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制定和实施C型肝炎病毒查政策,以提高18-79岁成年人查率
Parminder Kaur1, Pamel O'Neal2, Maria Shimizu3
1Med Surveillance, University of California, Davis, Davis, CA, USA pk.fnp02@gmail.com.
Journal of doctoral nursing practice
|April 25, 2025
概括
实施新的查政策和提供者教育显著增加了家庭实践诊所的C型肝炎病毒 (HCV) 查率. 这一举措对于早期检测和治疗慢性HCV感染至关重要.
科学领域:
- 公共卫生 公共卫生
- 传染病管理 传染病管理
- 改善临床实践的改善
背景情况:
- 新获得的型肝炎病毒 (HCV) 感染往往无症状,导致诊断延迟和潜在的慢性疾病.
- 与加利福尼亚州平均水平相比,克恩县的HCV感染发病率较高,在2014年至2018年期间观察到显著增加.
- 慢性HCV感染对长期健康构成重大风险.
研究的目的:
- 在家庭诊所环境中,提高18-79岁患者的C型肝炎病毒 (HCV) 查率.
- 评估新的办公政策和提供者教育对HCV查实践的影响.
主要方法:
- 采用了一种描述性实践变更设计,利用回顾性和前性数据收集.
- 该研究比较了办公室政策和提供者教育倡议实施前后的HCV查率.
主要成果:
- 2020年10月,在400名年龄在18-79岁的患者中,对HCV的干预前查率为1.0%.
- 干预后,44名符合条件的患者的查率增加到30%.
- 从1.0%增加到29%的查增加是统计学上显著的 (χ2 [df = 1] = 87.719,p <.001).
结论:
- 结合提供者教育和新的查政策,在家庭实践诊所显著提高了HCV查率.
- 医疗团队的认同和理解对于成功的临床实践变化至关重要.
- 先进实践注册护士 (APRNs) 在通过一致的查来减少与HCV相关的健康结果方面发挥着关键作用.
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