

More subtle and less modifiable forces also play a role – interest, design of the practice setting, and incentives. However, the evidence for the benefits of continuing education on outcomes is less than clear. They imagine that if others had gone through their training, that things would get better.

Unfortunately, the evidence of the benefits of ECHO appear to be far more limited than is generally understood and we are in substantial danger of making public policy decisions without adequate clinical results, much less cost-effectiveness information.Ĭontinuing education as a path to improved health outcomes is an attractive theory, especially to experts in a field who have gone through years of additional training to get their expertise. Senate passed the ECHO Act, calling for the Secretary of Health and Human Services to examine the model and implicitly to spread it through existing programming. Project ECHO (Extension for Community Healthcare Outcomes) is a popular model for improving patient outcomes through provider education, which has grown rapidly since its initial success in the treatment of Hepatitis C. Editor's Note: A response to this post was published on Health Affairs Blog on Januand another response was published on January 24, 2017.
