一项在结核病公共卫生诊所通过初级保健与专科保健协调来改善结核病护理的试点项目。
A pilot program to improve TB care with primary and specialty care coordination in TB public health clinic.
作者信息
Jadhav P, Boudoin G, Miles R, Seymour S, Parham J, Wolfe A, Ali J
机构信息
Louisiana State University Health Sciences Center, Department of Medicine, Section of Pulmonary/Critical Care, Allergy and Immunology, New Orleans, LA, USA.
Wetmore TB Clinic, New Orleans, LA, USA.
出版信息
IJTLD Open. 2024 Sep 1;1(9):410-412. doi: 10.5588/ijtldopen.24.0302. eCollection 2024 Sep.
BACKGROUND
The Wetmore Tuberculosis (TB) Clinic in New Orleans serves patients who often lack primary care (PC) or specialty care (SC), which is complicated by comorbidities. An initiative to provide on-site PC and coordinate care aims to enhance TB patient management.
METHODS
Data collection involved categorizing patients based on their PC status: Group I (regular PC), Group II (intermittent PC), and Group III (no PC), with on-site Nurse Practitioner-based Bridge Care (NPBC) provided as needed.
RESULTS
Over 12 months, 209 out of 354 patients required NPBC and PC/SC coordination, with a 20% shift from Group III to Group I, reducing the need for NPBC.
CONCLUSION
The program improved TB care at Wetmore TB Clinic, offering a potential model for other TB clinics to enhance patient adherence and TB and post-TB treatment follow-up.
背景
新奥尔良的韦特莫尔结核病诊所为那些常常缺乏初级保健（PC）或专科护理（SC）且伴有合并症的患者提供服务。一项提供现场初级保健并协调护理的倡议旨在加强结核病患者管理。
方法
数据收集包括根据患者的初级保健状况进行分类：第一组（常规初级保健）、第二组（间歇性初级保健）和第三组（无初级保健），并根据需要提供基于现场执业护士的过渡性护理（NPBC）。
结果
在12个月的时间里，354名患者中有209名需要NPBC和初级保健/专科护理协调，从第三组到第一组有20%的转变，减少了对NPBC的需求。
结论
该项目改善了韦特莫尔结核病诊所的结核病护理，为其他结核病诊所提供了一个潜在的模式，以提高患者的依从性以及结核病和结核病后治疗的随访。
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