Project ECHO Diabetes Cost Modeling to Support the Replication and Expansion of Tele-mentoring Programs in Non-research Settings.
Project ECHO Diabetes Cost Modeling to Support the Replication and Expansion of Tele-mentoring Programs in Non-research Settings.
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DOI：
10.1007/s13300-022-01364-3
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发表时间：
2023-03
期刊：
影响因子：
--
通讯作者：
Project ECHO Diabetes Research Team
中科院分区：
文献类型：
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作者：
Lewit EM;Figg LE;Addala A;Filipp SL;Lal R;Gurka MJ;Herndon JB;Haller MJ;Maahs DM;Walker AF;Project ECHO Diabetes Research Team
ECHO糖尿病项目是一个面向初级保健提供者（PCP）的远程教育学习模式，旨在改善边缘化社区糖尿病患者的护理。ECHO糖尿病项目利用由内分泌学家、营养师、护士、心理学家和社会工作者组成的专家“中心”团队和由PCP及其糖尿病患者组成的“辐条”。这个项目ECHO糖尿病模型提供了糖尿病支持教练，为患者提供额外的支持。我们试图估算ECHO项目糖尿病中心的运营成本，包括糖尿病支持教练成本。使用2021年6月至2022年6月的ECHO糖尿病项目数据和国家数据库中的工资来估计中心和糖尿病支持教练的成本，以在中心（佛罗里达大学和斯坦福大学）和辐条（佛罗里达和加州的PCP诊所地点）运营为期6个月、24节的ECHO糖尿病项目。为五个分支诊所提供为期6个月的ECHO糖尿病项目的中心成本为96873美元。人事费是主要驱动因素。平均成本为19，673美元每发言诊所和11.37美元每发言诊所的病人。糖尿病支持教练成本估计每个分支诊所，并认为是可扩展的，因为它们将增加与项目ECHO糖尿病队列中分支诊所的数量成比例。平均糖尿病支持教练费用为6,506美元，每个分支诊所和3.72美元，每个病人。每个中心的项目总成本为129，404美元。每个诊所的平均费用为25，881美元。每例患者的平均成本为15.03美元。在此，我们记录了ECHO项目糖尿病中心和糖尿病支持教练的实际运营成本。ECHO糖尿病项目的未来分析将包括辐条参与成本的估计和医疗保健成本和储蓄的变化。由于国家机构，保险公司和慈善机构考虑复制ECHO糖尿病项目，这项分析提供了有关主要运营成本的重要初步信息。在线版本包含补充材料，可通过10.1007/s13300-022-01364-3获得。
Project ECHO Diabetes is a tele-education learning model for primary care providers (PCPs) seeking to improve care for patients with diabetes from marginalized communities. Project ECHO Diabetes utilized expert “hub” teams comprising endocrinologists, dieticians, nurses, psychologists, and social workers and “spokes” consisting of PCPs and their patients with diabetes. This Project ECHO Diabetes model provided diabetes support coaches to provide additional support to patients. We sought to estimate the costs of operating a Project ECHO Diabetes hub, inclusive of diabetes support coach costs. Data from Project ECHO Diabetes from June 2021 to June 2022 and wages from national databases were used to estimate hub and diabetes support coach costs to operate a 6-month, 24-session Project ECHO Diabetes program at hubs (University of Florida and Stanford University) and spokes (PCP clinic sites in Florida and California). Hub costs for delivering a 6-month Project ECHO Diabetes program to five spoke clinics were $96,873. Personnel costs were the principal driver. Mean cost was $19,673 per spoke clinic and $11.37 per spoke clinic patient. Diabetes support coach costs were estimated per spoke clinic and considered scalable in that they would increase proportionately with the number of spoke clinics in a Project ECHO Diabetes cohort. Mean diabetes support coach costs were $6,506 per spoke clinic and $3.72 per patient. Total program costs per hub were $129,404. Mean cost per clinic was $25,881. Mean cost per patient was $15.03. Herein, we document real-world costs to operate a Project ECHO Diabetes hub and diabetes support coaches. Future analysis of Project ECHO Diabetes will include estimates of spoke participation costs and changes in health care costs and savings. As state agencies, insurers, and philanthropies consider the replication of Project ECHO Diabetes, this analysis provides important initial information regarding primary operating costs. The online version contains supplementary material available at 10.1007/s13300-022-01364-3.
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影响因子：
4.1
作者：
Walker AF;Cuttriss N;Haller MJ;Hood KK;Gurka MJ;Filipp SL;Anez-Zabala C;Yabut K;Roque X;Wong JJ;Baer L;Figg L;Bernier A;Westen S;Lewit E;Sheehan E;Basina M;Lal R;Maizel J;Maahs DM
通讯作者：
Maahs DM
影响因子：
16.2
作者：
Walker AF;Hood KK;Gurka MJ;Filipp SL;Anez-Zabala C;Cuttriss N;Haller MJ;Roque X;Naranjo D;Aulisio G;Addala A;Konopack J;Westen S;Yabut K;Mercado E;Look S;Fitzgerald B;Maizel J;Maahs DM
通讯作者：
Maahs DM
DOI：
10.2337/cd19-0060
发表时间：
2020-04-01
期刊：
Clinical diabetes : a publication of the American Diabetes Association
影响因子：
--
作者：
Lal, Rayhan A;Cuttriss, Nicolas;Walker, Ashby F
通讯作者：
Walker, Ashby F
DOI：
10.2337/dsi22-0004
发表时间：
2022-01-01
期刊：
Diabetes spectrum : a publication of the American Diabetes Association
影响因子：
--
作者：
Walker, Ashby F;Addala, Ananta;Maahs, David
通讯作者：
Maahs, David
影响因子：
5.8
作者：
Walker, Ashby F.;Hu, Hui;Maahs, David M.
通讯作者：
Maahs, David M.