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Adapting the chronic care model for a hepatitis B safety net for the Asian American population of Philadelphia
Thesis

Adapting the chronic care model for a hepatitis B safety net for the Asian American population of Philadelphia

Da-In Kim
Master of Public Health (M.P.H.), Drexel University
May 2010
DOI:
https://doi.org/10.17918/etd-3613
pdf
Kim_Da-In_2010718.10 kB
PDF Access upon request, Email title, URL, or DOI to archives@drexel.edu

Abstract

Chronic Care Model Hepatitis B Pennsylvania--Philadelphia Asian Americans Public Health
Background: Asian Americans are disproportionately affected with hepatitis B as compared to other races in the United States. Furthermore, Asian Americans are less likely to access proper care and support due to barriers such as language and lack of insurance. In Philadelphia, a safety net of care for under- and uninsured Asian Americans exists, but is often difficult to navigate, making treatment and improvement of outcomes difficult. Objective: The goal of this project was to see if components from the current safety net of care for hepatitis B could be adapted to guidelines based on the Chronic Care Model (CCM) in order to achieve the best possible outcomes for patients. Methods: A comprehensive literature search was performed to outline the different components of the CCM. In order to identify components of the current safety net that might be applicable to a hepatitis B-CCM, various organizations in the Philadelphia region were contacted for interviews and further information. Based on information from the interviews, ratings for the current status of each CCM component were given for Philadelphia. Results: Philadelphia has strong community resources and self-management support, both receiving five out of five bells. Decision support, health system, clinical information systems, and delivery system design, however, are considerably weaker, all receiving only one bell. Conclusions: Philadelphia is still in the early stages in developing a hepatitis B-CCM. It has a very strong community support system but needs to significantly improve on ensuring support and action from public institutions, such as local and city governments, which may in turn lead to interest and strengthening of the remaining CCM components. Adapting the CCM for the hepatitis B safety net is not possible until all six components are strong. Therefore, it is not possible to implement a hepatitis B-CCM for Philadelphia right now. However, with collaboration and increased awareness, such an endeavor is a possibility for the future.

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