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隐性结核查计划对高收入,低负担国家的移民人口的影响
Alice E Taylor1, Eisin McDonald1, Hazel Henderson1
1Public Health Scotland, Edinburgh, Scotland.
PloS one
|November 13, 2025
概括
在低发病率国家对移民进行潜伏结核感染 (LTBI) 查是有效的,并且节省了成本. 协调护理和综合服务是成功的LTBI查计划的关键推动者.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 从结核病发病率高到低的国家迁移的移民可能会从潜伏结核病感染 (LTBI) 查中受益.
- 对这一群体进行LTBI查的最佳方法和有效性尚未得到充分描述.
研究的目的:
- 综合关于LTBI查计划对进入高收入,低结核病负担国家的移民的成本效益的证据.
- 确定这些查计划成功实施的障碍和促进因素.
主要方法:
- 使用快速审查方法来综合证据.
- 包括41项研究 (2项审查),涵盖欧洲地区和国家计划.
主要成果:
- 针对LTBI的查设置包括初级保健,新来者诊所和学校.
- 结构凝聚力 (综合医疗保健,社区伙伴关系,协调护理) 是一个关键的促进因素.
- 服务用户之间缺乏理解和误解是重大障碍.
- 经济评估始终显示,LTBI计划的长期成本节约.
- 来自结核病负担最高的国家的移民进行查更具成本效益,但消除结核病的可能性较低.
结论:
- 针对移民的LTBI查计划在各种环境中是有效和节省成本的.
- 协调和综合的方法对于成功实施LTBI查计划至关重要.
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