Pop-up micro clinics for pre-exposure prophylaxis of immunocompromised patients
PurposeHealth care systems aspire to adopt integration strategies shifting the focus from acute care to a broader focus on community-based health and social services. Real-world examples demonstrating effective delivery of integrated care are essential.Design/methodology/approachIn this article, we...
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Published in | Journal of integrated care (Brighton, England) Vol. 32; no. 2; pp. 213 - 220 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
Brighton
Emerald Publishing Limited
26.04.2024
Emerald Group Publishing Limited |
Subjects | |
Online Access | Get full text |
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Abstract | PurposeHealth care systems aspire to adopt integration strategies shifting the focus from acute care to a broader focus on community-based health and social services. Real-world examples demonstrating effective delivery of integrated care are essential.Design/methodology/approachIn this article, we introduce UHN Connected Care Hub, an innovative model of care comprising an interdisciplinary team designing sustainable, shareable practices across the continuum of care alongside community and health organization partnerships.FindingsWe describe UHN Connected Care Hub’s ability to identify patients from high-risk population and collaborate to delivery timely care, in detailing the real world experience of this model of care in the organization of a centralized system of micro-clinics to administer a therapeutic for pre-exposure prophylaxis against COVID-19 (Tixagevimab/cilgavimab [Evusheld]) in a population of immunocompromised patients.Practical implicationsHaving a centralized system of micro-clinics for care delivery presents opportunities for increased adaptability, patient accessibility, enhanced community partnerships and integratedness. Expansion in the scope of services could also create new opportunities in preventative therapies for optimizing the cost effectiveness and quality of health care provided at the population level.Originality/valueThere is limited evidence on how to efficiently deliver integrated care, particularly to vulnerable and co-morbid patients. We discuss how dynamic organizations with proper infrastructure and a network of healthcare partnerships may allow a more fluid response to rapidly changing policies and procedures and facilitate preparedness for future health care crises or pandemics. |
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AbstractList | PurposeHealth care systems aspire to adopt integration strategies shifting the focus from acute care to a broader focus on community-based health and social services. Real-world examples demonstrating effective delivery of integrated care are essential.Design/methodology/approachIn this article, we introduce UHN Connected Care Hub, an innovative model of care comprising an interdisciplinary team designing sustainable, shareable practices across the continuum of care alongside community and health organization partnerships.FindingsWe describe UHN Connected Care Hub’s ability to identify patients from high-risk population and collaborate to delivery timely care, in detailing the real world experience of this model of care in the organization of a centralized system of micro-clinics to administer a therapeutic for pre-exposure prophylaxis against COVID-19 (Tixagevimab/cilgavimab [Evusheld]) in a population of immunocompromised patients.Practical implicationsHaving a centralized system of micro-clinics for care delivery presents opportunities for increased adaptability, patient accessibility, enhanced community partnerships and integratedness. Expansion in the scope of services could also create new opportunities in preventative therapies for optimizing the cost effectiveness and quality of health care provided at the population level.Originality/valueThere is limited evidence on how to efficiently deliver integrated care, particularly to vulnerable and co-morbid patients. We discuss how dynamic organizations with proper infrastructure and a network of healthcare partnerships may allow a more fluid response to rapidly changing policies and procedures and facilitate preparedness for future health care crises or pandemics. Purpose Health care systems aspire to adopt integration strategies shifting the focus from acute care to a broader focus on community-based health and social services. Real-world examples demonstrating effective delivery of integrated care are essential. Design/methodology/approach In this article, we introduce UHN Connected Care Hub, an innovative model of care comprising an interdisciplinary team designing sustainable, shareable practices across the continuum of care alongside community and health organization partnerships. Findings We describe UHN Connected Care Hub’s ability to identify patients from high-risk population and collaborate to delivery timely care, in detailing the real world experience of this model of care in the organization of a centralized system of micro-clinics to administer a therapeutic for pre-exposure prophylaxis against COVID-19 (Tixagevimab/cilgavimab [Evusheld]) in a population of immunocompromised patients. Practical implications Having a centralized system of micro-clinics for care delivery presents opportunities for increased adaptability, patient accessibility, enhanced community partnerships and integratedness. Expansion in the scope of services could also create new opportunities in preventative therapies for optimizing the cost effectiveness and quality of health care provided at the population level. Originality/value There is limited evidence on how to efficiently deliver integrated care, particularly to vulnerable and co-morbid patients. We discuss how dynamic organizations with proper infrastructure and a network of healthcare partnerships may allow a more fluid response to rapidly changing policies and procedures and facilitate preparedness for future health care crises or pandemics. |
