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Pop-up micro clinics for pre-exposure prophylaxis of immunocompromised patients

Ryan J. Chan (Connected Care, University Health Network, Toronto, Canada)
Shiran Isaacksz (Connected Care, University Health Network, Toronto, Canada)
Brian Low (Connected Care, University Health Network, Toronto, Canada)
Cecile Raymond (Connected Care, University Health Network, Toronto, Canada)
Lori Seeton (Connected Care, University Health Network, Toronto, Canada)
Christopher T. Chan (Connected Care, University Health Network, Toronto, Canada)

Journal of Integrated Care

ISSN: 1476-9018

Article publication date: 18 April 2024

Issue publication date: 26 April 2024

1

Abstract

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.

Keywords

Acknowledgements

Funding: Unrestricted CyberGrant External Funding Program from Astra Zeneca (number 76751609).

Citation

Chan, R.J., Isaacksz, S., Low, B., Raymond, C., Seeton, L. and Chan, C.T. (2024), "Pop-up micro clinics for pre-exposure prophylaxis of immunocompromised patients", Journal of Integrated Care, Vol. 32 No. 2, pp. 213-220. https://doi.org/10.1108/JICA-01-2024-0003

Publisher

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Emerald Publishing Limited

Copyright © 2024, Emerald Publishing Limited

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