结核综合查和护理的原则和优先事项:修改后的德尔菲共识练习
Claire Jacqueline Calderwood1,2,3, Tenzin Kunor4, Mikaela Coleman5,6,7
1Clinical Research Department, London School of Hygiene & Tropical Medicine, London, United Kingdom.
PLOS global public health
|March 2, 2026
概括
全球专家高度重视结核病综合查和护理. 这一国际共识支持研究和政策制定,以改善向受影响家庭提供结核病服务.
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:
- 结核病 (TB) 不成比例地影响弱势群体,为综合卫生服务提供了机会.
- 目前的结核病诊断可以被利用来扩大医疗服务到受结核病影响的家庭.
研究的目的:
- 确定是否以及如何向结核病患者及其家庭提供扩展的卫生服务.
- 达成关于结核病综合查和护理的国际共识.
主要方法:
- 修改了Delphi过程,涉及两轮在线调查与国际专家.
- 专家小组成员包括研究人员,服务提供商,政策制定者和社区成员.
- 数据分析包括诱导性主题分析和协议百分比的计算.
主要成果:
- 强烈的全球支持 (98%) 为个人和 (84%) 家庭扩大和整合结核病服务.
- 达成共识,对融入的动机,包括改善结核病的结果和增加查/预防治疗的接触者.
- 对结核病患者常规查非结核病的情况达成高度一致 (>99%),对结核病查与其他全民查整合结核病查达成一致 (93%).
结论:
- 全球结核病专家高度重视结核病综合查和护理,为进一步行动提供了强有力的授权.
- 国际共识支持对综合性结核病服务提供可行性和有效性的研究.
- 调查结果为进一步制定综合性结核病服务政策和指导方针提供了基础.
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