The authors are with the ECHO Institute, University of New Mexico Health Sciences Center, Albuquerque. Dr. Komaromy and Dr. Arora are also with the Department of Internal Medicine, University of New Mexico Health Sciences Center, Albuquerque.
Psychiatr Serv. 2017 Sep 1;68(9):873-875. doi: 10.1176/appi.ps.201600471. Epub 2017 Aug 15.
The Extension for Community Healthcare Outcomes (ECHO) model offers a way for primary care providers to develop expertise in addressing behavioral health issues of primary care patients. It provides an alternative to traditional continuing medical education (CME) for ongoing training and support for health care providers. ECHO uses videoconferencing to connect multiple primary care teams simultaneously with academic specialists and builds capacity via mentorship and case-based learning. ECHO aims to expand access to care by developing capacity to treat common, complex conditions in underserved areas. Participants in an integrated addictions and psychiatry teleECHO program reported that when they presented a patient case, the feedback they received was highly valuable and led them to change their care plans more than 75% of the time. ECHO is an effective model for teaching primary care teams about behavioral health and may be more effective than traditional CME approaches.
ECHO （社区医疗保健成果扩展）模式为初级保健提供者提供了一种方法，使其能够在解决初级保健患者的行为健康问题方面发展专业知识。它为医疗保健提供者提供了一种替代传统继续医学教育（CME）的方式，以提供持续的培训和支持。ECHO 使用视频会议将多个初级保健团队同时与学术专家联系起来，并通过指导和基于案例的学习来建立能力。ECHO 旨在通过开发在服务不足地区治疗常见复杂疾病的能力来扩大医疗服务的可及性。参与综合成瘾和精神病远程 ECHO 计划的参与者报告说，当他们提出一个患者病例时，他们收到的反馈非常有价值，导致他们改变护理计划的次数超过 75%。ECHO 是教授初级保健团队行为健康知识的有效模式，可能比传统的 CME 方法更有效。
