Dr. Hager is with the Department of Psychiatry and Behavioral Sciences, University of New Mexico School of Medicine, Albuquerque. Dr. Hasselberg and Dr. Richman are with the Department of Psychiatry, University of Rochester, Rochester, New York. Dr. Arzubi is with the Department of Psychiatry, Billings Clinic, Billings, Montana. Dr. Betlinski is with the Department of Psychiatry, Oregon Health and Science University, Portland. Dr. Duncan is with the Department of Psychiatry, University of Washington, Seattle. Dr. Raney is with Health Management Associates, Denver, Colorado. Benjamin G. Druss, M.D., M.P.H., and Gail L. Daumit, M.D., M.H.S., are editors of this column.
Psychiatr Serv. 2018 Apr 1;69(4):366-369. doi: 10.1176/appi.ps.201700211. Epub 2018 Feb 15.
This column describes Project ECHO (Extension for Community Healthcare Outcomes), a teleconsultation, tele-education, telementoring model for enhancing primary care treatment of underserved patients with complex medical conditions. Numerous centers have adapted ECHO to support primary care treatment of behavioral health disorders. Preliminary evidence for behavioral health ECHO programs suggests positive impacts on providers, treatment planning, and emergency department costs. ECHO has the potential to improve access to effective and cost-effective behavioral health care by virtually integrating behavioral health knowledge and support in sites where specialty providers are not available. Patient-level outcomes research is critical.
本专栏介绍了 ECHO 项目（Extension for Community Healthcare Outcomes），这是一种远程咨询、远程教育和远程指导模式，旨在加强初级保健治疗服务不足的复杂疾病患者。许多中心已经采用 ECHO 模式来支持初级保健治疗行为健康障碍。行为健康 ECHO 项目的初步证据表明，该模式对提供者、治疗计划和急诊费用都有积极影响。ECHO 有可能通过在没有专业提供者的地方虚拟整合行为健康知识和支持，改善获得有效和具有成本效益的行为健康护理的机会。患者层面的结果研究至关重要。
