Enhancing cancer care through a knowledge-sharing model: a systematic review of Project ECHO® programmes in India
BMC Cancer,
Год журнала:
2025,
Номер
25(1)
Опубликована: Фев. 3, 2025
Cancer
poses
a
life-threatening
public
health
challenge,
particularly
impacting
low-
and
middle-income
countries
(LMICs).
This
study
focuses
on
India,
where
the
cancer
burden
is
substantial,
with
approximately
1.2
million
new
cases
recorded
in
2020,
emphasising
urgent
need
for
effective
prevention,
early
detection,
treatment,
support
services.
The
lack
of
local
workforce
capacity
rural
areas
exacerbates
this
necessitating
collaborative
efforts.
nonprofit
organization
Extension
Community
Healthcare
Outcomes
(ECHO)
employs
'Hub
Spoke'
model
India
to
bridge
gaps
care.
review
aimed
assess
scale
impact
ECHO's
initiatives,
evaluate
findings,
examine
model's
implementation,
its
acceptability
among
healthcare
professionals
(HCPs)
preventing
treating
cancer.
systematic
was
conducted
following
Preferred
Reporting
Items
Systematic
Reviews
Meta-Analyses
(PRISMA)
guidelines.
Eight
studies,
comprising
six
quasi-experimental
two
observational
employing
ECHO
Model
care
training
programmes
were
identified.
quality
selected
articles
assessed
using
standardized
critical
appraisal
tool
developed
by
Joanna
Briggs
Institute
(JBI).
findings
reveal
that
actively
collaborates
experts
institutions,
conducting
webinars
12
states/Union
Territories
enhance
professionals'
expertise
Published
literature,
though
limited,
emphasises
impact,
knowledge
gains
ranging
from
7%
51%.
adoption,
retention,
reach
are
evident
through
24
institutes/hubs
implementing
oncology.
However,
challenges
such
as
low
pre
post
assessment
response
rate
internet
connectivity
observed.
India's
work
addressing
capacity.
highlights
more
publications
capture
comprehensively.
contribute
valuable
insights
ongoing
efforts
reduce
improve
well-being
population.
Язык: Английский
Application of the Hub-and-Spoke Model in Antimicrobial Stewardship Programmes: A Scoping Review
BioMed,
Год журнала:
2024,
Номер
4(4), С. 372 - 394
Опубликована: Окт. 1, 2024
Background:
The
hub-and-spoke
model
(HSM)
offers
a
framework
for
efficient
healthcare
service
delivery.
This
scoping
review
seeks
to
explore
the
implementation
and
effectiveness
of
HSM
in
antimicrobial
stewardship
(AMS)
programmes.
Methods:
Preferred
Reporting
Items
Systematic
Reviews
Meta-Analyses
Extension
Scoping
(PRISMA-ScR)
reporting
guideline
was
followed.
A
systematic
search
conducted
four
electronic
databases
(PubMed,
Medline,
Cochrane
Library,
Google
Scholar)
from
inception
until
January
2024.
Studies
where
used
delivering
any
AMS
activity,
intervention,
or
action,
were
included.
No
study-specific
filters
applied
all
populations,
study
designs,
health
settings
Data
screening
selection
achieved
using
Rayyan.
Three
authors
independently
screened
studies,
with
conflicts
resolved
by
fourth
author.
narratively
synthesised.
Standard
appraisal
tools
impractical;
however,
critical
evaluation
data
collection
outcome
ensured.
Results:
Out
1438
articles,
three
included
review.
primary
interventions
utilising
involved
reducing
antibiotic
misuse,
training
professionals,
case-based
learning,
establishing
programmes,
developing
antibiograms,
formulating
policies
guidelines
pertinent
AMS.
studies
demonstrated
significant
clinical
improvements
Clinical
outcomes
include
reduction
usage
improved
management,
notable
decrease
days
on
therapy
increased
de-escalation.
Key
facilitators
programme
success
tailored
education,
collaborative
strong
leadership,
strategic
practices,
data-driven
decisions.
barriers
leadership
challenges,
change
resistance,
knowledge
gaps,
inadequate
systems,
resource
limitations,
technological
constraints.
Conclusions:
identified
literature
gap
use
Further
are
needed
assess
HSM’s
effectiveness,
feasibility,
cost-effectiveness
contexts.
Язык: Английский