A pilot program to improve TB care with primary and specialty care coordination in TB public health clinic.

P Jadhav, G Boudoin, R Miles, S Seymour, J Parham, A Wolfe, J Ali
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Abstract

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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在结核病公共卫生诊所开展一项试点计划,通过协调初级和专科护理,改善结核病护理。
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。
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