Technology for improving accessibility of end-of-life care: Extension for Community Healthcare Outcomes Project

Curr Opin Support Palliat Care. 2018 Dec;12(4):466-471. doi: 10.1097/SPC.0000000000000390.

Abstract

Purpose of review: To describe how Project ECHO works and to analyze what has been published on Project ECHO Palliative Care (Project ECHO PC) over the last 18 months.

Recent findings: Only two articles on Project ECHO PC have been published over the last 18 months: a descriptive study of experiences in seven health centers of the United States, the United Kingdom, Uruguay and India; and a quantitative and qualitative study of the impact of the teleECHO clinic on physicians and nurses in Northern Ireland, which reports a significant boost in knowledge acquisition and self-efficacy.

Summary: Project ECHO is an innovative telemedicine strategy, which creates learning communities, which use a standardized methodology and benefits healthcare professionals, particularly primary care providers or practitioners based on remote or rural areas.Since 2011, Project ECHO PC has been implemented in 12 health centers in 4 different countries, with greater growth in 2017. It has facilitated a wider access to professional education, improvements in clinical practice and knowledge acquisition, the development of professional curricula and more confidence and self-efficacy among healthcare professionals. Project ECHO PC is engaged in several international initiatives to aid countries with different degrees of palliative care development.

Publication types

  • Review

MeSH terms

  • Community Health Services / organization & administration
  • Education, Continuing / organization & administration*
  • Health Knowledge, Attitudes, Practice
  • Health Services Accessibility / organization & administration*
  • Humans
  • Palliative Care / organization & administration*
  • Palliative Care / standards
  • Rural Health Services / organization & administration
  • Self Efficacy
  • Telemedicine / organization & administration*
  • Terminal Care / organization & administration*
  • Terminal Care / standards