在促进乙型肝炎检测普及方面,以分散,社区和初级保健为基础的战略的有效性和实施:系统性审查和元分析
Thanh Van Kim1,2,3, Trang Ngoc Doan Pham1,4, Paul Phan1
1Center of Excellence for Liver Disease in Viet Nam, Johns Hopkins School of Medicine, Baltimore, MD, USA.
在初级和社区护理中,有效的慢性乙型肝炎 (CHB) 测试策略对于消除至关重要. 医疗保健提供者主导的教育和多组件方法显示出增加CHB测试率的最大希望.
科学领域:
- 公共卫生 公共卫生
- 肝病学 肝病学是一种肝病学.
- 实施科学 实施科学
背景情况:
- 扩大慢性乙型肝炎 (CHB) 测试对于消除疾病至关重要.
- 初级和社区护理环境是实施有效的CHB测试策略的关键.
研究的目的:
- 在初级和社区护理中系统地审查和元分析CHB测试实施策略的有效性.
- 评估战略规范和实施成果,以告知未来的规划和政策.
主要方法:
- 随机对照试验的系统审查和元分析,截至2024年6月.
- 在Scopus,Embase,PubMed和CINAHL数据库中进行了搜索.
- 使用ROB-2评估偏差风险,并使用行为变化轮 (BCW) 框架描述策略.
主要成果:
- 纳入了19项涉及130,598名参与者的研究;没有研究来自低收入和中等收入国家.
- 医疗保健提供者主导的教育 (62.5%的有效率) 和多组件策略显示出显著的有效性.
- 观察到BCW组件数量和策略有效性之间存在剂量-反应关系.
结论:
- 医疗保健提供者主导的教育是增加CHB测试的高度有效策略.
- 由BCW框架提供信息的多组件实施策略,对于最大限度地提高CHB测试优越.
- 未来的战略必须考虑背景因素和政策,以实现乙型肝炎消除目标.
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