Date of latest update
Ventura County, Calif.
For More Information Contact
Mike Taigman, general manager, AMR Ventura/Gold Coast Paramedics (Mike.Taigman@AMR.net)
Patients requiring daily medication for active TB
Successful treatment of TB requires strict adherence to a daily medication regimen. Many
of these medications have significant side effects. Directly observed therapy (DOT) is the most
effective process for supporting adherence and for providing a supportive relationship with
these patients. This patient population has a high percentage of people who are marginally
housed or economically disadvantaged, or who lack citizenship documentation. All patients in the project are seen daily in the community by consistently assigned AMR and Gold
Coast paramedic supervisors, provided with their medications and assessed for signs of
malabsorption or side effects.
Improve adherence to daily medication regimen
for patients with TB in Ventura County and to manage side effects/complications quickly and
County health agency and AMR local medical director
AMR Ventura, Gold Coast Paramedics and Ventura County Health Agency
AMR paramedic supervisors
Plans for Sustainability
Program currently meets the needs of all identified patients.
The AMR MIH staff consistently DOT more than 90 percent of patients in daily census.