Khan Karishma, Mathur Akanksha, Kaur Sandeepa, Ganesh Aurobind, Chand Prabhat
Virtual Knowledge Network ECHO, Centre for Addiction Medicine, NIMHANS Digital Academy, Dept of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, 560029, India.
Virtual Knowledge Network ECHO, Centre for Addiction Medicine, NIMHANS Digital Academy, Dept of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, 560029, India.
Asian J Psychiatr. 2020 Aug;52:102060. doi: 10.1016/j.ajp.2020.102060. Epub 2020 Apr 18.
NIMHANS ECHO (Extension for Community Healthcare Outcomes) model uses a video conferencing app to connect multiple community health care teams simultaneously with addiction treatment specialists and builds treatment capacity via mentorship and case-based learning. The aim was to investigate the characteristics of 102 cases discussed by remote community health providers in 28 weekly tele-ECHO addiction clinics between January to July 2019. Among the presented cases, the lifetime and current use of alcohol was 80 % and 71 %, respectively, and that of tobacco was 60 % and 56 %. Results revealed that only 18.6 % of cases fulfilled ICD 10 criteria for alcohol dependence. Among alcohol users, the mean AUDIT score was 20.6. The patients presented to the community health providers earlier than that of the specialist treatment center. Hence this technology-enabled ECHO model can be considered for capacity building and increase access to care, particularly in low and middle-income countries where there is a significant scarcity of trained human resources.
国家精神卫生和神经科学研究所扩展社区医疗成果（NIMHANS ECHO）模式使用视频会议应用程序，将多个社区医疗团队同时与成瘾治疗专家联系起来，并通过指导和基于案例的学习来建立治疗能力。目的是调查2019年1月至7月期间，28个每周一次的远程ECHO成瘾诊所中，远程社区医疗服务提供者讨论的102个案例的特征。在所呈现的案例中，终生饮酒率和当前饮酒率分别为80%和71%，吸烟率分别为60%和56%。结果显示，只有18.6%的案例符合国际疾病分类第10版（ICD 10）酒精依赖标准。在饮酒者中，酒精使用障碍识别测试（AUDIT）平均得分为20.6。患者比专科治疗中心更早向社区医疗服务提供者求诊。因此，这种借助技术的ECHO模式可用于能力建设，并增加医疗服务的可及性，特别是在训练有素的人力资源严重短缺的低收入和中等收入国家。
