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Valentino LA, Baker JR, Butler R, Escobar M, Frick N, Karp S, Koulianos K, Lattimore S, Nugent D, Pugliese JN, Recht M, Reding MT, Rice M, Thibodeaux CB, Skinner M. Integrated Hemophilia Patient Care via a National Network of Care Centers in the United States: A Model for Rare Coagulation Disorders. J Blood Med 2021; 12:897-911. [PMID: 34707421 PMCID: PMC8544265 DOI: 10.2147/jbm.s325031] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Accepted: 09/15/2021] [Indexed: 01/19/2023] Open
Abstract
Rare, chronic diseases such as hemophilia and other congenital coagulation disorders require coordinated delivery of services for optimal outcomes. Hemophilia Treatment Centers (HTCs) are specialized, multidisciplinary health-care centers providing team-based care to meet the physical, psychosocial, and emotional needs of people with hemophilia (PWH) and may serve as a model for other rare coagulation disorders. Health-care purchasers, as well as the general medical community, may not appreciate the breadth and quality of services provided by HTCs. They exemplify the acculturalization and actualization of integrated care by providing comprehensive diagnostic and treatment services that reduce morbidity, mortality, avoidable emergency room visits, hospitalizations, and overall costs, while promoting a longer lifespan and improved patient functioning and outcomes. This is accomplished by a team-based approach relying upon a shared decision-making model to effectively prevent complications and manage symptoms in PWH, who are dependent on high-cost treatments. This article provides a concise yet comprehensive description of the core components of an HTC and the regional and national networks in the United States, which together achieve their incomparable value for all stakeholders.
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Affiliation(s)
- Leonard A Valentino
- National Hemophilia Foundation, New York, NY, USA
- Departments of Internal Medicine and Pediatrics, Rush University, Chicago, IL, USA
| | | | - Regina Butler
- Children’s Hospital of Philadelphia, Philadelphia, PA, USA
| | - Miguel Escobar
- Department of Internal Medicine, University of Texas Health Science Center at Houston, Houston, TX, USA
| | - Neil Frick
- National Hemophilia Foundation, New York, NY, USA
| | - Susan Karp
- University of California, San Francisco, San Francisco, CA, USA
| | | | - Susan Lattimore
- Department of Pediatrics, Oregon Health & Science University, Portland, OR, USA
| | - Diane Nugent
- Center for Inherited Blood Disorders, Orange, CA, USA
| | | | - Michael Recht
- Department of Pediatrics, Oregon Health & Science University, Portland, OR, USA
- American Thrombosis and Hemostasis Network, Rochester, NY, USA
| | - Mark T Reding
- Department of Internal Medicine, University of Minnesota Medical Center, Minneapolis, MN, USA
| | | | - Constance B Thibodeaux
- Departments of Internal Medicine and Pediatrics, Hemophilia Center, Tulane University School of Medicine, New Orleans, LA, USA
| | - Mark Skinner
- Institute for Policy Advancement Ltd, Washington, DC, USA
- Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada
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Bush KA, Lucas TL, Haley KM, Thornburg CD. Initiation of emicizumab prophylaxis in an infant with haemophilia A and subdural haemorrhage. Haemophilia 2020; 26:e353-e355. [PMID: 32892446 DOI: 10.1111/hae.14133] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Revised: 07/31/2020] [Accepted: 08/03/2020] [Indexed: 01/24/2023]
Affiliation(s)
- Kelly A Bush
- Hemophilia and Thrombosis Treatment Center, Rady Children's Hospital San Diego, San Diego, California, USA.,Department of Pediatrics, Division of Hematology/Oncology, UC San Diego School of Medicine, La Jolla, California, USA
| | - Tiffany L Lucas
- Department of Pediatrics, Division of Hematology/Oncology, UC San Francisco, San Francisco, California, USA
| | - Kristina M Haley
- Department of Pediatrics, Division of Pediatric Hematology/Oncology, Oregon Health & Science University, Portland, Oregon, USA
| | - Courtney D Thornburg
- Hemophilia and Thrombosis Treatment Center, Rady Children's Hospital San Diego, San Diego, California, USA.,Department of Pediatrics, Division of Hematology/Oncology, UC San Diego School of Medicine, La Jolla, California, USA
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