Pender Community Health Centre. Success Patient's engaged in care 85% in 2011 to 100% in 2012-13...
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![Page 1: Pender Community Health Centre. Success Patient's engaged in care 85% in 2011 to 100% in 2012-13 Lost to care patient reduced from 10 in 2011 to 0 in.](https://reader036.fdocuments.net/reader036/viewer/2022082723/5a4d1af07f8b9ab05997da48/html5/thumbnails/1.jpg)
Pender Community Health Centre
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Success• Patient's engaged in care 85% in 2011 to
100% in 2012-13
• Lost to care patient reduced from 10 in 2011 to 0 in 2012-13
• Viral load testing q 4 mths from 82% 2011 to 98% in 2013
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Successful Changes• Establishing the HIV registry and
constantly upgrading it• Forging community contacts especially
outreach• Monthly case management of "gaps in
care" patients
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Innovation• Creating a User Manual for registry
maintenance and sustainability.• Developing creative ways to help patients
transition from DTES clinic to various areas in BC .
• Developing Aboriginal resource list (eg initiation of monthly Talking/Healing Circles at Pender).
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Challenges• Decreasing active POF from 65 in 2001 to 54 in
2012 to 45 in 2013.• Overall uptake for ARVT remains at 78% and at
88% for those in greatest need.• Outside data presented at HIV Update in Nov 2012
suggest leading cause of death in HIV + persons is End-stage liver disease ( and 80-90% of our HIV+ population is co-infected) followed by addiction- overdose mortality .....
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Challenging Questions ??• How do we increase our availability and reduce
our barriers for HIV + patients in the DTES??• Recognizing that our patient population is often
transient ( in & out of jails, hospitals, recovery programs) and often striving to leave the DTES. How do we try to improve these transitions?? How to avoid splitting patient care?
• How do we support our patient for earlier and sustainable initiation of ARVT??
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Ideas for the future• Increase linkage with community teams to
identify and reduce barriers for access.• Consider broadening scope for more
outreach and treatment specifically directed at Hep C co-infected patients.
• Continue efforts to develop creative individualized ways to open the door for more HIV + patients and help them transition their care outside DTES.
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