How Can Project ECHO Be Implemented in Lebanon to Increase Cancer Patient Access to Care in Rural Areas?

Area of Science:

• Public Health
• Health Services Research
• Innovation in Healthcare

Background:

• The Extension for Community Healthcare Outcomes (Project ECHO) model aims to improve access to specialized healthcare.
• Underserved and rural areas in Lebanon face challenges in cancer diagnosis and treatment.
• Stakeholder input is crucial for successful adoption of new healthcare models.

Purpose of the Study:

• To elicit stakeholder perspectives for planning the implementation of Project ECHO in Lebanon.
• To identify facilitators and barriers to adopting the Project ECHO model in the Lebanese context.
• To inform strategies for improving cancer care in underserved Lebanese communities.

Main Methods:

• A qualitative descriptive study utilizing the Greenhalgh diffusion of innovation framework.
• Semi-structured interviews with 26 leaders from diverse sectors in Lebanon.
• Thematic analysis of interview data to explore perceived advantages, compatibility, complexity, risks, and support needs for Project ECHO.

Main Results:

• Stakeholders generally viewed Project ECHO favorably, anticipating benefits for primary care provider (PCP) knowledge and patient access.
• Key recommendations included pilot planning, infrastructure readiness, identifying champions, and using performance indicators.
• Potential barriers identified were long-term sustainability, funding, workforce engagement, and medico-legal issues.

Conclusions:

• A structured, evidence-based approach is needed for Project ECHO implementation in Lebanon.
• Early benefits may include enhanced PCP knowledge and capacity in underserved areas.
• Findings support national adoption by providing a foundation for action plans, including training, infrastructure, and sustainable funding for cancer care.