为免疫力低下患者提供接触前预防的微型流行诊所

IF 0.8 Q4 HEALTH POLICY & SERVICES
Ryan J. Chan, S. Isaacksz, Brian Low, Cecile Raymond, Lori Seeton, Christopher T. Chan
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引用次数: 0

摘要

目的医疗保健系统希望采取整合战略,将重点从急症护理转移到更广泛的社区医疗和社会服务上。本文介绍了 UHN Connected Care Hub,这是一种创新型医疗模式,由跨学科团队组成,在社区和医疗机构的合作下,设计可持续、可共享的持续医疗实践。研究结果我们描述了 UHN Connected Care Hub 识别高危人群并合作提供及时护理的能力,详细介绍了这种护理模式在组织微型诊所集中系统,对免疫力低下的患者群体进行 COVID-19(Tixagevimab/cilgavimab [Evusheld])暴露前预防治疗方面的实际经验。实际意义建立一个集中的微型诊所系统来提供医疗服务,为提高适应性、方便病人就医、加强社区合作和整合提供了机会。扩大服务范围还能为预防性治疗创造新的机会,从而优化在人口层面提供医疗服务的成本效益和质量。我们讨论了具有适当基础设施和医疗合作网络的动态组织如何能够更灵活地应对快速变化的政策和程序,并促进为未来的医疗危机或流行病做好准备。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pop-up micro clinics for pre-exposure prophylaxis of immunocompromised patients
PurposeHealth care systems aspire to adopt integration strategies shifting the focus from acute care to a broader focus on community-based health and social services. Real-world examples demonstrating effective delivery of integrated care are essential.Design/methodology/approachIn this article, we introduce UHN Connected Care Hub, an innovative model of care comprising an interdisciplinary team designing sustainable, shareable practices across the continuum of care alongside community and health organization partnerships.FindingsWe describe UHN Connected Care Hub’s ability to identify patients from high-risk population and collaborate to delivery timely care, in detailing the real world experience of this model of care in the organization of a centralized system of micro-clinics to administer a therapeutic for pre-exposure prophylaxis against COVID-19 (Tixagevimab/cilgavimab [Evusheld]) in a population of immunocompromised patients.Practical implicationsHaving a centralized system of micro-clinics for care delivery presents opportunities for increased adaptability, patient accessibility, enhanced community partnerships and integratedness. Expansion in the scope of services could also create new opportunities in preventative therapies for optimizing the cost effectiveness and quality of health care provided at the population level.Originality/valueThere is limited evidence on how to efficiently deliver integrated care, particularly to vulnerable and co-morbid patients. We discuss how dynamic organizations with proper infrastructure and a network of healthcare partnerships may allow a more fluid response to rapidly changing policies and procedures and facilitate preparedness for future health care crises or pandemics.
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来源期刊
Journal of Integrated Care
Journal of Integrated Care HEALTH POLICY & SERVICES-
CiteScore
1.70
自引率
12.50%
发文量
34
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