From Care to Cure: Demonstrating a Model of Clinical Patient Navigation for Hepatitis C Care and Treatment in High-Need Patients
From Care to Cure: Demonstrating a Model of Clinical Patient Navigation for Hepatitis C Care and Treatment in High-Need Patients
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DOI：
10.1093/cid/ciw806
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发表时间：
2017-03-01
影响因子：
11.8
通讯作者：
Laraque, Fabienne
中科院分区：
文献类型：
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作者：
Ford, Mary M.;Johnson, Nirah;Laraque, Fabienne
纽约市卫生和精神卫生部门实施了一项患者导航计划，检查丙型肝炎，以解决患者和提供者对丙型肝炎病毒（HCV）护理和可能挽救生命的治疗的障碍。服务在2个临床护理站点和2个将患者与非现场护理联系起来的站点提供。患者导航员与多学科护理小组合作，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。2014年3月至2015年1月期间，388名参与者参加了Check Hep C， 129名（33%）开始治疗，119名（91%）有持续的病毒学应答（SVR）。接受现场临床护理的参与者比那些接受非现场护理的参与者有更高的开始治疗的几率。Check Hep C通过HCV护理和治疗成功地支持了高需求参与者，并且SVR率证明了使用患者导航护理模型实现高治愈率的现实能力。
The New York City Department of Health and Mental Hygiene implemented a patient navigation program, Check Hep C, to address patient and provider barriers to hepatitis C virus (HCV) care and potentially lifesaving treatment. Services were delivered at 2 clinical care sites and 2 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.