1104 University of New Mexico's Health Sciences Center and the ECHO Institute, Albuquerque, NM, USA.
124049 Harvard College, Cambridge, MA, USA.
Public Health Rep. 2021 Jan/Feb;136(1):39-46. doi: 10.1177/0033354920969180. Epub 2020 Nov 20.
Project ECHO (Extension for Community Healthcare Outcomes) at the University of New Mexico is a telementoring program that uses videoconferencing technology to connect health care providers in underserved communities with subject matter experts. In March 2020, Project ECHO created 10 coronavirus disease 2019 (COVID-19) telementoring programs to meet the public health needs of clinicians and teachers living in underserved rural and urban regions of New Mexico. The newly created COVID-19 programs include 7 weekly sessions (Community Health Worker [in English and Spanish], Critical Care, Education, First-Responder Resiliency, Infectious Disease Office Hours, and Multi-specialty) and 3 one-day special sessions. We calculated the total number of attendees, along with the range and standard deviation, per session by program. Certain programs (Critical Care, Infectious Disease Office Hours, Multi-specialty) recorded the profession of attendees when available. The Project ECHO research team collected COVID-19 infection data by county from March 11 through May 31, 2020. During that same period, 9765 health care and general education professionals participated in the COVID-19 programs, and participants from 31 of 35 (89%) counties in New Mexico attended the sessions. Our initial evaluation of these programs demonstrates that an interprofessional clinician group and teachers used the Project ECHO network to build a community of practice and social network while meeting their educational and professional needs. Because of Project ECHO's large reach, the results of the New Mexico COVID-19 response suggest that the rapid use of ECHO telementoring could be used for other urgent national public health problems.
新墨西哥大学的 ECHO 项目（Extension for Community Healthcare Outcomes）是一个远程指导项目，利用视频会议技术将服务不足社区的医疗保健提供者与主题专家联系起来。2020 年 3 月，ECHO 项目创建了 10 个冠状病毒病 2019（COVID-19）远程指导项目，以满足生活在新墨西哥州服务不足的农村和城市地区的临床医生和教师的公共卫生需求。新创建的 COVID-19 项目包括 7 个每周课程（社区卫生工作者[英文和西班牙文]、重症监护、教育、第一反应者韧性、传染病门诊时间和多专业）和 3 个为期一天的特别课程。我们按项目计算了每个课程的参会总人数、范围和标准差。某些项目（重症监护、传染病门诊时间、多专业）在有记录时记录了参会者的专业。ECHO 项目研究团队从 2020 年 3 月 11 日至 5 月 31 日按县收集 COVID-19 感染数据。在此期间，9765 名医疗保健和普通教育专业人员参加了 COVID-19 项目，新墨西哥州 35 个县中的 31 个县（89%）的参与者参加了课程。我们对这些项目的初步评估表明，一个跨专业临床医生小组和教师利用 ECHO 网络建立了实践社区和社交网络，同时满足了他们的教育和专业需求。由于 ECHO 的广泛影响力，新墨西哥州 COVID-19 应对措施的结果表明，快速使用 ECHO 远程指导可能用于其他紧急的国家公共卫生问题。
