加拿大各省对型肝炎的检测,护理和治疗的省差异
Erin Mandel1, Kate Underwood2, Chelsea Masterman3
1Viral Hepatitis Care Network (VIRCAN) Study Group, Toronto Centre for Liver Disease, Toronto, Ontario, Canada.
Canadian liver journal
|July 28, 2023
概括
加拿大各省需要政策改革,以简化C型肝炎病毒 (HCV) 护理. 目前的政策阻碍了诊断和治疗,需要合作来改善HCV消除的获取和公平.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 公共卫生政策 公共卫生政策
- 传染病管理 传染病管理
背景情况:
- 加拿大因政策缺陷而面临型肝炎病毒 (HCV) 消除方面的挑战.
- 省级立法和实践范围对HCV护理提供有重大影响.
研究的目的:
- 描述和比较影响HCV护理级联的省级立法,实践范围和政策.
- 确定加拿大各省对HCV诊断,治疗和消除的障碍和促进因素.
主要方法:
- 全面审查灰色文献,监管和立法文件.
- 内容 专家验证与HCV护理途径相关的发现.
主要成果:
- 不一致的HCVRNA反射检测的实施 (80%的省份).
- 由各种医疗保健提供者进行的有限的独立 point-of-care 抗体测试.
- 干血点检测的挑战和专家对处方的限制.
- 有关处理许可表格和调查要求的重大行政负担.
结论:
- 没有一个加拿大省份完全优化了诊断工具,任务转移或减少文书工作,以便及时治疗HCV.
- 省际合作对于规范实践,更新政策和确保公平的HCV护理至关重要.
- 简化护理级联对于实现国家HCV消除目标至关重要.
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