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查高风险退伍军人肝硬化:采取逐步的人口健康方法

Jonathan Dounel^1,2, Carolyn Lamorte³, Heather Patton^1,2

¹VA San Diego Healthcare System, San Diego, CA, USA.

BMC health services research

|January 28, 2025

概括

这项试点计划成功地使用一步一步的算法对退伍军人进行了未被诊断的肝硬化查. 这种方法被证明是可行的和可接受的,在42%的评估患者中确定了显著纤维化.

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:

肝硬化往往没有被识别,需要改进查策略.
退伍军人卫生管理局 (VHA) 试图开发和测试一种新的肝硬化查算法.

研究的目的:

开发和评估一个逐步查算法的可行性和可接受性,以在VHA内诊断出未诊断的肝硬化.
确定患肝硬化风险的退伍军人,并促进他们的评估.

主要方法:

一个试点项目涉及VHA肝病学临床医生 (

主要成果:

四个VHA站点实施了查协议,并对外展和弹性学方法进行了调整.
在接受了弹性体检的53名退伍军人中,有22人 (42%) 发现了与显著纤维化相一致的发现,并被转诊给肝病学.
临床医生和退伍军人 (80%的受访退伍军人) 报告说,接受度很高.

结论:

试点研究表明,多站点肝硬化查方法在VHA内是可行的和可接受的.
实施挑战包括人员配置,初级保健提供者培训和预约可用性,特别是在COVID-19大流行期间.

关键词:

肝硬化是肝硬化的一种疾病.弹性图形学弹性图形学弹性图形学主要的护理是初级护理.查检查查检查查检查退伍军人退伍军人退伍军人

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