Patient Care Services/Population Health, Department of Veterans Affairs, Palo Alto Health Care System, 3801 Miranda Avenue (132), Palo Alto, CA 94304, USA.
HIV, Hepatitis and Related Conditions, Office of Specialty Care Services (10P11I), Department of Veterans Affairs, 810 Vermont Avenue, Washington, DC 20420, USA.
Infect Dis Clin North Am. 2018 Jun;32(2):281-292. doi: 10.1016/j.idc.2018.02.011.
The Department of Veterans Affairs (VA) has made significant progress in treating hepatitis C virus, experiencing more than a 75% reduction in veterans remaining to be treated since the availability of oral direct-acting antivirals. Hepatitis C Innovation Teams use lean process improvement and system redesign, resulting in practice models that address gaps in care. The key to success is creative improvements in veteran access to providers, including expanded use of nonphysician providers, video telehealth, and electronic technologies. Population health management tools monitor and identify trends in care, helping the VA tailor care and address barriers.
美国退伍军人事务部 (VA) 在治疗丙型肝炎病毒方面取得了重大进展，自口服直接作用抗病毒药物问世以来，需要接受治疗的退伍军人人数减少了 75%以上。丙型肝炎创新团队使用精益流程改进和系统重新设计，创建了可解决护理空白的实践模式。成功的关键是创造性地改善退伍军人与提供者的联系，包括扩大非医师提供者、视频远程医疗和电子技术的使用。人群健康管理工具可监测和识别护理趋势，帮助 VA 调整护理并解决障碍。
