Hepatitis C Care in the Department of Veterans Affairs: Building a Foundation for Success

被引：28

作者：

Belperio, Pamela S. ^{[1
]}

Chartier, Maggie ^{[2
]}

Gonzalez, Rachel, I ^{[3
]}

Park, Angela M. ^{[4
]}

Ross, David B. ^{[2
]}

Morgan, Tim R. ^{[5
]}

Backus, Lisa, I ^{[1
]}

机构：

[1] US Dept Vet Affairs, Patient Care Serv Populat Hlth, Palo Alto Hlth Care Syst, 3801 Miranda Ave,132, Palo Alto, CA 94304 USA

[2] US Dept Vet Affairs, HIV Hepatitis & Related Condit, Off Specialty Care Serv, 10P11I,810 Vermont Ave, Washington, DC 20420 USA

[3] VA Long Beach Hlth Care Syst, Res Hlth Care Grp, 5901 East 7th St, Long Beach, CA 90822 USA

[4] US Dept Vet Affairs, New England Vet Engn Resource Ctr, 150 South Huntingtin Ave, Boston, MA 02130 USA

[5] VA Long Beach Hlth Care Syst, Div Gastroenterol, 5901 East 7th St, Long Beach, CA 90822 USA

来源：

INFECTIOUS DISEASE CLINICS OF NORTH AMERICA | 2018年 / 32卷 / 02期

关键词：

Veterans; Direct-acting antiviral; SVR; Hepatitis C; Population health; Innovation; System redesign; DIRECT ANTIVIRAL AGENTS; VIRUS-INFECTION; US VETERANS; HEALTH-CARE; NATIONAL-HEALTH; BORN; 1945-1965; UNITED-STATES; OUTCOMES; PREVALENCE; CASCADE;

D O I：

10.1016/j.idc.2018.02.011

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

The Department of Veterans Affairs (VA) has made significant progress in treating hepatitis C virus, experiencing more than a 75% reduction in veterans remaining to be treated since the availability of oral direct-acting antivirals. Hepatitis C Innovation Teams use lean process improvement and system redesign, resulting in practice models that address gaps in care. The key to success is creative improvements in veteran access to providers, including expanded use of nonphysician providers, video telehealth, and electronic technologies. Population health management tools monitor and identify trends in care, helping the VA tailor care and address barriers.

引用

页码：281 / +

页数：13

共 32 条

[1] Hepatitis C Screening of the "Birth Cohort" (Born 1945-1965) and Younger Inmates of New York City Jails [J].