Project ECHO Extension for Community Healthcare Outcomes

ECHO 项目扩展社区医疗保健成果

• 批准号: 6890104
• 负责人: Sanjeev Arora
• 金额: $ 47.5万
• 依托单位: UNIVERSITY OF NEW MEXICO
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-30 至 2007-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6890104
• 关键词: Internet; behavioral /social science research tag; chronic disease /disorder; clinical research; community health services; computer assisted diagnosis; computer assisted patient care; computer network; cooperative study; health care personnel education; health care quality; health services research tag; hepatitis C; human subject; interdisciplinary collaboration; medically underserved population; patient care management; rural area; telecommunications; telemedicine; training

DESCRIPTION (provided by the applicant): The University of New Mexico Health Sciences Center (UNM HSC) has developed an innovative and widely applicable model to provide treatment for patients with chronic, common and complex diseases who do not have direct access to specialty healthcare providers. This knowledge-on-demand model is called Project ECHO - Extension for Community Healthcare Outcomes. Conceived as a means to treat HCV-infected patients in New Mexico's rural communities and prison system, Project ECHO can assist in diagnosing and successfully treat many other chronic illnesses and conditions. Project ECHO connects urban medical center disease experts with rural general practitioners and community health representatives over a telehealth network. This enables them to effectively treat patients on site who would otherwise have to travel to urban healthcare facilities for specialty treatment. Project ECHO has enormous potential as an affordable healthcare intervention in rural communities where certain chronic diseases have reached epidemic levels and healthcare resources and personnel are scarce. The purpose of Project ECHO is to educate, train, and support rural general practitioners or other available healthcare representatives on the best practice treatment protocols for complex diseases they encounter in their communities. This model focuses on the principles of case-based learning and disease management using the telemedicine infrastructure and internet-based technologies to co-manage patients in community-based practices. The ultimate goal of Project ECHO is to provide the same level of healthcare to rural patients with chronic diseases as can be obtained in an urban setting. A secondary goal is to provide rural healthcare practitioners with a level of interaction and support commensurate with their urban counterparts to enhance their technical competence and decrease their feelings of professional isolation. Project ECHO is being field-tested in weekly, regularly scheduled telemedicine clinics hosted by UNM HSC specialists in the areas of hepatitis C. Through use of the UNM HSC Telehealth pathways and internet-based access, community healthcare providers around New Mexico are afforded the opportunity to present cases which are discussed among the network participants to jointly reach treatment decisions.

描述（由申请人提供）：新墨西哥州大学健康科学中心（UNM HSC）开发了一种创新且广泛适用的模式，为无法直接获得专业医疗保健提供者的慢性、常见和复杂疾病患者提供治疗。这种按需知识模型称为Project ECHO -社区医疗保健成果扩展。作为治疗新墨西哥州农村社区和监狱系统HCV感染患者的一种手段，ECHO项目可以帮助诊断和成功治疗许多其他慢性疾病和病症。ECHO项目通过远程保健网络将城市医疗中心疾病专家与农村全科医生和社区卫生代表联系起来。这使他们能够在现场有效地治疗患者，否则这些患者必须前往城市医疗机构进行专科治疗。ECHO项目作为农村社区负担得起的医疗干预措施具有巨大潜力，因为某些慢性病已达到流行程度，医疗资源和人员稀缺。 ECHO项目的目的是教育、培训和支持农村全科医生或其他可用的医疗保健代表，使其了解他们在社区中遇到的复杂疾病的最佳实践治疗方案。该模式侧重于基于案例的学习和疾病管理原则，利用远程医疗基础设施和基于互联网的技术，在社区实践中共同管理患者。ECHO项目的最终目标是为农村慢性病患者提供与城市环境相同水平的医疗保健。第二个目标是提供农村 为提高医疗保健从业人员的技术能力，减少他们的职业孤立感，向他们提供与城市同行相称的互动和支持。ECHO项目正在由UNM HSC专家主持的每周定期远程医疗诊所进行丙型肝炎领域的实地测试。通过使用UNM HSC远程医疗路径和基于互联网的访问，新墨西哥州周围的社区医疗保健提供者有机会展示网络参与者之间讨论的病例，以共同达成治疗决策。