提供者在纽约州实施低值HCV治疗的观点:一个定性研究
Ane-Kristine Finbråten1,2, Cristina L Chin1, Meenakshi Seetharaman1
1Department of Population Health Sciences, Weill Cornell Medicine, New York New York, USA.
Open forum infectious diseases
|April 25, 2025
概括
低值型肝炎病毒 (HCV) 护理模式通过灵活的访问和患者导航有效地参与注射毒品的人 (PWID). 充足的资金和综合护理对于克服社会需求和有限资源等障碍至关重要.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 医疗保健服务研究 医疗服务研究
背景情况:
- 注射药物使用是高收入国家的新型肝炎C病毒 (HCV) 感染的主要驱动因素.
- 低门护理模式对于吸引弱势群体和实现HCV消除目标至关重要.
- 纽约州强大的HCV消除计划为研究这些模型提供了背景.
研究的目的:
- 检查纽约州对HCV护理的低值模型的实施情况.
- 在医疗保健提供者中确定实施低值HCV护理的促进者和障碍.
- 了解低门护理如何满足注射毒品的人 (PWID) 的需求.
主要方法:
- 在2022年,与16名医疗保健提供者进行了半结构面试.
- 提供者是根据自我描述为"低门",专注于边缘化人口或非传统的实践环境来选择的.
- 以探索,准备,实施,维持 (EPIS) 框架为指导的专题分析被用来分析采访成绩单.
主要成果:
- 实施涉及通过步行或远程医疗服务,护理点测试和同行支持促进访问.
- 内部背景因素包括提供者/组织价值观和需要将低门护理纳入非低门系统;充足的人员是至关重要的.
- 外部背景的挑战包括有限的资金,限制性保险政策和大量未满足的社会需求,这些需求是提供者通过护理协调和综合模型来解决的.
结论:
- 低值的HCV护理需要运营灵活性和患者导航,但面临来自患者未满足的社会需求的挑战.
- 足够的资金对于支持参与弱势群体所需的大量外展活动至关重要.
- 司法管辖区应优先考虑资金,以促进低值HCV护理的成功实施.
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