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通过特拉华州的社区合作扩大丙型肝炎感染患者的护理服务。

Expanding care for patients infected with Hepatitis C through community partnership in Delaware.

作者信息

Kahal Deborah, Goldstein Neal D, Bincsik Arlene, Stephens Tom, Testa Karla, Szabo Susan

机构信息

HIV Program Physician, Christiana Care Health System.

Infectious Disease Epidemiologist, Christiana Care Health System; Assistant Research Professor, Department of Epidemiology & Biostatistics, Dornsife School of Public Health, Drexel University.

出版信息

Dela J Public Health. 2018 Nov 8;4(5):76-79. doi: 10.32481/djph.2018.11.012. eCollection 2018 Nov.

Abstract

BACKGROUND

Hepatitis C virus (HCV) is the most common blood-borne pathogen in the U.S., and Delaware has one of the highest sero-prevalence rates in the country. As a cause of significant morbidity and mortality, it is a public health priority to identify and link individuals with HCV to care. The demand of patients with HCV far exceeds the current availability of providers in Delaware that offer HCV management. .

OBJECTIVE

To propose a framework for enabling non-specialist providers within Westside Family Healthcare to manage patients with HCV.

METHODS

As a recipient of a Harrington Value Institute Community Partnership grant, the HIV Community Program of Christiana Care Health System (CCHS) started working together with the NE Wilmington pilot site of Westside in July 2018 to: 1) provide HCV education to Westside, 2) implement an HCV care model at Westside, and 3) conduct programmatic evaluation of this framework's effectiveness. Our goal is to improve Westside rates of HCV knowledge amongst patients and staff, as well as to improve the HCV care continuum, starting with universal HCV screening.

RESULTS AND CONCLUSIONS

Results from the first year of collaboration will be available in August 2019.  Implementation of this partnership will enable future expansion and continuation of HCV management amongst Westside sites.

摘要

背景

丙型肝炎病毒(HCV)是美国最常见的血液传播病原体,特拉华州是美国血清流行率最高的地区之一。作为导致严重发病和死亡的原因,识别HCV感染者并使其获得治疗是一项公共卫生优先事项。特拉华州HCV患者的需求远远超过目前提供HCV管理服务的医疗服务提供者的数量。

目的

提出一个框架,使西区家庭医疗中心的非专科医疗服务提供者能够管理HCV患者。

方法

作为哈灵顿价值研究所社区合作基金的受助方,克里斯蒂安娜护理健康系统(CCHS)的HIV社区项目于2018年7月开始与西区位于威尔明顿东北部的试点地点合作,以:1)向西区提供HCV教育;2)在西区实施HCV护理模式;3)对该框架的有效性进行项目评估。我们的目标是提高西区患者和工作人员的HCV知识水平,并改善HCV护理连续性,从普遍的HCV筛查开始。

结果与结论

合作第一年的结果将于2019年8月公布。这种伙伴关系的实施将使西区各地点未来能够扩大并持续进行HCV管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c753/8352454/ba3d8976c263/djph-45-012-f1.jpg

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