分析中国东南地区结核数字粘附技术的利用和有效性
Daiquan Chen1, Zhisong Dai1,2, Shufang Lin1,2
1Fujian Center for Disease Control and Prevention, Fuzhou, Fujian, China.
Frontiers in public health
|February 2, 2026
概括
福建省的数字坚持技术 (DAT) 显示了适度的利用,改善了一些坚持指标,但没有确定结果. 需要进一步的研究来优化DAT集成和患者干预,以获得更好的临床结果.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 传染病管理 传染病管理
背景情况:
- 中国的福建省在2024年引入了数字坚持技术 (DAT),以提高患者的治疗坚持,与世卫组织的建议保持一致.
- 该倡议旨在通过解决治疗成功的关键决定因素来改善患者的治疗结果.
研究的目的:
- 评估福建省数字依从技术 (DAT) 计划的实际实施和有效性.
- 确定影响DAT采用的因素及其对结核病治疗坚持指标的影响.
主要方法:
- 一项涉及四个城市100多名患者的多站点研究,将DAT用户与传统护理进行比较.
- 国家结核信息管理系统与DAT平台记录之间的数据链接.
- 倾向性得分匹配 (PSM) 用于平衡基线特征,用于对坚持指标进行比较分析.
主要成果:
- 整体DAT利用率为50.90%,受人口 (性别,种族) 和临床因素 (治疗类型,并发疾病) 的影响.
- 移民身份和症状呈现是DAT不使用的风险因素,而特定城市的非使用率较低.
- 与传统组相比,DAT组显示出显著更高的两个月的唾液涂抹检查率 (p < 0.001).
结论:
- 福建的DAT使用量中等,受患者特征和位置的影响.
- 虽然DAT可以提高过程坚持度指标,如涂抹检查率,但它对涂抹转换和随访损失的影响需要进一步研究.
- 优化DAT实施需要正式整合,简化工作流程和个性化干预措施,以将监测数据转化为改善结核病患者的临床结果.
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