患者识别的C型肝炎治疗障碍
Joey Buytendorp1, Serena Xiong1, Darin Brink1
1Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, MN.
肝炎C病毒 (HCV) 治疗在初级保健机构是可以实现的. 大多数被诊断为HCV的患者希望接受治疗,并更喜欢在当地诊所接受治疗,这表明需要综合护理模式.
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:
- 肝炎C病毒 (HCV) 在美国构成了重大公共卫生挑战.
- 初级保健机构可以在弥合HCV治疗准入方面的差距方面发挥关键作用.
- 专业护理,患者资源,教育和意识的障碍阻碍了HCV治疗的启动.
研究的目的:
- 评估在初级保健机构内对HCV治疗的可行性和患者意愿.
- 在城市家庭医疗诊所中识别HCV治疗坚持的障碍和促进因素.
主要方法:
- 在一个城市家庭医学住院诊所进行了一项质量改进项目.
- 医疗记录被搜索,以确定40个未经治疗的患者与阳性HCV诊断.
- 一项通过电话辅助的调查评估了患者的意识,感知障碍和接受HCV治疗的意愿.
主要成果:
- 16名患者完成了调查 (40%的响应率).
- 81.2%的受访者希望开始HCV治疗,更喜欢他们的初级保健诊所.
- 在患者对HCV感染 (43.8%) 和其后果 (50.0%意识到肝损伤/癌症风险) 的理解方面发现了显著的差距.
结论:
- 在城市初级保健环境中,HCV治疗是可行的,也是患者所希望的.
- 解决患者教育和意识问题对于成功治疗HCV至关重要.
- 初级保健整合可以改善获得HCV治疗和管理的机会.
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