Abstract

BackgroundThe Project Extension for Community Healthcare Outcomes (ECHO) model is considered a platform for academic medical centers to expand their healthcare workforce capacity to medically underserved populations. It has been known as an effective solution of continuing medical education (CME) for healthcare workers that used a hub-and-spoke model to leverage knowledge from specialists to primary healthcare providers in different regions. In this study, we aim to explore the views of healthcare providers and hospital leaders regarding the feasibility, acceptability, and sustainability of Project ECHO for pediatricians.MethodsThis qualitative study was conducted at the Vietnam National Children’s Hospital and its satellite hospitals from July to December 2020. We conducted 39 in-depth interviews with hospital managers and healthcare providers who participated in online Project ECHO courses. A thematic analysis approach was performed to extract the qualitative data from in-depth interviews.ResultsProject ECHO shows high feasibility when healthcare providers find motivated to improve their professional knowledge. Besides, they realized the advantages of saving time and money with online training. Although the courses had been covered fully by the Ministry of Health’s fund, the participants said they could pay fees or be supported by the hospital’s fund. In particular, the expectation of attaining the CME-credited certificates after completing the course also contributes to the sustainability of the program. Project ECHO’s online courses should be improved if the session was better monitored with suitable time arrangements.ConclusionsProject ECHO model is highly feasible, acceptable, and sustainable as it brings great benefits to the healthcare providers, and is appropriate with the policy theme of continuing medical education of the Ministry of Health. We recommend that further studies should be conducted to assess the impact of the ECHO program, especially for patient and community outcomes.

Highlights

  • The Project Extension for Community Healthcare Outcomes (ECHO) model is considered a platform for academic medical centers to expand their healthcare workforce capacity to medically underserved populations

  • The organization should host some more courses with diverse topics and more frequency.”. This is the first study in Vietnam to investigate the feasibility, acceptability, and sustainability of Project ECHO to expand the capacity of pediatric healthcare providers throughout its system

  • Project ECHO is in line with the policy of Ministry of Health (MOH) on continuing medical education (CME) for healthcare providers and has notable advantages during the time of COVID-19 pandemic spreading with the governmental regulation on social distancing and lockdowns

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Summary

Introduction

The Project Extension for Community Healthcare Outcomes (ECHO) model is considered a platform for academic medical centers to expand their healthcare workforce capacity to medically underserved populations. It has been known as an effective solution of continuing medical education (CME) for healthcare workers that used a huband-spoke model to leverage knowledge from specialists to primary healthcare providers in different regions. The Project Extension for Community Healthcare Outcomes (ECHO) model is considered a platform for academic medical centers to expand their workforce capacity to medically underserved populations [1]. It was shown that HCV infection could be effectively managed in centers that implemented Project ECHO [5]. Zhou et al used Moore’s Evaluation Framework for CME to evaluate different studies; they concluded that

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