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维多利亚州 (澳大利亚) C型肝炎的护理级联:数据链接队列研究
Kathryn Snow1, Jennifer H MacLachlan1,2, Stacey Rowe3,4
1WHO Collaborating Centre for Viral Hepatitis, The Peter Doherty Institute for Infection and Immunity, Melbourne, Victoria, Australia.
Internal medicine journal
|March 20, 2024
概括
许多患有型肝炎的澳大利亚人面临治疗障碍. 一项研究发现,28%的人仍然患有慢性感染,这突显了需要更好地获得护理的必要性,特别是对于十多年前被诊断出来的人.
科学领域:
- 肝病学和传染病学
- 公共卫生和流行病学.
- 医疗服务研究 医疗服务研究
背景情况:
- 澳大利亚有有效的C型肝炎治疗方法.
- 对于患有型肝炎的人来说,获得护理和治疗的障碍仍然存在.
- 了解治疗差距对于公共卫生倡议至关重要.
研究的目的:
- 为了识别C型肝炎护理级联中的缺口.
- 根据人口群体估计未经治疗的型肝炎患者的数量.
- 分析澳大利亚一个代表性的纵向研究群体.
主要方法:
- 将型肝炎通知数据与国家病理学,处方和死亡登记数据联系起来.
- 在对肝炎C (2000-2016) 呈阳性的队列测试中获得评估的临床服务.
- 估计正在进行的慢性感染,调整自发清除和死亡率.
主要成果:
- 该研究包括45391名型肝炎阳性患者;29%接受治疗.
- 据估计,到2018年6月,仍有28%的人患有慢性型肝炎感染.
- 患有慢性感染的人中有一半出生于1965年至1980年之间,而74%的人在2011年之前检测出阳性.
结论:
- 尽管有治疗方法和政策支持,但许多人没有接受治疗.
- 需要采取更多措施来改善对护理的参与.
- 对于那些在10年前感染的人来说,可能需要特别关注.
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