在初级保健中为患有物质使用障碍的个人实施社会工作带领的C型肝炎治疗模式
Aimee Kresica1, Katherine McDougal2, Jessica Waters Davis3
1Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Journal of evidence-based social work (2019)
|October 8, 2025
概括
社会工作者有效地领导了型肝炎病毒 (HCV) 在初级保健中对物质使用障碍 (SUD) 患者的治疗. 这种首先治疗的模式实现了高治愈率,证明了服务不足的人群获得更好的机会和结果.
科学领域:
- 公共卫生 公共卫生
- 社会工作 社会工作 社会工作
- 传染病管理 传染病管理
背景情况:
- 肝炎C病毒 (HCV) 构成了重大的公共卫生挑战,特别是在有物质使用障碍 (SUD) 的人群中.
- 综合初级保健模式为改善弱势群体的HCV治疗准入和治疗结果提供了一个有希望的途径.
- 传统的基于专业的或以禁欲为重点的护理模式往往对SUD患者的HCV治疗构成障碍.
研究的目的:
- 评估一个以社会工作为主导的,在综合初级保健环境中为HCV治疗提供治疗第一模式.
- 评估该模型在改善SUD患者中启动HCV治疗和持续病毒学反应 (SVR12) 的有效性.
- 突出社会工作者在克服历史边缘化群体HCV护理障碍方面的作用.
主要方法:
- 在2018年至2021年期间诊断出HCV的患者的回顾性队列评估.
- 参与者通过精神病,SUD计划,社区转诊和初级保健来确定.
- 一名执照的临床社会工作者协调了直接作用的抗病毒治疗,减伤咨询,健康查的社会决定因素和护理导航. 数据使用描述性和双变量统计数据进行分析.
主要成果:
- 在被诊断患有HCV的190人中,88人 (46.3%) 开始接受治疗,75人 (85.2%) 实现了SVR12.
- 所有接受治疗的患者都接受了全面的社会工作服务,平均七次接触.
- 虽然SUD子组的治愈率一致,但患有兴奋剂或镇静剂-催眠使用障碍的人不太可能开始治疗.
结论:
- 在综合初级保健中,社会工作者对领导成功的HCV治疗计划至关重要.
- 以治疗为先,以减少伤害为导向的方法有效地解决了结构性障碍,改善了获取,并实现了高治愈率.
- 这种模式将HCV护理扩展到通常被排除在传统治疗环境之外的人群中.
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