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Partnering Urban Academic Medical Centers And Rural Primary Care Clinicians To Provide Complex Chronic Disease Care

Published on Jun 1, 2011in Health Affairs5.71
· DOI :10.1377/hlthaff.2011.0278
Sanjeev Arora22
Estimated H-index: 22
(UNM: University of New Mexico),
Summers Kalishman19
Estimated H-index: 19
+ 12 AuthorsSean Yutzy1
Estimated H-index: 1
Cite
Abstract
Many of the estimated thirty-two million Americans expected to gain coverage under the Affordable Care Act are likely to have high levels of unmet need because of various chronic illnesses and to live in areas that are already underserved. In New Mexico an innovative new model of health care education and delivery known as Project ECHO (Extension for Community Healthcare Outcomes) provides high-quality primary and specialty care to a comparable population. Using state-of-the-art telehealth technology and case-based learning, Project ECHO enables specialists at the University of New Mexico Health Sciences Center to partner with primary care clinicians in underserved areas to deliver complex specialty care to patients with hepatitis C, asthma, diabetes, HIV/AIDS, pediatric obesity, chronic pain, substance use disorders, rheumatoid arthritis, cardiovascular conditions, and mental illness. As of March 2011, 298 Project ECHO teams across New Mexico have collaborated on more than 10,000 specialty care consultat...
  • References (8)
  • Citations (124)
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References8
Newest
Published on Sep 1, 2010in Hepatology14.97
Sanjeev Arora22
Estimated H-index: 22
(UNM: University of New Mexico),
Summers Kalishman19
Estimated H-index: 19
(UNM: University of New Mexico)
+ 13 AuthorsWesley Pak3
Estimated H-index: 3
(UNM: University of New Mexico)
The Extension for Community Healthcare Outcomes (ECHO) Model was developed by the University of New Mexico Health Sciences Center (UNMHSC) as a platform to deliver complex specialty medical care to underserved populations through an innovative educational model of team-based inter-disciplinary development. Using state-of-the-art telehealth technology, best practice protocols, and case based learning, ECHO trains and supports primary care providers to develop knowledge and self-efficacy on a vari...
Published on Jun 3, 2010in The New England Journal of Medicine70.67
Eli Y. Adashi61
Estimated H-index: 61
,
H. Jack Geiger3
Estimated H-index: 3
,
Michael D. Fine1
Estimated H-index: 1
The Patient Protection and Affordable Care Act enables community health centers to serve nearly 20 million new patients while adding an estimated 15,000 providers to their staffs by 2015. Dr. Eli Adashi and colleagues describe the “new” community health centers.
Published on Feb 1, 2010in Academic Medicine5.08
Bonnie M. Miller11
Estimated H-index: 11
,
Donald E. Moore29
Estimated H-index: 29
+ 1 AuthorsJeffrey R. Balser40
Estimated H-index: 40
AbstractOne hundred years after Flexner wrote his report for the Carnegie Foundation, calls are heard for another “Flexnerian revolution,” a reform movement that would overhaul an approach to medical education that is criticized for its expense and inefficiency, its failure to respond to the health
Published on Apr 21, 2009in Annals of Internal Medicine19.32
John McWilliams29
Estimated H-index: 29
,
Ellen Meara29
Estimated H-index: 29
+ 1 AuthorsJohn Z. Ayanian35
Estimated H-index: 35
Background: Efforts to improve the care of cardiovascular disease and diabetes or expand insurance coverage for adults with these conditions may reduce differences in clinical outcomes. Objective: To assess recent national trends in disease control, trends in sociodemographic differences in control, and changes in sociodemographic differences after age 65 years associated with near-universal Medicare coverage. Design: Observational and quasi-experimental analyses of repeated cross-sectional data...
Published on Aug 5, 2008in Annals of Internal Medicine19.32
Andrew P. Wilper11
Estimated H-index: 11
(CHA: Cambridge Health Alliance),
Steffie Woolhandler49
Estimated H-index: 49
(CHA: Cambridge Health Alliance)
+ 3 AuthorsDavid U. Himmelstein50
Estimated H-index: 50
(CHA: Cambridge Health Alliance)
Background: No recent national studies have assessed chronic illness prevalence or access to care among persons without insurance in the United States. Objective: To compare reports of chronic conditions and access to care among U.S. adults, by self-reported insurance status. Design: Population-based survey. Setting: National Health and Nutritional Examination Survey (1999–2004). Participants: 12 486 patients age 18 to 64 years. Measurements: Estimates of national rates of cardiovascular disease...
Published on Sep 1, 2007in Health Affairs5.71
Nakela L. Cook13
Estimated H-index: 13
,
LeRoi S. Hicks6
Estimated H-index: 6
(Harvard University)
+ 3 AuthorsBruce E. Landon58
Estimated H-index: 58
(Harvard University)
Although community health centers (CHCs) provide primary health services to the medically underserved and poor, limited access to off-site specialty services may lead to poorer outcomes among underinsured CHC patients. This study evaluates access to specialty health services for patients receiving care in CHCs, using a survey of medical directors of all federally qualified CHCs in the United States in 2004. Respondents reported that uninsured patients had greater difficulty obtaining access to o...
