P Jadhav, G Boudoin, R Miles, S Seymour, J Parham, A Wolfe, J Ali
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引用次数: 0
摘要
背景：新奥尔良的韦特莫尔结核病（TB）诊所服务的患者通常缺乏初级保健（PC）或专科保健（SC），而合并症又使情况更加复杂。提供现场初级保健和协调护理的举措旨在加强结核病患者的管理：数据收集包括根据患者的 PC 状态对其进行分类：第一组（定期 PC）、第二组（间歇性 PC）和第三组（无 PC），并根据需要提供基于执业护士的现场桥接护理（NPBC）：在 12 个月内，354 名患者中有 209 人需要 NPBC 和 PC/SC 协调，20% 的患者从 III 组转为 I 组，从而减少了对 NPBC 的需求：该计划改善了 Wetmore 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治疗后的随访。
A pilot program to improve TB care with primary and specialty care coordination in TB public health clinic.
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.
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