The Pitt IMProving Access to Culturally relevant long COVID care and Treatment (IMPACCT) Program

项目摘要 慢性COVID包括一系列影响生活质量的持续性症状和并发症 以及受影响个人的功能。几乎没有针对疾病的治疗方案，而且有证据表明- 缺乏有基础的指导方针和全面的护理模式。匹兹堡大学医学中心 (UPMC)Long CoVID诊所开发了一种个性化策略，以应对目前的广泛差异- 到目前为止，超过1,100名患者接受了评估，但我们地区许多长期冠状病毒感染患者无法获得 提供给具有诊断、评估和治疗长冠状病毒的知识的提供者。为了满足这一需求，我们将与 与UPMC家庭医学学术临床实践和黑人平等联盟(BEC)建立PIT 改善获得与文化相关的长期COVID护理和治疗(IMPACCT)计划的机会，以便进行培训 长期COVID护理和改善初级和专科服务的下一代社区提供者 护理来自服务不足和农村人口的长期COVID患者。在目标1中，我们将扩大医疗保健 通过开发全面的、了解文化知识的教育材料和 有针对性的外展计划，包括开发主要症状的诊断和治疗算法 集群，并引入面对面讲座和基于网络的学习模块。AIM 2提供了扩展和 通过建立临床医生到临床医生电子会诊的路径，公平地获得专门的长期COVID护理 和患者远程医疗或在长期的COVID诊所面对面访问，建立肺护理点 在每个办公室进行功能测试，通过专门的患者导航器和资金实现患者体验最大化 前往诊所，促进远程医疗，并扩展我们的学习医疗保健系统，以便快速审查和 新出现的长冠状病毒疗法的实施。目标3通过建立一个 专门的支持小组，一个社区参与和教育的知识共享平台，以及 为患者提供自我管理的资源。最后，目标4创建了一种综合评估方法 监测IMPACCT计划的有效性，跟踪患者结果，并确定以下领域 进步。我们预计这种四管齐下的方法将带来更好的识别、诊断和 长期COVID的管理，特别是在服务不足的人群中。所有计划都将在 与BEC合作，这是一个由医生、研究人员、流行病学家、公共卫生专家组成的黑人领导的小组， 社区资助者和政府官员，他们将在文化相关的关怀和社会问题上提供投入 健康决定因素，以确保在护理中采取公平的方法，并协助患者教育 和公共关系。通过联合一个拥有长期COVID护理专业知识的多学科调查小组， 与社区和学术界一起提供医疗服务、实施科学和评估战略 有少数民族和服务不足人口参与历史的组织，该项目将提供 创新模式，以解决健康不平等问题，并改善我们社区内外的患者结局。

PROJECT ABSTRACT Long COVID encompasses a wide range of persistent symptoms and complications that impair quality of life and functioning of affected individuals. Few disease-specific treatment options are available, and evidence- based guidelines and comprehensive care models are lacking. The University of Pittsburgh Medical Center (UPMC) Long COVID clinic has developed a personalized strategy to address the wide variation in present- ation within the over 1,100 patients evaluated to date, yet many long COVID patients in our region lack access to providers with knowledge to diagnose, evaluate, and treat long COVID. To address this need, we will partner with UPMC Family Medicine Academic Clinic Practice and the Black Equity Coalition (BEC) to establish the Pitt IMProving Access to Culturally relevant long COVID care and Treatment (IMPACCT) Program in order to train the next generation of community providers in long COVID care and improve access to primary and specialty care for long COVID patients from underserved and rural populations. In Aim 1, we will expand healthcare provider capacity through the development of comprehensive, culturally informed educational materials and targeted outreach programs including developing diagnostic and treatment algorithms for major symptom clusters and introducing in-person lectures and web-based learning modules. Aim 2 provides expanded and equitable access to specialized long COVID care by establishing pathways for clinician-to-clinician e-consults and patient telemedicine or in-person visits in the Long COVID clinic, establishing point-of-care pulmonary function testing in each office, maximizing patient experience with a dedicated patient navigator and funds for travel to the clinic, facilitating telemedicine, and expanding our learning health care system for rapid review and implementation of emerging long COVID therapies. Aim 3 empowers long COVID patients by establishing a dedicated support group, a knowledge-sharing platform for community engagement and education, and providing patient resources for self-management. Finally, Aim 4 creates a comprehensive evaluation approach to monitor the effectiveness of the IMPACCT program, track patient outcomes, and identify areas for improvement. We anticipate that this four-pronged approach will lead to improved recognition, diagnosis, and management of long COVID, especially among underserved populations. All programs will be developed in partnership with the BEC, a Black-led group of physicians, researchers, epidemiologists, public health experts, community funders, and government officials, who will provide input on culturally relevant care and social determinants of health to ensure an equitable approach in care, as well as assistance with patient education and public relations. By uniting a multi-disciplinary group of investigators with expertise in long COVID care, healthcare delivery, implementation science, and evaluation strategies with community and academic organizations with a history of engagement of minority and underserved populations, this project will offer an innovative model to address health inequities and improve patient outcomes in our community and beyond.