Published on Jul 12, 2007in The New England Journal of Medicine70.67
John McWilliams29
Estimated H-index: 29
,
Ellen Meara29
Estimated H-index: 29
+ 1 AuthorsJohn Z. Ayanian35
Estimated H-index: 35
Background Previously uninsured adults who enroll in the Medicare program at the age of 65 years may have greater morbidity, requiring more intensive and costlier care over subsequent years, than they would if they had been previously insured. Methods We used longitudinal data from the nationally representative Health and Retirement Study to assess self-reported health care use and expenditures from 1992 through 2004 among 5158 adults who were privately insured or uninsured before Medicare cover...
Cited By124
Newest
Published on May 21, 2019in Annals of Internal Medicine19.32
Bruce Struminger4
Estimated H-index: 4
(UNM: University of New Mexico),
Sanjeev Arora22
Estimated H-index: 22
(UNM: University of New Mexico)
Published on Jul 24, 2019in Journal of the American Medical Informatics Association4.29
Saif Khairat3
Estimated H-index: 3
(UNC: University of North Carolina at Chapel Hill),
Timothy L. Haithcoat7
Estimated H-index: 7
(MU: University of Missouri)
+ 4 AuthorsChi-Ren Shyu23
Estimated H-index: 23
(MU: University of Missouri)
Published on 2019in Academic Pediatrics2.54
Kristin N. Ray8
Estimated H-index: 8
(University of Pittsburgh),
Jeremy M. Kahn37
Estimated H-index: 37
(University of Pittsburgh)
Abstract Nearly a quarter of families of children with need of subspecialty care report difficulty accessing that care. Telehealth is a method to overcome barriers to subspecialty care. However, improving access to subspecialty care through telehealth requires granular identification of specific subspecialty barriers and recognition of the strengths and limitations of each telehealth strategy for addressing identified barriers. Focusing on each sequential step in subspecialty referrals and poten...
Published on Jul 14, 2019in Journal of School Nursing1.77
Suzuho Shimasaki (Colorado School of Public Health), Pamela Brunner Nii Bsn Rn (Boston Children's Hospital)+ 4 AuthorsJohn F. Thomas
Type I diabetes (T1D) is one of the most common childhood diseases and Type 2 diabetes (T2D) is increasing at alarming rates. Given that children spend a great percentage of their time in school, t...
Published on Aug 17, 2018in Perspectives in Public Health3.03
K. Boom1
Estimated H-index: 1
(WashU: Washington University in St. Louis),
Melissa S. Lopez3
Estimated H-index: 3
(University of Texas MD Anderson Cancer Center)
+ 17 AuthorsE. Marin
Background:The Rio Grande Valley (RGV) and Laredo regions located along the Texas–Mexico border consist of seven counties with a population of approximately 1.5 million people and a high uninsured rate (33.5%). Cervical cancer mortality in these border counties is approximately 30% higher than the rest of Texas. The RGV and Laredo areas were studied to better understand the state of access to cervical cancer prevention services along the Texas–Mexico border.Methods:Data on the population served ...
Published on Jul 1, 2019in Academic Pediatrics2.54
Gunjan Tiyyagura4
Estimated H-index: 4
(Yale University),
Andrea G. Asnes9
Estimated H-index: 9
(Yale University)
+ 5 AuthorsMarc Auerbach17
Estimated H-index: 17
(Yale University)
Published on May 1, 2019in Journal of the International AIDS Society5.19
Steven P. Masiano1
Estimated H-index: 1
(VCU: Virginia Commonwealth University),
Erika G. Martin12
Estimated H-index: 12
(SUNY: State University of New York System)
+ 5 AuthorsApril D. Kimmel15
Estimated H-index: 15
(VCU: Virginia Commonwealth University)
Published on May 1, 2019in Pediatric Diabetes3.35
Angela D. Liese52
Estimated H-index: 52
(USC: University of South Carolina),
Xiaonan Ma3
Estimated H-index: 3
(USC: University of South Carolina)
+ 6 AuthorsElizabeth J. Mayer-Davis65
Estimated H-index: 65
(UNC: University of North Carolina at Chapel Hill)
Published on May 1, 2019in Journal of Substance Abuse Treatment2.54
Erin L. Winstanley14
Estimated H-index: 14
,
Erin L. Winstanley2
Estimated H-index: 2
(WVU: West Virginia University)
+ 7 AuthorsSheena Sayres
Abstract West Virginia (WV) is situated at the epicenter of the opioid epidemic with the highest rates of overdose deaths and some of the lowest rates of access to life saving evidence-based medication assisted treatment (MAT) for patients with opioid use disorder (OUD). WV used a modified hub-and-spoke model to build organizational capacity for facilities to use buprenorphine to treat patients with OUD and to provide ongoing case consultation. The purpose of this study is to 1) describe the gro...
View next paperExpanding access to hepatitis C virus treatment—Extension for Community Healthcare Outcomes (ECHO) project: Disruptive innovation in specialty care†