Ford Mary M, Johnson Nirah, Desai Payal, Rude Eric, Laraque Fabienne
Bureau of Communicable Disease, New York City Department of Health and Mental Hygiene, Long Island City, New York, USA.
Clin Infect Dis. 2017 Mar 1;64(5):685-691. doi: 10.1093/cid/ciw806. Epub 2016 Dec 10.
The NYC Department of Health implemented a patient navigation program, Check Hep C, to address patient and provider barriers to HCV care and potentially lifesaving treatment. Services were delivered at two clinical care sites and two sites that linked patients to off-site care. Working with a multidisciplinary care team, patient navigators provided risk assessment, health education, treatment readiness and medication adherence counseling, and medication coordination. Between March 2014 and January 2015, 388 participants enrolled in Check Hep C, 129 (33%) initiated treatment, and 119 (91% of initiators) had sustained virologic response (SVR). Participants receiving on-site clinical care had higher odds of initiating treatment than those linked to off-site care. Check Hep C successfully supported high-need participants through HCV care and treatment, and SVR rates demonstrate the real-world ability of achieving high cure rates using patient navigation care models.
纽约市卫生部门实施了一项患者导航计划“检查丙肝”，以消除患者和医疗服务提供者在丙肝护理及可能挽救生命的治疗方面面临的障碍。服务在两个临床护理点以及两个将患者与外部护理联系起来的地点提供。患者导航员与多学科护理团队合作，提供风险评估、健康教育、治疗准备和药物依从性咨询以及药物协调。在2014年3月至2015年1月期间，388名参与者加入了“检查丙肝”计划，129人（33%）开始治疗，其中119人（占开始治疗者的91%）实现了持续病毒学应答（SVR）。接受现场临床护理的参与者开始治疗的几率高于那些与外部护理有联系的参与者。“检查丙肝”计划通过丙肝护理和治疗成功地为有高需求的参与者提供了支持，SVR率表明了使用患者导航护理模式在现实世界中实现高治愈率的能力。
