Katzman Joanna G, Galloway Kevin, Olivas Cynthia, McCoy-Stafford Kimberly, Duhigg Daniel, Comerci George, Kalishman Summers, Buckenmaier Chester C, McGhee Laura, Joltes Kristin, Bradford Andrea, Shelley Brian, Hernandez Jessica, Arora Sanjeev
UNM Health Sciences Center Project ECHO, Department of Neurosurgery, University of New Mexico School of Medicine, 1650 University Boulevard, Albuquerque, NM 87102.
Defense and Veterans Center for Integrative Pain Medicine (DVCIPM)/HJF, 11300 Rockville Pike, Suite 709, Rockville, MD 20852.
Mil Med. 2016 Mar;181(3):227-35. doi: 10.7205/MILMED-D-15-00044.
Project ECHO (Extension for Community Healthcare Outcomes) is an evidence-based model that provides high-quality medical education for common and complex diseases through telementoring and comanagement of patients with primary care clinicians. In a one to many knowledge network, the ECHO model helps to bridge the gap between primary care clinicians and specialists by enhancing the knowledge, skills, confidence, and practice of primary care clinicians in their local communities. As a result, patients in rural and urban underserved areas are able to receive best practice care without long waits or having to travel long distances. The ECHO model has been replicated in 43 university hubs in the United States and five other countries. A new replication tool was developed by the Project ECHO Pain team and U.S. Army Medical Command to ensure a high-fidelity replication of the model. The adoption of the tool led to successful replication of ECHO in the Army Pain initiative. This replication tool has the potential to improve the fidelity of ECHO replication efforts around the world.
社区医疗成果推广计划（Project ECHO）是一种循证模式，通过远程指导以及与基层医疗临床医生共同管理患者，为常见和复杂疾病提供高质量医学教育。在一对多的知识网络中，ECHO模式通过增强基层医疗临床医生在其当地社区的知识、技能、信心和实践能力，帮助弥合基层医疗临床医生与专科医生之间的差距。因此，城乡医疗服务欠缺地区的患者能够接受最佳实践护理，而无需长时间等待或长途跋涉。ECHO模式已在美国的43个大学中心以及其他五个国家得到复制。ECHO疼痛团队和美国陆军医疗司令部开发了一种新的复制工具，以确保该模式的高保真复制。该工具的采用使得ECHO在陆军疼痛计划中成功复制。这种复制工具有可能提高全球ECHO复制工作的保真度。
