Evidence map›Paper›PMID 34886871›Full record

ArticleBMC health services research2021

Feasibility, acceptability, and sustainability of Project ECHO to expand capacity for pediatricians in Vietnam.

Le Hong Nhung, Vu Duy Kien, Nguyen Phuong Lan, Pham Viet Cuong, Pham Quoc Thanh, Tran Minh Dien

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Le Hong NhungVietnam National Children's Hospital, No. 18/879 La Thanh Street, Hanoi, Vietnam. nhungnhikhoa@nch.org.vn.ORCID https://orcid.org/0000-0002-6048-6570
Vu Duy KienOnCare Medical Technology Company Limited, No. 77/508 Lang Street, Hanoi, Vietnam.ORCID https://orcid.org/0000-0002-4333-8912
Nguyen Phuong LanVietnam National Children's Hospital, No. 18/879 La Thanh Street, Hanoi, Vietnam.
Pham Viet CuongHanoi University of Public Health, No. 1A Duc Thang Road, North Tu Liem, Hanoi, Vietnam.ORCID https://orcid.org/0000-0002-2309-8253
Pham Quoc ThanhHanoi University of Public Health, No. 1A Duc Thang Road, North Tu Liem, Hanoi, Vietnam.ORCID https://orcid.org/0000-0002-5526-1510
Tran Minh DienVietnam National Children's Hospital, No. 18/879 La Thanh Street, Hanoi, Vietnam.ORCID https://orcid.org/0000-0003-4012-764X
Hanoi University · VNVietnam National Children's Hospital · VN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

Medically Underserved AreaPediatriciansChildFeasibility StudiesHealth PersonnelHumansVietnamAcceptabilityFeasibilityPediatricianProject ECHOSustainabilityVietnam

Identifiers

PMID34886871
PMCPMC8655084
OpenAlexW4200431435

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.