دورية أكاديمية
The Promising Success of Project Extension for Community Healthcare Outcomes (ECHO) Diabetes: Case Series.
| العنوان: | The Promising Success of Project Extension for Community Healthcare Outcomes (ECHO) Diabetes: Case Series. |
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| المؤلفون: | Figg L; Division of Endocrinology, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, United States., Addala A; Division of Endocrinology, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, United States.; Stanford Diabetes Research Center, Stanford University School of Medicine, Stanford, CA, United States., Jain I; Stanford University, Stanford, CA, United States., Anez C; Division of Endocrinology, Department of Pediatrics, University of Florida College of Medicine, Gainesville, FL, United States.; University of Florida Diabetes Institute, Gainesville, FL, United States., Midney P; Healthcare Network of Southwest Florida, Naples, FL, United States., DeChirico C; Healthcare Network of Southwest Florida, Naples, FL, United States., Symanski C; Treasure Coast Community Health Center, Vero Beach, FL, United States., Fitzgerald BC; University of Florida Health Family Medicine, Old Town, FL, United States., Colbert K; United Indian Health Services Potawot Health Village, Arcata, CA, United States., Raymer T; United Indian Health Services Potawot Health Village, Arcata, CA, United States., Stockton-Joreteg C; Humboldt Independent Practice Association, Eureka, CA, United States., Murphy E; Valley Diabetes & Obesity, Modesto, CA, United States., Collins L; Anderson Valley Health Center, Boonville, CA, United States., Bernstein C; Anderson Valley Health Center, Boonville, CA, United States., Hechavarria M; Division of Endocrinology, Department of Pediatrics, University of Florida College of Medicine, Gainesville, FL, United States.; University of Florida Diabetes Institute, Gainesville, FL, United States., Sheehan EP; Division of Endocrinology, Department of Pediatrics, University of Florida College of Medicine, Gainesville, FL, United States.; University of Florida Diabetes Institute, Gainesville, FL, United States., Bernier A; Division of Endocrinology, Department of Pediatrics, University of Florida College of Medicine, Gainesville, FL, United States.; University of Florida Diabetes Institute, Gainesville, FL, United States., Westen SC; Department of Clinical and Health Psychology, University of Florida, Gainesville, FL, United States., Hood KK; Division of Endocrinology, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, United States.; Stanford Diabetes Research Center, Stanford University School of Medicine, Stanford, CA, United States., Zaharieva DP; Division of Endocrinology, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, United States., Basina M; Stanford Diabetes Research Center, Stanford University School of Medicine, Stanford, CA, United States.; Division of Endocrinology, Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States., Cuttriss N; Division of Endocrinology, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, United States.; Stanford Diabetes Research Center, Stanford University School of Medicine, Stanford, CA, United States.; Extension for Community Healthcare Outcomes Diabetes Action Network, Chevy Chase, MD, United States., Filipp SL; Department of Pediatrics, University of Florida College of Medicine, Gainesville, FL, United States., Gurka MJ; Department of Pediatrics, University of Florida College of Medicine, Gainesville, FL, United States., Walker AF; University of Florida Diabetes Institute, Gainesville, FL, United States.; Department of Health Services Research, Management and Policy, University of Florida, Gainesville, FL, United States., Maahs DM; Division of Endocrinology, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, United States.; Stanford Diabetes Research Center, Stanford University School of Medicine, Stanford, CA, United States., Haller MJ; Division of Endocrinology, Department of Pediatrics, University of Florida College of Medicine, Gainesville, FL, United States.; University of Florida Diabetes Institute, Gainesville, FL, United States., Lal RA; Division of Endocrinology, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, United States.; Stanford Diabetes Research Center, Stanford University School of Medicine, Stanford, CA, United States.; Division of Endocrinology, Department of Medicine, Stanford University School of Medicine, Stanford, CA, United States. |
