Engaging Persons with Chronic Hepatitis C into Regular Liver Care

2.50
Hdl Handle:
http://hdl.handle.net/10755/307864
Category:
Abstract
Type:
Presentation
Title:
Engaging Persons with Chronic Hepatitis C into Regular Liver Care
Author(s):
Cervini, Christine
Lead Author STTI Affiliation:
Epsilon Kappa
Author Details:
Christine Cervini, DNP, ANP-BC, RN, ccervini@molloy.edu
Abstract:

Session presented on: Monday, November 18, 2013

          Hepatitis C is a chronic illness that has significant co-morbidities associated with it. While it is widely recognized that persons with chronic hepatitis C (CHC) require routine liver care and treatment only a small number of patients receive treatment. Integrated care models have been shown to be successful in providing comprehensive care in numerous chronic illnesses; however there has been limited study on their benefit in CHC.  The primary purpose of this study will be to evaluate the impact of an initial evaluation within the NP clinic of a faculty practice at an Academic Medical Center with integrated services on case management and retention into routine liver care.  Since patients with CHC have high rates of substance abuse and psychiatric co-morbidities, an additional purpose of this study will be to evaluate the number of patients requiring psychiatric referral after completing a psycho-social assessment. This cohort study included a convenience sample of 35 subjects and utilized a retrospective chart review to determine if patients were more likely to engage into routine liver care if services were delivered within a NP clinic that provided integrated psychiatric and social services.   Descriptive and comparative analysis was conducted in this study utilizing SAS 9.2.  The study showed that of the 35 subjects that completed an initial pre-screening visit, greater than 50%, attended at least 1 follow-up visit. The study indentifies female gender as a possible positive factor on follow-up visit attendance. While the study was not able to positively identify factors that serve as potential barriers to care or unequivocally show that a NP clinic with integrated services improves patient engagement; it did demonstrate that a large proportion of patients who were not previously receiving care for CHC could be engaged to some degree into routine liver care.

Keywords:
patient engagement; chronic hepatitis C; integrated care model
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleEngaging Persons with Chronic Hepatitis C into Regular Liver Careen_GB
dc.contributor.authorCervini, Christineen_GB
dc.contributor.departmentEpsilon Kappaen_GB
dc.author.detailsChristine Cervini, DNP, ANP-BC, RN, ccervini@molloy.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/307864-
dc.description.abstract<p>Session presented on: Monday, November 18, 2013</p><p align="left" class="TitlePage">          Hepatitis C is a chronic illness that has significant co-morbidities associated with it. While it is widely recognized that persons with chronic hepatitis C (CHC) require routine liver care and treatment only a small number of patients receive treatment. Integrated care models have been shown to be successful in providing comprehensive care in numerous chronic illnesses; however there has been limited study on their benefit in CHC.  The primary purpose of this study will be to evaluate the impact of an initial evaluation within the NP clinic of a faculty practice at an Academic Medical Center with integrated services on case management and retention into routine liver care.  Since patients with CHC have high rates of substance abuse and psychiatric co-morbidities, an additional purpose of this study will be to evaluate the number of patients requiring psychiatric referral after completing a psycho-social assessment. This cohort study included a convenience sample of 35 subjects and utilized a retrospective chart review to determine if patients were more likely to engage into routine liver care if services were delivered within a NP clinic that provided integrated psychiatric and social services.   Descriptive and comparative analysis was conducted in this study utilizing SAS 9.2.  The study showed that of the 35 subjects that completed an initial pre-screening visit, greater than 50%, attended at least 1 follow-up visit. The study indentifies female gender as a possible positive factor on follow-up visit attendance. While the study was not able to positively identify factors that serve as potential barriers to care or unequivocally show that a NP clinic with integrated services improves patient engagement; it did demonstrate that a large proportion of patients who were not previously receiving care for CHC could be engaged to some degree into routine liver care.en_GB
dc.subjectpatient engagementen_GB
dc.subjectchronic hepatitis Cen_GB
dc.subjectintegrated care modelen_GB
dc.date.available2013-12-19T17:23:15Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:23:15Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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