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型肝炎的同行辅助远程医疗 (PATHS):来自国家阿片类药物响应资助计划的过程评估结果
Hunter Spencer1, Gillian Leichtling2, Jane Babiarz1
1Oregon Health & Science University, Division of General Internal Medicine & Geriatrics, Portland, OR, United States of America.
同行辅助远程医疗在农村使用毒品的人群中有效治疗C型肝炎病毒 (HCV),解决阿片类药物-HCV综合症. 该模型展示了资金如何弥合护理差距,从而改善公共卫生结果.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 医疗保健服务研究 医疗服务研究
背景情况:
- 阿片类药物危机和C型肝炎病毒 (HCV) 流行病形成了一种综合症,增加了疾病和死亡率.
- 政策驱动的资金和协作解决方案对于将基于证据的干预措施转化为实践至关重要.
研究的目的:
- 评估"对型肝炎的同行辅助远程医疗" (PATHS) 计划.
- 评估使用国家阿片类药物响应 (SOR) 资金用于HCV治疗的同行辅助远程医疗模型的可扩展性.
主要方法:
- PATHS利用学术医疗中心的工作人员和具有实践经验的"同行"来招募使用药物并患有HCV的农村个人.
- 通过临床记录和直接沟通收集患者数据.
- 同龄人,由单独的SOR计划资助,在整个HCV护理连续过程中提供支持.
主要成果:
- 从2021年3月到2024年6月,PATHS扩展到俄勒冈州的18个县.
- 198名农村使用毒品的人被诊断出患有HCV;84.3%与远程医疗有关.
- 在接受治疗的人中,62.8%完成治疗,67.0%实现治愈.
结论:
- 该PATHS计划证明了成功地将HCV治疗的临床创新转化为现实世界的环境.
- 它强调了政策驱动的资金如何促进合作,以打击阿片类药物-HCV综合症.
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