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Implementation of a multidisciplinary, team-based model to treat chronic hepatitis C in the primary care setting: Lessons learned

机译：在初级保健环境中实现多学科，基于团队的模型，以治疗慢性丙型肝炎：经验教训

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Hepatitis C virus (HCV) is the most common blood-borne virus in the U.S., and its incidence continues to rise. With approval of direct-acting antiviral medications, treatment for Chronic Hepatitis C (CHC) has become highly efficacious with a minimal side effect profile. Primary care physicians are well-positioned to address this increased demand, yet most do not feel comfortable treating CHC. In this case report, we describe implementation of a multidisciplinary team-based approach for treating CHC at multiple primary care sites across a large safety net health system. We focus on the evolving nature of implementation of our model through iterative Plan-Do-Study-Act (PDSA) cycles, highlighting the importance of developing an interdependent, multidisciplinary team, providing training, and ongoing support of Primary Care Hepatitis C Specialists, responding to the evolving nature of CHC treatment and policies, and ensuring high quality treatment. This process allowed us to continually grow and adapt our approach to make it feasible and successful. We share our "lessons" learned for others looking to bring CHC treatment, and potentially other specialty-based treatment, into the primary care setting.
机译：丙型肝炎病毒（HCV）是美国最常见的血腥病毒，其发病率继续上升。通过批准直接作用抗病毒药物，对慢性丙型肝炎（CHC）的治疗变得高度有效，副作用概况最小。初级保健医生很好地解决了这种增加的需求，但大多数人都感到舒适治疗CHC。在本案中，我们描述了在大型安全网卫生系统中处理多学科团队的方法，用于治疗多个初级保健网站的CHC。我们通过迭代计划执行法（PDSA）循环专注于我们模型实施的发展的不断发展，突出了开发相互依存，多学科团队，提供培训，持续支持初级保健丙型肝炎专家的重要性，响应对CHC治疗和政策的不断发展，确保高质量的治疗。这一过程使我们能够不断增长并调整我们的方法，使其可行和成功。我们分享我们的“课程”了解其他人希望带来CHC治疗，以及可能其他特种的待遇进入初级保健环境。

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