Delivering Bronchiectasis and NTM Care in Safety-Net Health Systems: A Practical Framework for Implementation

The authors aim to address the challenges of delivering effective care for bronchiectasis and nontuberculous mycobacterial (NTM) pulmonary disease within under-resourced safety-net health systems, where patients often lack access to specialized care. They propose a practical framework that adapts existing clinical guidelines to these settings by focusing on diagnostic pathways, co-management models, resource-aligned therapies, and culturally responsive education to enhance care delivery and reduce health disparities.