Expanding access to hepatitis C virus treatment--Extension for Community Healthcare Outcomes (ECHO) project: disruptive innovation in specialty care.
Expanding access to hepatitis C virus treatment--Extension for Community Healthcare Outcomes (ECHO) project: disruptive innovation in specialty care.
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DOI：
10.1002/hep.23802
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发表时间：
2010-09
期刊：
影响因子：
13.5
通讯作者：
Pak, Wesley
中科院分区：
文献类型：
--
作者：
Arora, Sanjeev;Kalishman, Summers;Thornton, Karla;Dion, Denise;Murata, Glen;Deming, Paulina;Parish, Brooke;Brown, John;Komaromy, Miriam;Colleran, Kathleen;Bankhurst, Arthur;Katzman, Joanna;Harkins, Michelle;Curet, Luis;Cosgrove, Ellen;Pak, Wesley
社区医疗保健成果扩展 (ECHO) 模型由新墨西哥大学健康科学中心 (UNMHSC) 开发，作为一个平台，通过基于团队的跨学科发展的创新教育模式向服务不足的人群提供复杂的专业医疗护理。 ECHO 利用最先进的远程医疗技术、最佳实践协议和基于案例的学习，培训和支持初级保健提供者发展有关各种疾病的知识和自我效能。因此，他们可以为无法提供专业护理的社区的复杂健康状况提供最佳实践护理。 ECHO 最初是为了管理丙型肝炎病毒 (HCV) 而开发的，其最佳管理需要咨询医学专业、心理健康和药物滥用方面的多学科专家。很少有从业者，特别是在农村和服务欠缺地区，具备管理其新出现的治疗方案、副作用、药物毒性和治疗引起的抑郁症的知识。此外，数据是从 ECHO 每周诊所观察以及 ECHO 诊所参与数据库和临床提供者的患者介绍中获得的，ECHO 计划的评估纳入了纳入 ECHO 年会的年度调查以及对社区提供者的例行调查，内容涉及工作场所学习、个人和专业经验、与专业实践相关的系统和环境因素、自我效能、ECHO 的促进因素和障碍。初步调查数据显示，通过参与 ECHO HCV 诊所，提供者的知识、自我效能和职业满意度显着提高。临床医生报告说，参与可以带来中度到重大的益处。我们的结论是，ECHO 扩大了服务不足人群获得最佳实践护理的机会，建立实践社区以提高初级保健临床医生的专业发展和满意度，并通过建立当地卓越中心扩大可持续护理能力。
The Extension for Community Healthcare Outcomes (ECHO) Model was developed by the University of New Mexico Health Sciences Center (UNMHSC) as a platform to deliver complex specialty medical care to underserved populations through an innovative educational model of team-based inter-disciplinary development. Using state-of-the-art telehealth technology, best practice protocols, and case based learning, ECHO trains and supports primary care providers to develop knowledge and self-efficacy on a variety of diseases. As a result, they can deliver best practice care for complex health conditions in communities where specialty care is unavailable. ECHO was first developed for the management of hepatitis C virus (HCV), optimal management of which requires consultation with multi-disciplinary experts in medical specialties, mental health and substance abuse. Few practitioners, particularly in rural and underserved areas, have the knowledge to manage its emerging treatment options, side effects, drug toxicities and treatment-induced depression. In addition data was obtained from observation of ECHO weekly clinics and database of ECHO clinic participation and patient presentations by clinical provider, evaluation of the ECHO program incorporates annual survey integrated into the ECHO annual meeting and routine surveys of community providers about workplace learning, personal and professional experiences, systems and environmental factors associated with professional practice, self-efficacy, facilitators and barriers to ECHO. The initial survey data show a significant improvement in provider knowledge, self-efficacy and professional satisfaction through participation in ECHO HCV clinics. Clinicians reported a moderate to major benefit from participation. We conclude that ECHO expands access to best practice care for underserved populations, builds communities of practice to enhance professional development and satisfaction of primary care clinicians, and expands sustainable capacity for care by building local centers of excellence.
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影响因子：
7.4
作者：
Arora, Sanjeev;Geppert, Cynthia M. A.;Scaletti, Joseph V.
通讯作者：
Scaletti, Joseph V.
影响因子：
3.3
作者：
Arora, Sanjeev;Thornton, Karla;Scaletti, Joseph V.
通讯作者：
Scaletti, Joseph V.
影响因子：
168.9
作者：
Strong, K;Mathers, C;Beaglehole, R
通讯作者：
Beaglehole, R
DOI：
10.1002/hep.22759
发表时间：
2009-04
期刊：
Hepatology (Baltimore, Md.)
影响因子：
--
作者：
Ghany MG;Strader DB;Thomas DL;Seeff LB;American Association for the Study of Liver Diseases
通讯作者：
American Association for the Study of Liver Diseases
影响因子：
3.1
作者：
Crook, Errol D.;Peters, Mosha
通讯作者：
Peters, Mosha