ECHO Ontario Chronic Pain & Opioid Stewardship: Providing access and building capacity for primary care providers in underserviced, rural, and remote communities

被引：41

作者：

Dubin, Ruth E. ^{[1
]}

Flannery, John ^{[2
,3
]}

Taenzer, Paul ^{[4
,5
,6
,7
]}

Smith, Andrew ^{[8
]}

Smith, Karen ^{[9
]}

Fabico, Ralph ^{[3
]}

Zhao, Jane ^{[3
]}

Cameron, Lindsay ^{[9
]}

Chmelnitsky, Dana ^{[10
]}

Williams, Rob ^{[11
]}

Carlin, Leslie ^{[12
]}

Sidrak, Hannah ^{[3
]}

Arora, Sanjeev ^{[13
]}

Furlan, Andrea D. ^{[3
,14
,15
]}

机构：

[1] Queens Univ, Dept Family Med, Kingston, ON, Canada

[2] Univ Hlth Network, Toronto Rehabil Inst, Musculoskeletal MSK Program, Toronto, ON, Canada

[3] Univ Hlth Network, Toronto Rehabil Inst, Musculoskeletal MSK Program, Outpatient Serv ECHO, Toronto, ON, Canada

[4] Queens Univ, Fac Hlth Sci, Dept Phys Med & Rehabil, Kingston, ON, Canada

[5] Univ Calgary, Fac Med, Dept Med, Calgary, AB, Canada

[6] Univ Calgary, Fac Med, Dept Oncol, Calgary, AB, Canada

[7] Univ Calgary, Fac Med, Dept Psychiat, Calgary, AB, Canada

[8] CAMH, Pain & Addict Med, Toronto, ON, Canada

[9] Queens Univ, Fac Hlth Sci, Continuing Profess Dev, Kingston, ON, Canada

[10] Univ Hlth Network, Ctr Global eHlth Innovat, Toronto, ON, Canada

[11] Ontario Telemed Network, Toronto, ON, Canada

[12] Univ Toronto, Dept Phys Therapy, Toronto, ON, Canada

[13] Univ New Mexico, Sch Med, Dept Internal Med, Project ECHO, Albuquerque, NM 87131 USA

[14] Univ Hlth Network, Toronto Rehabil Inst, Toronto, ON, Canada

[15] Univ Toronto, Fac Med, Dept Med, Div Physiatry, Toronto, ON, Canada

来源：

GLOBAL TELEHEALTH 2015: INTEGRATING TECHNOLOGY AND INFORMATION FOR BETTER HEALTHCARE | 2015年 / 209卷

关键词：

Chronic pain; Ontario; telemedicine; ECHO (Extension for Community Healthcare Outcomes); primary care; KNOWLEDGE NETWORKS; MANAGEMENT; DISEASES;

D O I：

10.3233/978-1-61499-505-0-15

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Chronic pain is a prevalent and serious problem in the province of Ontario. Frontline primary care providers (PCPs) manage the majority of chronic pain patients, yet receive minimal training in chronic pain. ECHO (Extension for Community Healthcare Outcomes) Ontario Chronic Pain & Opioid Stewardship aims to address the problem of chronic pain management in Ontario. This paper describes the development, operation, and evaluation of the ECHO Ontario Chronic Pain project. We discuss how ECHO increases PCP access and capacity to manage chronic pain, the development of a community of practice, as well as the limitations of our approach. The ECHO model is a promising approach for healthcare system improvement. ECHO's strength lies in its simplicity, adaptability, and use of existing telemedicine infrastructure to increase both access and capacity of PCPs in underserviced, rural, and remote communities.

引用

页码：15 / 22

页数：8

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