与未成功与门诊C型肝炎护理相关的风险因素
Carlo Foppiano Palacios1,2, Brianna Dubose3, Sarah Schmalzle4
1Department of Medicine, Cooper University Hospital, Camden, USA.
Cureus
|May 16, 2024
概括
许多患者因运输问题等健康的社会决定因素而错过了C型肝炎病毒 (HCV) 治疗的预约. 解决这些障碍对于成功的HCV护理联系和治疗完成至关重要.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 直接作用抗病毒药物 (DAA) 为C型肝炎病毒 (HCV) 提供治愈治疗.
- 人口水平的HCV治疗可以降低慢性感染的流行率.
- 许多患者没有完成HCV治疗级联,阻碍了公共卫生目标.
研究的目的:
- 评估限制与门诊HCV护理联系的因素.
- 为了确定与错过的HCV预约相关的健康社会决定因素 (SDH).
主要方法:
- 一项病例控制研究将2018年错过和参加HCV预约的患者与使用倾向分数 (1:1比率) 的患者匹配起来.
- 两变量和多变量分析确定了与错过预约相关的因素.
主要成果:
- 在1539名患者中,10.5%的患者错过了HCV诊所的预约.
- 交通困难和住院查与错过预约有显著的相关性 (多变量分析).
- 住房不稳定和药物不遵守等因素也与错过的访问有关.
结论:
- 错过初始HCV传染病 (ID) 诊所预约的患者面临障碍,包括住房不稳定和交通困难.
- 需要额外的支持来解决SDH,并改善与门诊HCV护理的联系.
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