一种新的协作护理方法,在边缘化群体中消除C型肝炎
Wei-Wen Su1, Chih-Chao Yang2, Rene Wei-Jung Chang3
1Changhua Christian Hospital, Changhua, Taiwan.
Journal of infection and public health
|June 4, 2023
概括
一种新的协作护理模式通过跟踪多个医疗机构的患者流动,改善了边缘化群体的C型肝炎病毒 (HCV) 查和治疗覆盖. 这种方法通过确保更多人获得必要的护理来加强HCV消除努力.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 肝炎C病毒 (HCV) 消除在边缘化人群中面临挑战,原因是多个环境中的护理分散.
- 整合HCV查服务对于具有复杂护理需求和经常在机构之间移动的患者至关重要.
- 开发了一种新的协作护理方法,以解决患者重叠问题,并改善HCV治疗覆盖率.
研究的目的:
- 评估C型肝炎病毒 (HCV) 查在惩戒机构,艾滋病毒诊所,甲诊所和监测计划中的患者重叠.
- 确定利用协作护理模型在边缘化人口中HCV治疗覆盖率.
- 阐明多个医疗保健机构内和之间患者流动的动态,以改善HCV护理级联.
主要方法:
- 在2019-2020年期间,从台湾长华县的不同环境注册了7765名患者进行HCV查.
- 通过一个由当地卫生当局协调的多学科团队 (胃肠病学家,心理学家,传染病专家,护士) 提供综合护理.
- 分析了患者流动和设置之间的重叠,以校准需求和跟踪治疗完成.
主要成果:
- 总体而言,HCV查参与率为92.65%.
- 患病率有显著差异:甲类诊所 (90.17%),惩戒机构 (37.67%),艾滋病毒诊所 (34.60%) 和监测计划 (18.14%).
- 在不同设置之间观察到显著的患者重叠 (高达44.09%),内部设置比间接设置的患者流动更频繁;诊断的RNA阳性患者的治疗覆盖率达到了92.52%
结论:
- 一种协作式的综合护理模式有效地阐明了多个环境中的患者流动.
- 这种方法可以准确校准边缘化人群中HCV护理需求.
- 综合护理策略显著提高了HCV治疗覆盖率,有助于消除努力.
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