作者: Courtney M. Holmes , Lori Keyser-Marcus , Bhakti Dave , Vimal Mishra
DOI: 10.1007/S40501-020-00199-8
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摘要: The widespread incidence of morbidity and mortality associated with opioid use disorder (OUD) has resulted in a national crisis. One component this public health epidemic includes lack an adequately trained healthcare workforce to provide case management, prescribing, dispensing. Extension for Community Healthcare Outcomes (Project ECHO) is tele-mentoring, guided practice model, which provides knowledge exchange from specialists subspecialists enable primary care providers clinicians deliver best complex conditions like OUD. Project ECHO considered promising strategy address the shortage, especially remote traditionally underserved areas. We conducted systemic review literature evaluate impact Opioid /Addiction Treatment programs on participant (healthcare provider) patient outcomes. Overall, studies show increases provider self-efficacy gains after participation ECHO. Benefits barriers clinics are discussed. OUD effective telehealth practitioner training support model that promotes advances self-efficacy. Further research examining evidence cost-effectiveness, practitioner, outcomes needed.