Project ECHO: a model for complex, chronic care in the Pacific Northwest region of the United States
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Summary: The Pacific Northwest of the US is a large, sparsely populated region. A telehealth programme called Project ECHO (Extension for Community Health Outcomes) was tested in this region in 2009. Weekly videoconferences were held in the areas of hepatitis C, chronic pain, integrated addictions and psychiatry, and HIV/AIDS. Rural clinicians presented cases to a panel of experts at an academic medical centre and received management advice and access to best practices. During the trial, more than 900 clinicians participated, and more than 700 patient cases were presented. At the end of June 2012, a total of 23 videoconference clinics for hepatitis C had been held, 16 clinics in addiction and psychiatry, 97 in chronic pain and 13 in HIV/AIDS. The Project ECHO model improves access to health care. It may provide a way to bring specialist care to rural areas in developing countries.
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Project ECHO provides regular specialist-guided videoconference consultations for rural primary care providers on conditions including mental health and substance abuse.
“Project ECHO, which offers regular specialist-guided videoconference consults among rural primary care providers for a variety of conditions including mental health and substance abuse consultation.39”
From Task-sharing approaches to improve mental health care in rural and other low-resource settings: a systematic review (2018) · cites this paper as [39]
Such consultations help providers treat patients locally and create a community of practice that enhances learning and reduces isolation.
“Consults help providers treat patients in their communities but also offer a community of practice among providers to enhance learning and reduce feelings of isolation.39”
From Task-sharing approaches to improve mental health care in rural and other low-resource settings: a systematic review (2018) · cites this paper as [39]
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Implementing Project Echo: Complex Care Management, Using Technology to Support Primary Care Nurses
Blankson, M. L., Almonte, S. Y., & Lainas, K. A. (2017) · UNM’s Digital Repository (University of New Mexico) · Cited by 2 · see citing works
The Road to Hepatitis C Virus Cure
Jonas, M. C., Loftus, B. C., & Horberg, M. A. (2018) · Infectious Disease Clinics of North America · doi:10.1016/j.idc.2018.02.007 · Cited by 2 · see citing works
Telemedicine and HIV Care Quality Measures During the COVID-19 Pandemic
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Perinatal Psychopharmacology: Innovative Approaches to Care Delivery
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Project ECHO: a Revolutionary Approach to Expanding Access to Modern Treatments for Hepatitis C
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NationalandStateTreatmentNeedandCapacityfor OpioidAgonistMedication-AssistedTreatment
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Learning How to Care for Grandma and Grandpa
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IMPACT OF HIV PROJECT ECHO (EXTENTIONS FOR COMMUNITY HEALTH OUTCOMES) IN KAZAKHSTAN
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- Authors
- Scott, J. D., Unruh, K. T., Catlin, M. C., Merrill, J. O., Tauben, D. J., Rosenblatt, R., Buchwald, D., Doorenbos, A., Towle, C., Ramers, C. B., & Spacha, D. H.
- Affiliations
- University of Washington (US)
- Northwest AIDS Education and Training Center, Seattle, USA
- ORCID
- Venue
- Journal of Telemedicine and Telecare
- Publisher
- SAGE Publications
- Published
- 2012-12
- Volume
- 18
- Issue
- 8
- Pages
- 481-484
- ISSN
- 1357-633X (ISSN-L)
- 1758-1109
- PMC
- PMC3647034
- OpenAlex
- W2148420159
- Cited by
- 85
- References
- 12
- Citations by year
- 2025: 2 · 2024: 6 · 2023: 9 · 2022: 8 · 2021: 7 · 2020: 3 · 2019: 8 · 2018: 10 · 2017: 9 · 2016: 12 · 2015: 7 · 2014: 3 · 2013: 1
- FWCI
- 3.40
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Telemedicine and Telecare (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- UNM’s Digital Repository (University of New Mexico) (submittedVersion)
- Funders
- National Institutes of Health (UL1TR000423)
- National Cancer Institute (R42CA141875)
- National Institute of Nursing Research (R01NR012450)
- National Center for Research Resources (UL1RR025014)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Healthcare Systems and Technology
- Health Sciences › Health Professions › Emergency Medical Services › Global Health Workforce Issues
- Keywords
- Project ECHO, telemedicine, videoconferencing, rural health care, chronic care, hepatitis C, chronic pain, HIV/AIDS, access to specialist care, Pacific Northwest
- MeSH terms
- Acquired Immunodeficiency Syndrome, Chronic Disease, Developing Countries, Health Services Accessibility, Hepatitis C, HIV, Humans, Models, Theoretical, Pilot Projects, Psychiatry, Rural Population, United States, Northwestern United States, Behavior, Addictive, Telemedicine, Videoconferencing, Chronic Pain
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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