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

皮特改善获得文化相关的长期新冠肺炎护理和治疗 (IMPACCT) 计划

• 批准号: 10865403
• 负责人: HOWARD B DEGENHOLTZ
• 金额: $ 97.99万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-30 至 2028-09-29
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10865403
• 关键词: Pitt; IMProving; Access; Culturally; relevant

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.

项目摘要 长期COVID包括一系列影响生活质量的持续症状和并发症 和受影响的个人的功能。几乎没有针对特定疾病的治疗选择，证据- 缺乏基础性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诊所制定了个性化策略，以解决目前的广泛差异- 迄今为止，在接受评估的1,100多名患者中， 提供者的知识，以诊断，评估和治疗长期COVID。为了满足这一需求，我们将与 与UPMC家庭医学学术诊所实践和黑人权益联盟（BEC）建立皮特 IMProving访问文化相关的长期COVID护理和治疗（IMPACCT）计划，以培训 下一代社区提供者长期护理COVID，并改善获得初级和专科的机会 为来自服务不足和农村人口的长期COVID患者提供护理。在目标1中，我们将扩大医疗保健 通过编制全面的、了解文化的教育材料提高提供者的能力， 有针对性的外展计划，包括开发针对主要症状的诊断和治疗算法 集群和引入面对面的讲座和基于网络的学习模块。目标2提供了扩展和 通过建立临床医生对临床医生的电子咨询途径，公平获得专门的长期COVID护理 以及Long COVID诊所的患者远程医疗或亲自就诊，建立即时护理肺 在每个办公室进行功能测试，通过专用的患者导航器最大限度地提高患者体验， 前往诊所，促进远程医疗，并扩大我们的学习卫生保健系统，以快速审查， 实施新出现的长期COVID疗法。目标3通过建立一个 专门的支持小组，社区参与和教育的知识共享平台，以及 提供病人自我管理的资源。最后，目标4创建了一个全面的评估方法 监测IMPACCT计划的有效性，跟踪患者结局，并确定 改进.我们预计，这种四管齐下的方法将导致改善识别，诊断， 长期COVID的管理，特别是在服务不足的人群中。所有程序都将在 与BEC建立伙伴关系，BEC是一个由黑人领导的医生、研究人员、流行病学家、公共卫生专家组成的小组， 社区资助者和政府官员，他们将提供与文化相关的护理和社会 健康的决定因素，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。通过联合一个多学科的调查小组，在长期的COVID护理方面具有专业知识， 医疗保健提供，实施科学，以及与社区和学术界的评估策略 有少数民族和服务不足人口参与历史的组织，该项目将提供一个 创新的模式，以解决卫生不公平和改善病人的结果在我们的社区和超越。