扩大潜在结核病患者护理活动的人力资源影响
Hannah Alsdurf1,2, Andrea Benedetti1,2, Tran Ngoc Buu3
1Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC, Canada.
Frontiers in medicine
|January 29, 2024
概括
扩大潜在结核病感染 (LTBI) 服务需要更多的医疗保健工作者 (HCW). 我们的研究发现,加强LTBI服务增加了HCW在LTBI护理的时间,但减少了活跃结核病 (TB) 患者的时间.
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
- 医疗保健管理的管理
背景情况:
- 世界卫生组织优先考虑潜伏性结核病感染 (LTBI) 服务,到2035年消除结核病 (TB).
- 关于扩大LTBI治疗对人力资源的影响的数据有限.
研究的目的:
- 在加强LTBI服务的干预后,估计医疗保健工作者 (HCW) 在患者护理活动中的时间分配变化.
主要方法:
- 在五个国家的24个医疗机构进行了时间和运动 (TAM) 研究.
- 在干预之前和之后,观察和分类HCW工作活动.
- 一个线性混合模型 (LMM) 分析了HCW在LTBI,活跃结核病和非结核病护理上的时间变化.
主要成果:
- 干预设施在HCW时间中增加了9%的时间用于LTBI服务.
- 在干预设施中,活跃结核病服务的时间相应减少了11%.
- 控制设施显示,LTBI护理时间没有显著变化.
结论:
- 扩大LTBI服务需要额外的HCW,以防止减少活跃的结核病患者护理.
- 资源规划对于成功扩大LTBI治疗计划至关重要.
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