ArticleBMJ open2024
Implementation of Project ECHO in a university health network: contrasting and comparing experiences across health conditions through a qualitative approach in a Canadian tertiary care centre.
Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- The First Telementoring Programme in Latvia: A Qualitative Study of the "ECHO School of Psychiatry" for General Practitioners.Healthcare (Basel, Switzerland) · 2026Article
- Exploring the Implementation of Multiple Telementoring ECHO Programs From an Institutional and Organizational Perspective: Qualitative Study.JMIR medical education · 2025Article
Corrections and comments
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Authors and funding
8 authors.
Funding
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Abstract
objectivesThe objective of this study was to compare and contrast the experiences of interdisciplinary attendees (spokes) and experts (hub members) from three Extension for Community Healthcare Outcomes (ECHO) programmes: hepatitis C, chronic pain and concurrent mental health and substance use disorders.
designProspective qualitative study.
settingSingle-centre in tertiary care.
participantsThe team conducted 30 one-on-one interviews with spokes and 4 focus groups with hub members from three ECHO programmes. ANALYSES: Three analysts were involved to perform a reflexive thematic analysis.
resultsOur results showed the benefits and limitations of the three ECHOs, varying according to specificities of targeted chronic conditions. Three overarching themes were identified from the data analysis: (1) perceived impacts of an interprofessional educational setting; (2) nature of disease and interprofessional interactions as determinants of clinical practice changes in diagnoses and treatments and (3) impacts on patient engagement and care pathways.
conclusionsThe extent to which a chronic disease relies on a biopsychosocial approach, the degree of interdisciplinary care required and the simplicity/complexity of treatment algorithms influence perceived benefits and barriers to participating in ECHO programmes. These points raised by our study are important in the understanding of the successes and limitations of implementing an ECHO programme. They are essential as they provide key information for tailoring Project ECHO to the chronic disease it addresses.
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