Featured Publication
“Think. Test. Treat TB” in Action: An Innovative Primary Care and Public Health Partnership to Improve Tuberculosis Prevention and Care.
Authors: Amy S. Tang, MD, Zinnia Dong, Meagan Lee, MPH, Matthew Murrill, MD, PhD, Priya B. Shete, MD, MPH, and Susannah K. Graves, MD, MPH
Journal: New England Journal of Medicine (NEJM) Catalyst (2024)
Summary: Tuberculosis (TB) elimination in the United States hinges on large-scale TB screening, testing, and preventive treatment of individuals at risk for TB disease. However, the path from TB screening to TB preventive therapy (TPT) completion is not straightforward and relies on collaboration between public health departments and primary care providers to deliver quality TB services. To address a gap in primary care guidance on how to manage a patient who is asymptomatic and TB screening test–positive with abnormal chest imaging, NEMS and the San Francisco Department of Public Health TB Clinic, with support from the California Department of Public Health and UCSF as partners, collaborated to utilize both provider education and radiology, laboratory, and electronic health record (EHR) systems modifications as decision aids for TB risk stratification of patients. Through this multipronged approach, NEMS simplified TB prevention workflows for primary care providers and streamlined the provider decision-making process to refer patients at higher risk for developing TB disease to the TB clinic.
Publications
“What will it take to eliminate hepatitis B as a public health threat in the United States and Canada?”
Authors: Wang, Su; Coffin, Carla S.; Tang, Amy; Osiowy, Carla; Jimenez, Carol; Graham, Camilla; Cohen, Chari
Journal: Clinical Liver Disease 23(1):e0182, January-June 2024.
“Hepatitis B Virus Elimination in the U.S.: Time to Dismantle Barriers and Implement Solutions”
Authors: Su Wang, Chari Cohen, Amy S. Tang & Camilla S. Graham
Journal: Current Hepatology Reports. 20, 34–42 (2021)
Hepatitis B Management Guidance for the Primary Care Provider (2020)
Co-authored by NEMS Director of Immigrant Health, Dr. Amy Tang, this resource provides simplified guidance for primary care medical providers to manage HBV care in the primary care setting.
“Provider, Patient, and Practice Factors Shape Hepatitis B Prevention and Management by Primary Care Providers”
Authors: Mukhtar, Nizar A. MD; Kathpalia, Priya MD; Hilton, Joan F. ScD; Lau, Gene MD; Yu, Albert MD; Grumbach, Kevin MD; Nguyen, Tung T. MD; Chan, Daniel MD; Khalili, Mandana MD
Journal: Journal of Clinical Gastroenterology 51(7):p 626-631, August 2017.
“Assessment of HBV Preventive Services in a Medically Underserved Asian and Pacific Islander Population Using Provider and Patient Data”
Authors: Nizar A. Mukhtar MD, Brian C. Toy MD, Blaire E. Burman MD, Albert Yu MD, Alice Hm Chen MD, Peter Berman MD, Tung Nguyen MD, Daniel Chan MD, Hali Hammer MD, Charles E. McCulloch PhD & Mandana Khalili MD
Journal: Journal of General Internal Medicine 30, 68–74 (2015)
“Hepatitis B Management in Vulnerable Populations: Gaps in Disease Monitoring and Opportunities for Improved Care”
Authors: Blaire E. Burman, MD, Nizar A. Mukhtar, MD, Brian C. Toy, MD, Tung T. Nguyen, MD, Alice Hm Chen, MD, Albert Yu, MD, Peter Berman, MD, Hali Hammer, MD, Daniel Chan, MD, Charles E. McCulloch, PhD, and Mandana Khalili, MD
Journal: Digestive Diseases and Sciences. 2014 Jan; 59(1):46-56.
