在经合组织国家对型肝炎的检测和治疗的同行干预:系统的范围审查
Sorcha Daly1, Leila Reid1, Ryan Buchanan2
1Hepatitis C Trust, London, UK.
Journal of viral hepatitis
|January 24, 2026
概括
同行工作者改善C型肝炎 (HCV) 结果和福祉. 然而,研究缺乏关于这些同行干预如何工作的细节,这阻碍了优化HCV消除.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 传染病流行病学 传染病流行病学
背景情况:
- 同行工作者,具有实践经验的个人,被推用于C型肝炎 (HCV) 干预.
- 现有的HCV同行干预缺乏记录的特征和机制驱动其有效性.
- 了解这些机制对于优化HCV护理和消除努力至关重要.
研究的目的:
- 系统地确定HCV同行干预中的活动,结果和变化机制.
- 评估经合组织国家对HCV同行支持计划的当前知识状况.
- 突出了解同行干预如何实现其影响的差距.
主要方法:
- 2012-2022年期间发表的同行评审论文的系统范围审查.
- 搜索了五个主要的数据库 (Scopus,PubMed,Embase,PsycINFO,Web of Science) 进行了搜索.
- 包括描述经合组织国家的HCV同行干预措施的研究,遵守PRISMA扩展指南.
主要成果:
- 29项研究符合纳入标准;23项涉及提供干预措施的同行工作者.
- 同行干预改善了HCV护理联系,检测,治疗和持续病毒学反应 (SVR12) 率.
- 同行工作者报告了个人好处,如增加信心和幸福感,但干预机制很少被记录.
结论:
- 针对HCV的同行干预对接受者和工人产生了积极的结果.
- 对干预活动和潜在机制的细节严重缺乏,这阻碍了优化.
- 这种知识差距阻碍了在人口层面消除HCV的努力.
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