| المصدر: | JMIR diabetes [JMIR Diabetes] 2023 Aug 03; Vol. 8, pp. e46050. Date of Electronic Publication: 2023 Aug 03. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: JMIR Publications Inc Country of Publication: Canada NLM ID: 101719410 Publication Model: Electronic Cited Medium: Internet ISSN: 2371-4379 (Electronic) Linking ISSN: 23714379 NLM ISO Abbreviation: JMIR Diabetes Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Toronto, ON, Canada : JMIR Publications Inc., [2016]- |
| مستخلص: | Background: In the United States, there are over 37 million people with diabetes but only 8000 endocrinologists. Therefore, many people with diabetes receive care exclusively from primary care providers (PCPs). To democratize knowledge regarding insulin-requiring diabetes through tele-education, Stanford University and the University of Florida developed Project Extension for Community Healthcare Outcomes (ECHO) Diabetes. Objective: ECHO Diabetes uses a Hub and Spoke model connecting specialists (the "Hub") with PCPs (the "Spokes"). One-hour, weekly sessions include Hub diabetes didactic presentations and Spoke deidentified case presentations. Lessons learned during these sessions target provider knowledge and confidence surrounding diabetes management and patient care. Methods: Spokes were asked to provide short descriptions of people with diabetes whose diabetes management improved directly or indirectly from their providers' participation or their involvement with a Diabetes Support Coach (DSC). We provide a case series to describe individuals and outcomes. Because this study was not a randomized controlled trial and was a prospective observation of patients with the intervention delivered to providers, the trial is not registered in a public trials registry. Results: A case series of 11 people with diabetes was compiled from 10 PCPs and 1 DSC from California and Florida between 2021 and 2022. The principal impact of ECHO Diabetes is the education amplified from PCPs and DSCs to people with diabetes. In all cases, people with diabetes reported increased engagement and improved diabetes management. Several cases reflected increased access to diabetes technology, improvement in glycemic outcomes, and positive trends in mental health measures. Conclusions: This case series elucidates the potential value of the ECHO Diabetes program to people with diabetes who receive their diabetes care from PCPs. Those matched with a DSC saw clinically significant improvements in hemoglobin A (©Lauren Figg, Ananta Addala, Ishaan Jain, Claudia Anez, Paul Midney, Corin DeChirico, Colleen Symanski, Brian C Fitzgerald, Kristi Colbert, Terry Raymer, Candy Stockton-Joreteg, Elizabeth Murphy, Leah Collins, Cyd Bernstein, Melanie Hechavarria, Eleni P Sheehan, Angelina Bernier, Sarah C Westen, Korey K Hood, Dessi P Zaharieva, Marina Basina, Nicolas Cuttriss, Stephanie L Filipp, Matthew J Gurka, Ashby F Walker, David M Maahs, Michael J Haller, Rayhan A Lal. Originally published in JMIR Diabetes (https://diabetes.jmir.org), 03.08.2023.) |
| References: | N Engl J Med. 2011 Jun 9;364(23):2199-207. (PMID: 21631316) Diabetes Spectr. 2022 Summer;35(3):295-303. (PMID: 36082018) Pediatr Clin North Am. 2020 Aug;67(4):759-772. (PMID: 32650871) Diabetes Care. 2021 Jul;44(7):1480-1490. (PMID: 34001535) BMJ Open Diabetes Res Care. 2021 Jul;9(1):. (PMID: 34244218) Curr Diab Rep. 2016 Oct;16(10):96. (PMID: 27549110) J Clin Endocrinol Metab. 2020 Sep 1;105(9):. (PMID: 32676640) Clin Diabetes. 2020 Apr;38(2):159-165. (PMID: 32327888) J Clin Endocrinol Metab. 2014 Sep;99(9):3112-21. (PMID: 24940655) |
| معلومات مُعتمدة: | K23 DK122017 United States DK NIDDK NIH HHS |
| فهرسة مساهمة: | Keywords: care delivery; community health care; primary care; type 1 diabetes |
| تواريخ الأحداث: | Date Created: 20230803 Latest Revision: 20240405 |
| رمز التحديث: | 20240405 |
| مُعرف محوري في PubMed: | PMC10436109 |
| DOI: | 10.2196/46050 |
| PMID: | 37535407 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2371-4379 |
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| DOI: | 10.2196/46050 |