that the impact on patients is indirect but positive: most respondents express pleasure in contributing to research around chronic pain management, though only two of them identified a direct impact on their own treatment. They also appreciated their practitioner\'s efforts to bring expert attention to the patient\'s situation.
UNASSIGNED: Patients whose cases are presented to Project ECHO sessions experience positive emotions at being part of the process of research and quality improvement, regardless of changes in their own conditions. This study highlights the importance to patients of their practitioners\' commitment to managing their chronic pain.
UNASSIGNED: Managing patients with chronic and complex pain constitutes a prevalent, stressful challenge in the primary care setting. Primary care physicians typically have received little training in treating such patients and, until recently, have relied heavily on opioid and other pharmaceutical therapies as part of their regimen. Project ECHO Ontario Chronic Pain and Opioid Stewardship is an interprofessional telementoring program connecting pain specialists to primary care practitioners with the aim of supporting them in managing their patients with chronic pain, although the patients concerned do not generally participate in the telementoring sessions. While a number of papers have described the benefits accruing to healthcare professionals through participating in Project ECHO, there has been little exploration concerning patients\' perceptions of their care subsequent to case presentation.
UNASSIGNED: Using data from in-depth interviews with 20 patients along with their associated case presentation forms and the recommendations following the presentation, we look at the alignment of patient and practitioner views and inquire about the patient\'s perceptions of how Project ECHO affects them.
UNASSIGNED: Results suggest that the impact on patients is indirect but positive: most respondents express pleasure in contributing to research around chronic pain management, though only two of them identified a direct impact on their own treatment. They also appreciated their practitioner\'s efforts to bring expert attention to the patient\'s situation.
UNASSIGNED: Patients whose cases are presented to Project ECHO sessions experience positive emotions at being part of the process of research and quality improvement, regardless of changes in their own conditions. This study highlights the importance to patients of their practitioners\' commitment to managing their chronic pain.
摘要：
■该研究旨在调查患者对路径的看法，该路径是从医疗保健从业人员在项目ECHO（社区医疗保健结果扩展）远程诊所介绍他们的病例，以管理这些患者的慢性疼痛。
■管理患有慢性和复杂疼痛的患者初级保健环境中的压力挑战。初级保健医生通常很少接受治疗此类患者的培训，直到最近,严重依赖阿片类药物和其他药物疗法作为其治疗方案的一部分。项目ECHO安大略省慢性疼痛和阿片类药物管理是一个跨专业的远程培训计划，将疼痛专家与初级保健医生联系起来，旨在支持他们管理慢性疼痛患者。尽管有关患者通常不参加远程监护课程。虽然许多论文描述了通过参与ECHO项目对医疗保健专业人员产生的好处，在病例陈述后，关于患者对他们护理的看法的探索很少。
■使用来自对20名患者的深入访谈的数据，以及他们相关的病例报告表和报告后的建议，我们观察患者和医生观点的一致性，并询问患者对项目ECHO如何影响他们的看法。
结果表明，对患者的影响是间接的，但却是积极的：大多数受访者表示乐于为慢性疼痛管理方面的研究做出贡献，尽管其中只有两个人确定对自己的治疗有直接影响。他们还感谢他们的医生努力使专家关注患者的情况。
■病例被提交到项目ECHO会议的患者在研究和质量改进过程中感受到积极的情绪，不管自己条件的变化。这项研究强调了医生对患者控制慢性疼痛的重要性。
■管理患有慢性和复杂疼痛的患者初级保健环境中的压力挑战。初级保健医生通常很少接受治疗此类患者的培训，直到最近,严重依赖阿片类药物和其他药物疗法作为其治疗方案的一部分。项目ECHO安大略省慢性疼痛和阿片类药物管理是一个跨专业的远程培训计划，将疼痛专家与初级保健医生联系起来，旨在支持他们管理慢性疼痛患者。尽管有关患者通常不参加远程监护课程。虽然许多论文描述了通过参与ECHO项目对医疗保健专业人员产生的好处，在病例陈述后，关于患者对他们护理的看法的探索很少。
■使用来自对20名患者的深入访谈的数据，以及他们相关的病例报告表和报告后的建议，我们观察患者和医生观点的一致性，并询问患者对项目ECHO如何影响他们的看法。
结果表明，对患者的影响是间接的，但却是积极的：大多数受访者表示乐于为慢性疼痛管理方面的研究做出贡献，尽管其中只有两个人确定对自己的治疗有直接影响。他们还感谢他们的医生努力使专家关注患者的情况。
■病例被提交到项目ECHO会议的患者在研究和质量改进过程中感受到积极的情绪，不管自己条件的变化。这项研究强调了医生对患者控制慢性疼痛的重要性。
