Project ECHO tele-mentoring primary care for individuals with IDD

K.Jordan Kemere , Nital Appelbaum , Ellen Fremion
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Abstract

Background

As the prevalence of intellectual and developmental disabilities (IDD) has increased over time, more youth with IDD will be transitioning into adult care. Individuals with IDD have a spectrum of behavioral, medical, adaptive, and home/community support needs depending on their cognitive ability, behavior concerns, mobility impairment, and/or medical complexity. Unfortunately, data suggests that adult primary care providers often lack knowledge about the condition-specific medical and adaptive needs of the IDD population leading to decreased access to adequate primary care.

Methods

To ultimately improve access to high quality healthcare for individuals with IDD, we created a 6-session virtual Project ECHO(R) (Extension for Community Healthcare Outcomes) telementoring course offered to an interprofessional audience.

Results

We successfully launched this course, demonstrated statistically significant increased knowledge and confidence among attendees regarding six topics pertinent to this population, and had high levels of satisfaction from a diverse group of attendees.

Conclusion

Including nurses, social workers, advanced practice providers, physicians, and case managers in this course made for robust discussion in the delivery of high-quality care for this population. This model is a viable option to increase knowledge and confidence surrounding primary care for youth and adults with IDD.
ECHO 项目远程指导 IDD 患者的初级保健
背景随着智力和发育障碍(IDD)患病率的不断增加,越来越多的 IDD 青少年将过渡到成人护理。根据认知能力、行为问题、行动障碍和/或医疗复杂性的不同,IDD 患者有一系列行为、医疗、适应和家庭/社区支持需求。不幸的是,有数据表明,成人初级保健提供者往往缺乏关于IDD人群特定病症的医疗和适应需求的知识,从而导致获得适当初级保健的机会减少。方法为了最终改善IDD患者获得高质量医疗保健的机会,我们创建了一个为期6节的虚拟项目ECHO(R)(社区医疗保健成果扩展)辅导课程,提供给跨专业受众。结果我们成功地推出了这门课程,在统计学上显示,参加者对与该人群相关的六个主题的知识和信心都有了显著的提高,而且不同的参加者对这门课程的满意度都很高。结论在这门课程中,护士、社会工作者、高级医疗服务提供者、医生和个案管理者就如何为该人群提供高质量的医疗服务展开了热烈的讨论。这种模式是一种可行的选择,可以增加对患有 IDD 的青少年和成人的初级保健知识和信心。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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