Partnering Urban Academic Medical Centers And Rural Primary Care Clinicians To Provide Complex Chronic Disease Care
Partnering Urban Academic Medical Centers And Rural Primary Care Clinicians To Provide Complex Chronic Disease Care
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DOI：
10.1377/hlthaff.2011.0278
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发表时间：
2011-06-01
期刊：
影响因子：
9.7
通讯作者：
Yutzy, Sean
中科院分区：
文献类型：
--
作者：
Arora, Sanjeev;Kalishman, Summers;Yutzy, Sean
根据平价医疗法案，预计将有3200万美国人获得医保，其中许多人可能因为各种慢性病而有很高水平的未得到满足的需求，并生活在本已得不到服务的地区。在新墨西哥州，一种创新的医疗保健教育和提供模式被称为Echo(社区医疗保健成果扩展)，为同等人口提供高质量的初级和专科保健。使用最先进的远程医疗技术和基于病例的学习，Project ECHO使新墨西哥大学健康科学中心的专家能够与服务不足地区的初级保健临床医生合作，为丙型肝炎、哮喘、糖尿病、艾滋病毒/艾滋病、儿科肥胖、慢性疼痛、物质使用障碍、类风湿性关节炎、心血管疾病和精神疾病的患者提供复杂的专业护理。截至2011年3月，新墨西哥州各地的298个项目ECHO团队已经合作了10,000多个丙型肝炎和其他慢性病的特殊护理会诊。
Many of the estimated thirty-two million Americans expected to gain coverage under the Affordable Care Act are likely to have high levels of unmet need because of various chronic illnesses and to live in areas that are already underserved. In New Mexico an innovative new model of health care education and delivery known as Project ECHO (Extension for Community Healthcare Outcomes) provides high-quality primary and specialty care to a comparable population. Using state-of-the-art telehealth technology and case-based learning, Project ECHO enables specialists at the University of New Mexico Health Sciences Center to partner with primary care clinicians in underserved areas to deliver complex specialty care to patients with hepatitis C, asthma, diabetes, HIV/AIDS, pediatric obesity, chronic pain, substance use disorders, rheumatoid arthritis, cardiovascular conditions, and mental illness. As of March 2011, 298 Project ECHO teams across New Mexico have collaborated on more than 10,000 specialty care consultations for hepatitis C and other chronic diseases.