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在学术卫生系统中实施一种新的C型肝炎诊断和治疗框架
Lindsey P Sheehan1, Maribeth P Wright1, Christian Rhudy1
1Specialty Pharmacy and Infusion Services, UK HealthCare, Lexington, KY, USA.
概括
在急诊室的新药剂师领导的计划显著改善了C型肝炎治疗的准入. 这一举措使治疗依恋率从10%增加到54%,治疗时间从420天减少到17天.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 型肝炎病毒 (HCV) 感染是美国的重大公共卫生问题,通常与慢性肝病有关,并且在注射药物的人群中普遍存在.
- 有直接作用的抗病毒药物 (DAA) 可供使用,但由于成本和后勤障碍,往往无法获得.
- 肯塔基大学医疗保健 (UKHC) 之前的查工作在将患者与护理联系起来方面面临挑战.
研究的目的:
- 在急诊部 (ED) 实施和评估药剂师主导的C型肝炎查,评估和治疗倡议.
- 克服护理障碍,改善ED中确定的C型肝炎患者的治疗开始.
主要方法:
- 根据AASLD简化治疗指南,UKHC在2023年实施了一项由药剂师领导的计划.
- 药剂师管理实验室评估和肝纤维化成像.
- 肝炎C高级实践提供者处方DAA治疗,与专业药房管理发行和补充.
主要成果:
- 该计划将ED中C型肝炎治疗附着率从大约10%提高到54%.
- 型肝炎治疗的中位时间从大约420天显著减少到17天.
结论:
- 一个整体的,跨学科的,由药剂师领导的模型有效地提高了C型肝炎的治疗机会,并减少了ED患者的治疗延迟.
- 这一举措表明,在急性护理环境中,改善C型肝炎的护理联系和治疗结果的成功策略.
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