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对越南慢性型肝炎感染的公共卫生系统利用情况
Phuong Nguyen Thi Ngoc1, Ngoc Nghiem My2, Sabrina Rasheed3
1Wellcome Asia Africa Programme, The Hospital for Tropical Diseases, Oxford University Clinical Research Unit, Ho Chi Minh City, Ho Chi Minh City, Vietnam.
BMC infectious diseases
|November 17, 2023
概括
在越南,治疗C型肝炎病毒 (HCV) 的医疗保健受个人和结构因素的影响. 解决这些障碍,特别是对于女性来说,对于消除HCV的战略至关重要.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 肝炎C病毒 (HCV) 感染对医疗保健利用提出了挑战,因为它具有慢性,无症状的性质和昂贵的治疗要求.
- 高昂的治疗费用和需要多次入院的需求可能会对患者与医疗保健服务的参与产生负面影响.
研究的目的:
- 调查医疗保健寻求行为的决定因素,以治疗C型肝炎病毒 (HCV) 感染.
- 分析个人和结构因素对越南HCV治疗住院次数的影响.
主要方法:
- 对2017-2020年为HCV感染治疗的患者的医院数据的二次分析.
- 普森回归模型用于评估人口,临床和结构因素对医院访问频率的影响.
主要成果:
- 超过22,000名患者寻求HCV治疗,平均每人2.17次访问.
- 高龄,医疗保险和并发症与访问的增加有关,而生活在离设施更远的地方和居住在东南地区与访问的减少有关.
- 2019-2020年访问量显著下降,虽然女性最初访问量更多,但在随后的几年中,这一趋势发生了逆转.
结论:
- 个人 (年龄,并发症) 和结构性 (医疗保险,邻近) 因素都会显著影响HCV治疗访问的数量.
- 解决这些多方面的障碍对于越南实现其消除HCV的全球战略至关重要.
- 应特别注意了解和减轻女性在获得HCV治疗时所面临的障碍.
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