在社区药房设置中提供同行交付的C型肝炎检测和健康查:概念验证
Neha Sankla1, Ray Cottington2, Chris Cowie2
1Population Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 2PS, UK.
Pharmacy (Basel, Switzerland)
|November 24, 2025
概括
在社区药房进行同行领导的型肝炎病毒 (HCV) 测试有效地吸引了边缘化人口. 这次试点演示了模型模型.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 药房实践 在药房实践中
背景情况:
- 消除C型肝炎病毒 (HCV) 需要接触那些避开传统医疗保健的边缘化人口.
- 社区药房为HCV检测提供低门设置,但员工工作量可能是一个障碍.
- 同行主导的干预措施在吸引难以接触的个体方面是有效的.
研究的目的:
- 评估基于药房的同行领导的HCV检测模型的可实施性,可交付性和参与潜力.
- 确定这种模式是否能够克服药房工作人员的限制,并接触到边缘化群体.
- 评估具有活跃HCV感染的个体的鉴定和转诊.
主要方法:
- 在两年内,在一个社区药房实施了以同行为主导的试点HCV测试服务.
- 在四个测试阶段进行了591次HCV抗体或RNA测试.
- 后来的阶段包括了额外的健康查,如血压,胆固醇,糖尿病和纤维扫描.
主要成果:
- 该服务成功地吸引了边缘化的个人,并确定了24例活跃的HCV感染.
- 测试得到了很高的普及率,在随后的阶段进行了重复测试.
- 综合健康查发现并促进了异常结果的转诊.
结论:
- 基于药房的同行领导的HCV检测模型是可实施的,并且有效地参与了边缘化人口.
- 这种方法可以识别活跃的HCV感染,并促进与护理的联系.
- 该模型显示了扩展和进一步评估的前景,以支持消除HCV的目标.
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