[Study on hepatitis C intervention measures to improve the referral, treatment, and cure rate in hospitals].

Q3 Medicine
H H Cheng, D C Cai
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引用次数: 0

Abstract

Objective: To explore and discuss hepatitis C processes of diagnosis, treatment, and management through intervention measures as well as the necessity of whole management attempt in education, screening, diagnosis, treatment, and follow-up in hospitals. Method: The baseline status of HCV RNA detection, departmental distribution, consultation requests, specialist visits, and diagnosis and treatment of anti-HCV positive patients who visited the outpatient and inpatient departments of the Infectious Diseases of the Second Affiliated Hospital of Chongqing Medical University from November 2019 to November 2020 was analyzed. Statistical analysis was re-conducted on the status of HCV RNA detection, departmental distribution, consultation requests, specialist visits, and treatment among anti-HCV positive patients following the implementation of intervention measures for patients and clinicians in the hospital. The differences were evaluated using the Pearson chi-square test. The Wilson score and the gamma distribution method were used to calculate the 95% confidence interval (95% CI). Results: The rates of consultation, referral, diagnosis, and treatment did not increase significantly following the intervention in the hospital for hepatitis C, and there was no statistically significant difference compared with the data before the intervention. Conclusion: The vast majority of anti-HCV-positive patients in non-infectious and a few infectious disease departments did not receive timely disease assessment, referral, diagnosis, and treatment because hospitals lacked a standard, consistent, and stringent whole management process for hepatitis C screening, thereby causing missed detection, diagnosis, and treatment.

[提高医院转诊、治疗和治愈率的丙型肝炎干预措施研究]。
目的:探讨丙型肝炎的诊断、治疗和干预措施管理过程,以及医院在教育、筛查、诊断、治疗和随访等方面进行全管理尝试的必要性。方法:分析2019年11月至2020年11月重庆医科大学附属第二医院感染性疾病科门诊和住院部抗-HCV阳性患者的HCV RNA检测、科室分布、会诊请求、专科访问量、诊疗等基线状况。对该院实施患者及临床医生干预措施后抗-HCV阳性患者的HCV RNA检测、科室分布、就诊情况、专科就诊情况、治疗情况进行重新统计分析。使用Pearson卡方检验评估差异。采用Wilson评分和gamma分布法计算95%置信区间(95% CI)。结果:干预后丙型肝炎患者在医院就诊、转诊、诊断率、治疗率均无明显增加,与干预前比较无统计学差异。结论:由于医院对丙型肝炎筛查缺乏规范、一致、严格的全过程管理流程,导致非感染科和少数感染科抗- hcv阳性患者绝大多数没有得到及时的疾病评估、转诊、诊断和治疗,从而造成漏检、漏诊和漏治。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
中华肝脏病杂志
中华肝脏病杂志 Medicine-Medicine (all)
CiteScore
1.20
自引率
0.00%
发文量
7574
期刊介绍:
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