缅甸患者获取和接受社区C型肝炎检测和治疗:一项混合方法研究
Win Lei Yee1, Anna Bowring2, Bridget Draper2,3
1Burnet Institute, Yangon, Myanmar.
PLOS global public health
|June 16, 2023
概括
缅甸的分散的C型肝炎 (HCV) 服务对患者来说非常容易获得和接受. 以快速结果和灵活的预约为基础的社区模式改善了HCV检测和治疗机会.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在低收入和中等收入国家消除C型肝炎 (HCV) 需要分散的服务.
- 基于社区的模型对于增加HCV检测和与护理联系至关重要.
研究的目的:
- 调查患者对缅甸两种基于社区的HCV护理模式的获取和接受的看法.
- 评估去中心化HCV服务对于消除目标的可行性.
主要方法:
- 混合方法方法包括定量问卷 (n=633) 和定性访谈 (n=29).
- 仰光有两个社区诊所:Burnet研究所 (BI) 为注射毒品的人 (PWID) 和缅甸肝脏基金会 (MLF) 为肝脏疾病患者.
- 照顾点的HCV检测和全科医生发起的直接作用的抗病毒治疗.
主要成果:
- 报告的高患者满意度是临床方便 (97%),可接受的等待时间 (98%) 和测试方法 (97-98%).
- 超过93%的人更喜欢当天的测试结果,96%的人对服务感到满意.
- 定性数据强调灵活的约会,短时间的等待和快速的结果是关键的可访问性因素.
结论:
- 分散的,基于社区的HCV检测和治疗模式是高度可访问和可接受的.
- 以患者为中心的护理,快速的结果,灵活的预约时间和方便的位置提高了服务的采用率.
- 这些发现支持加速实现HCV消除目标的进展.
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