Comprehensive Long COVID Care for Underserved Communities: Innovative Delivery and Dissemination Models (Comunidad)

为服务不足的社区提供全面的长期新冠护理：创新的交付和传播模式 (Comunidad)

• 批准号: 10866175
• 负责人: Lisa Kilpela
• 金额: $ 99.91万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCIENCE CENTER
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-30 至 2028-09-29
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10866175
• 关键词: Comprehensive; Long; COVID; Care; Underserved

ABSTRACT Long COVID specialty clinics, some with a multidisciplinary staff, have emerged in various locations, but comprehensive, coordinated care is not readily accessible to many with Long COVID. The Post-COVID-19 Recovery Clinic at UT Health San Antonio serves not only San Antonio, the seventh largest city in the US, but also the largely rural and Hispanic/Latino population of South Texas, a population beset by health disparities. And yet, a major challenge in our current model is the 5-month wait for a new patient appointment and the additional delay to see medical specialists and mental health providers. Further, given our patient population’s many adverse social determinants of health and limited access to care, ready availability of social workers is critical but currently limited. Within our patients’ local communities, there is also a shortage of primary care providers available and knowledgeable about diagnosing, evaluating, and managing people with Long COVID. Moreover, there is a lack of awareness about Long COVID and rife misinformation and disinformation among community members in our vast South Texas catchment area. To improve and expand Long COVID care in San Antonio and South Texas, and to test new, sustainable models of care, we propose to conduct the Comprehensive Long COVID Care for Underserved Communities: Innovative Delivery and Dissemination Models (COMUNIDAD) project, a 5-year program with 3 aims: Aim 1: To expand holistic, multidisciplinary care at UT Health San Antonio. Together with patient and community representatives, we will develop evidence-based, symptom-specific best practices for evaluation, treatment, and self-care. Clinical services and, as appropriate, research study referrals, will be coordinated by a full-time nurse clinical coordinator and care will be provided by a multidisciplinary team. To expand the workforce, we will offer clinical rotations for health professional trainees. Aim 2: To collaborate with community providers on best practices for basic Long COVID evaluation and management. Utilizing Project ECHO and other telementoring modalities, we will disseminate information among clinicians in South Texas rural clinics on conducting a 15-minute, low-tech evaluation of patients presenting with Long COVID symptoms. Care can then be managed locally or referred to the UT Health Long COVID clinic. Aim 3: To partner with the community to disseminate up-to-date information about Long COVID among the largely Hispanic/Latino, rural South Texas communities. Based on community preferences, we will utilize community health workers, mobile apps, social media platforms, and other communication avenues in English and Spanish to increase health literacy and teach the community about Long COVID and accessing care. We anticipate participating actively in the AHRQ learning community to incorporate up-to-date evidence- based care and share information on models of care with other Long COVID centers. If adopted nationally, models such as COMUNIDAD will greatly improve care for persons with Long COVID.

抽象的 长期的COVID专科诊所（有些拥有多学科员工）在各个地方出现了，但是 长期共同的许多人不容易获得全面的协调护理。后19岁 UT Health San Antonio的恢复诊所不仅为美国第七大城市圣安东尼奥服务，而且服务 这也是南德克萨斯州的大部分粗糙和西班牙裔/拉丁裔人口，这是健康差异的人口行为。 然而，我们当前模型中的一个重大挑战是5个月的等待新的患者任命和 额外的延迟，以查看医学专家和心理健康提供者。此外，鉴于我们的患者人数 许多不利的社会决定者的健康和有限的护理机会，社会工作者的现成可用性是 关键但目前有限。在我们患者的当地社区中，初级保健也短缺 提供者可用，并了解诊断，评估和管理长期相互交易的人。 而且，缺乏对长期的互联和骑手错误信息和虚假信息的认识 我们广阔的德克萨斯州集水区的社区成员。 改善和扩大圣安东尼奥和南德克萨斯州长期的共同护理，并测试新的，可持续的 护理模式，我们建议对服务不足的社区进行全面的长期护理： 创新交付和传播模型（Comunidad）项目，一个为期5年的计划，其目标为3个： 目标1：在圣安东尼奥市扩大整体，多学科护理。与患者一起 社区代表，我们将开发基于证据的，特定症状的评估最佳实践， 治疗和自我保健。临床服务以及适当的研究研究推荐，将由 全职护士临床协调员和护理将由多学科团队提供。为了扩大劳动力， 我们将为卫生专业学员提供临床轮换。 目标2：与社区提供者合作，以进行基本长期评估的最佳实践和 管理。利用项目回声和其他远程宣传方式，我们将在 德克萨斯州南部农村诊所的临床医生对出现的患者进行15分钟的低技术评估 长期的症状。然后可以在本地进行护理或转介给UT Health Long Covid诊所。 目标3：与社区合作，在其中传播有关长时间的最新信息 南德克萨斯州崎rough的西班牙裔/拉丁裔大部分。根据社区的喜好，我们将利用 社区卫生工作者，移动应用程序，社交媒体平台和其他英语沟通途径 和西班牙语，以提高健康素养，并向社区传授漫长的兴趣和获得护理的知识。 我们预计会积极参加AHRQ学习社区将纳入最新证据 - 基于护理和共享有关护理模型的信息与其他长期共同中心的信息。如果在全国范围内采用 诸如Comunidad之类的模型将极大地改善长期共同的人的护理。