澳大利亚私立全科医院内全科医生对提供C型肝炎直接作用抗病毒药物的看法:一项探索性定性研究
Jane Scarborough1, Paul Aylward2, Emma Ruth Miller3
1College of Medicine and Public Health, Flinders University, Sturt Road, Bedford Park, SA 5042, Australia.
Australian journal of primary health
|June 4, 2023
概括
澳大利亚的全科医生 (GPs) 可能会限制他们的实践范围,影响型肝炎的治疗. 开发护理途径和GP-to-GP转诊对于直接作用抗病毒 (DAA) 治疗的提供至关重要.
科学领域:
- 一般的做法一般的做法
- 肝炎C病毒管理 肝炎C病毒管理
- 公共卫生 公共卫生
背景情况:
- 需要增加澳大利亚全科医生 (GPs) 在直接作用抗病毒 (DAA) 治疗型肝炎的参与.
- 私人实践的全科医生是实现DAA治疗潜力的关键.
研究的目的:
- 探索澳大利亚私人全科医生和实践护士在提供型肝炎护理方面的经验和看法.
- 在私人一般实践中为最大限度地提高DAA提供提供提供信息的干预措施.
主要方法:
- 2018年对7名全科医生和2名实践护士进行了半结构面试.
- 对录制和转录的采访进行主题分析.
主要成果:
- 一般医生描述了限制其临床实践范围 (SOCP),期望DAA的规定不会被普遍包括在内.
- 医生的信心,能力和专业利益影响了他们的SOCP的划分.
结论:
- DAA培训和资源是必要的,但可能不能保证GP提供护理.
- 治疗途径,包括GP-to-GP转诊,对于那些从DAA中受益的患者来说是必要的,当GPs不将其包括在他们的SOCP中时.
- 结果可能适用于其他依赖GP SOCP的未满足需求.
相关概念视频
Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K
Anticoagulant Drugs: Vitamin K Antagonists and Direct Oral Anticoagulants
1.3K
Oral anticoagulants are vital tools in preventing and treating blood clotting disorders. This diverse class of medications can be categorized as vitamin K antagonists, exemplified by warfarin, and direct thrombin inhibitors (DTIs), such as dabigatran, as well as factor Xa inhibitors, including rivaroxaban.
Warfarin, a prominent vitamin K antagonist family member, exerts its effect by inhibiting the enzyme VKORC1 (vitamin K epoxide reductase complex 1). By hindering this enzyme, warfarin...
Warfarin, a prominent vitamin K antagonist family member, exerts its effect by inhibiting the enzyme VKORC1 (vitamin K epoxide reductase complex 1). By hindering this enzyme, warfarin...
1.3K
Retrovirus Life Cycles
46.3K
Retroviruses have a single-stranded RNA genome that undergoes a special form of replication. Once the retrovirus has entered the host cell, an enzyme called reverse transcriptase synthesizes double-stranded DNA from the retroviral RNA genome. This DNA copy of the genome is then integrated into the host’s genome inside the nucleus via an enzyme called integrase. Consequently, the retroviral genome is transcribed into RNA whenever the host’s genome is transcribed, allowing the...
46.3K
Venous Thrombosis III: Interprofessional Care
11
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
11
Hemodialysis I: Introduction
70
Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
70
Antihypertensive Drugs: Direct Renin Inhibitors
711
The renin-angiotensin-aldosterone system (RAAS) is an intricate physiological pathway involving numerous enzymes and hormones, including renin, angiotensin-converting enzyme (ACE), angiotensin I and II, and aldosterone. Imbalances within this system increase the production of angiotensin II and aldosterone. Increased angiotensin II levels promote vasoconstriction and blood pressure elevation. Concurrently, higher aldosterone levels stimulate sodium and water reabsorption in the kidneys,...
711