Author | Raymond, Cecile Low, Brian Chan, Christopher T. Isaacksz, Shiran Seeton, Lori Chan, Ryan J. |
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References_xml | – ident: key2024042612421880000_ref005 doi: 10.1108/S1474-8231(2013)0000015011 – volume: 226 start-page: S353 issue: Supplement_3 year: 2022 ident: key2024042612421880000_ref007 article-title: HIV treatment outcomes in POP-UP: drop-in HIV primary care model for people experiencing homelessness publication-title: The Journal of Infectious Diseases doi: 10.1093/infdis/jiac267 – volume: 193 start-page: E771 issue: 21 year: 2021 ident: key2024042612421880000_ref015 article-title: Managing drug shortages during a pandemic: tocilizumab and COVID-19 publication-title: The Canadian Medical Association Journal doi: 10.1503/cmaj.210531 – year: .. ident: key2024042612421880000_ref009 – volume: 1 start-page: 14 issue: 2 year: 2018 ident: key2024042612421880000_ref002 article-title: Diagnosis and treatment of hepatitis C virus infection: a tool for engagement with people who inject drugs in Vancouver's Downtown Eastside publication-title: The Canadian Liver Journal doi: 10.3138/canlivj.1.2.002 – volume: 136 start-page: 96 issue: 1 year: 2023 ident: key2024042612421880000_ref001 article-title: The prevention of COVID-19 in high-risk patients using tixagevimab–cilgavimab (Evusheld): real-world experience at a large academic center publication-title: The American Journal of Medicine doi: 10.1016/j.amjmed.2022.08.019 – volume: 15 start-page: 64 issue: 1 year: 2016 ident: key2024042612421880000_ref013 article-title: Equity of access to primary healthcare for vulnerable populations: the IMPACT international online survey of innovations publication-title: International Journal for Equity in Health doi: 10.1186/s12939-016-0351-7 – year: .. ident: key2024042612421880000_ref003 – ident: key2024042612421880000_ref006 – volume: 388 start-page: 595 issue: 7 year: 2023 ident: key2024042612421880000_ref012 article-title: Respiratory syncytial virus prefusion F protein vaccine in older adults publication-title: The New England Journal of Medicine doi: 10.1056/NEJMoa2209604 – volume: 386 start-page: 2188 issue: 23 year: 2022 ident: key2024042612421880000_ref010 article-title: Intramuscular AZD7442 (Tixagevimab–Cilgavimab) for prevention of covid-19 publication-title: The New England Journal of Medicine doi: 10.1056/NEJMoa2116620 – ident: key2024042612421880000_ref004 – year: 2023 ident: key2024042612421880000_ref011 article-title: Respiratory syncytial virus (RSV) fact sheet for health care providers contributor: fullname: Ontario Ministry of Health – volume-title: Health 2020: A European Policy Framework Supporting Action across Government and Society for Health and Well-Being (Short Version) year: 2013 ident: key2024042612421880000_ref017 contributor: fullname: World Health Organization. Regional Office for Europe – volume: 140 start-page: 9911 issue: Supplement 1 year: 2022 ident: key2024042612421880000_ref016 article-title: Shielding the vulnerable: a multicentre Australian rollout of Evusheld to patients with chronic lymphocytic leukaemia (CLL-SHIELD) publication-title: Blood doi: 10.1182/blood-2022-165609 – volume: 15 year: 2022 ident: key2024042612421880000_ref014 article-title: The role of digital health in the future of integrated care publication-title: Clinical integration Care doi: 10.1016/j.intcar.2022.100131 – year: .. ident: key2024042612421880000_ref008 |
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Snippet | PurposeHealth care systems aspire to adopt integration strategies shifting the focus from acute care to a broader focus on community-based health and social... Purpose Health care systems aspire to adopt integration strategies shifting the focus from acute care to a broader focus on community-based health and social... |
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SubjectTerms | Access Acute services Centralization Chronic illnesses Clinics Community Community health care Cost analysis COVID-19 COVID-19 vaccines Disease prevention Drug dosages Health care access Health care expenditures Health services Health status High risk Infrastructure Integrated approach Integrated care Interdisciplinary aspects Organizational effectiveness Pandemics Partnerships Patient-centered care Patients Public health Quality of care Respiratory syncytial virus Severe acute respiratory syndrome coronavirus 2 Social services Social services delivery Stem cells Transplants & implants |
Title | Pop-up micro clinics for pre-exposure prophylaxis of immunocompromised patients |
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