Expansion of Rural Health Care Research Infrastructure through the ECHO Model

描述（由申请人提供）：社区医疗保健成果扩展（ECHO）模型由新墨西哥州大学健康科学中心（UNM-HSC）开发，作为服务提供和研究的平台。ECHO使用最先进的远程保健技术，旨在培训来自服务不足地区（如农村社区）的初级保健提供者，以发展复杂健康状况的最佳实践护理知识和自我效能。ECHO的“学习循环”和其他提供者培训组件是基于医学教育中使用的基于案例的学习和包括社会认知理论和情境学习的理论框架设计的。四个跨学科研究小组将评估ECHO模式培训社区提供者的能力，同时通过与高级教师的持续磋商和结构化培训课程，他们将在六个主要内容领域接受指导。这将扩大这些少数民族教师进行卫生服务研究的能力。四个研究部门的具体目标与整个项目的以下广泛目标相一致。 1.通过为少数民族教师提供领导力，技能和知识，提高他们成为独立的外部资助研究人员的能力。 2.通过在广泛的复杂健康问题/状况上复制和测试，评估ECHO培训跨学科医疗保健提供者团队的稳健性。 3.评估ECHO在当前最佳实践中增加提供者知识和自我效能的能力。 4.通过扩大获得最佳实践护理的机会，改善服务不足患者的临床结局。 拟议的研究将复制和测试ECHO模型的四个复杂的健康问题。 糖尿病研究组，PI Kathleen Collarn，医学博士 儿科超重研究组，PI Keri博尔顿Oetzel，博士，公共卫生硕士，LPC 丁丙诺啡研究组，PI Miriam Komaromy，医学博士 医学伦理学研究部门，PI Anne Simpson，MD，CMD

DESCRIPTION (PROVIDED BY APPLICANT): The Extension for Community Healthcare Outcomes (ECHO) Model was developed by the University of New Mexico Health Sciences Center (UNM-HSC) as a platform for both service delivery and research. Using state-of-the-art telehealth technology, ECHO is designed to train primary care providers from underserved areas (such as rural communities) to develop knowledge and self-efficacy in best practice care for complex health conditions. ECHO'S "learning loops" and other provider training components were designed based on case-based learning used in medical education and a theoretical framework that includes Social Cognitive Theory and situated learning. Four inter-disciplinary research teams will assess the ability of the ECHO Model to train community providers, while they receive mentoring in six major content areas through both ongoing consultation with senior faculty and a structured training curriculum. This will expand the capacity of these minority faculty to conduct health services research. The specific aims of each of the four research arms parallel the following broad aims for the overall project. 1. To increase the capacity of minority faculty to become independent, externally-funded researchers by providing them with leadership, skills and knowledge. 2. To assess ECHO'S robustness to train inter-disciplinary teams of health care providers, by replicating and testing it on a broad range of complex health problems/conditions. 3. To assess ECHO'S capability to increase provider knowledge and self-efficacy in current best practices. 4. To improve clinical outcomes for underserved patients by expanding access to best practice care. The proposed research will replicate and test the ECHO Model for four complex health issues. Research Arm on Diabetes, PI Kathleen Colleran, MD Research Arm on Pediatric Overweight, PI Keri Bolton Oetzel, PhD, MPH, LPC Research Arm on Buprenorphine, PI Miriam Komaromy, MD Research Arm on Medical Ethics, PI Anne Simpson, MD, CMD