一个大小不适合所有：在澳大利亚低流行地区的乙型肝炎护理模式的卫生保健工作者的观点

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health Pub Date : 2025-03-12 DOI:10.1016/j.anzjph.2025.100229

Jacqueline A. Richmond , Christine Roder , Chris Hair , Amanda J. Wade , Jack Wallace

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引用次数: 0

摘要

目的：澳大利亚尚未走上实现全国消除乙肝护理目标的轨道。澳大利亚许多乙型肝炎低流行地区的护理吸纳率比高流行地区低得不成比例。本研究旨在确定在澳大利亚低乙肝患病率地区提供护理的推动因素。方法对澳大利亚维多利亚州巴旺西南地区的卫生保健工作者进行了半结构化访谈，以确定他们对乙型肝炎护理和服务提供的看法。结果在2023年8月至11月期间，共采访了20名参与者，包括9名全科医生、4名护士、3名专家、3名口译员和1名难民工作者。乙肝被认为是一种罕见的、复杂的疾病。全科医生管理专科健康状况的压力越来越大，影响了他们管理乙型肝炎的意愿。推动者包括提供病例管理的专科护士，以及在专科诊所工作人员和全科医生之间建立系统的联系。一个本地化的实践社区将建立全科医生的信心。结论低流行地区存在独特的乙肝护理挑战。在实施分散的护理模式时，需要考虑疾病流行情况，因为不经常接触会对全科医生的信心和技能维持构成挑战。以社区为基础的乙型肝炎护理模式应以流行情况和区域人口特征为指导，并得到有利基础设施的支持。

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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One size does not fit all: healthcare worker perspectives on hepatitis B models of care in a low-prevalence region in Australia

Objective

Australia is not on track to achieve national hepatitis B elimination care targets. Many low hepatitis B prevalence Australian regions have disproportionately lower care uptake rates than higher-prevalence regions. This study aimed to determine enablers to providing care in a low hepatitis B prevalence region of Australia.

Methods

Semi-structured interviews were conducted with healthcare workers in the Barwon South West region of Victoria, Australia, to identify their perspectives on hepatitis B care and service delivery.

Results

Between August and November 2023, 20 participants were interviewed including nine general practitioners, four nurses, three specialists, three interpreters, and one refugee worker. Hepatitis B was understood as a rare, complex condition. The increasing pressure on general practitioners to manage specialist health conditions affected their willingness to manage hepatitis B. Enablers included specialist nurses providing case management and developing systematic links between specialist clinic staff and general practitioners. A localised community of practice would build general practitioner confidence.

Conclusions

Low-prevalence regions have unique hepatitis B care challenges. Disease prevalence needs to be considered when implementing decentralised models of care, with infrequent exposure challenging general practitioner confidence and skill maintenance.

Implications for Public Health

The model for community-based hepatitis B care should be guided by prevalence and regional population characteristics and supported by enabling infrastructure.

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来源期刊

Australian and New Zealand Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.20

自引率

5.70%

发文量

121

审稿时长

6-12 weeks

期刊介绍： The Australian and New Zealand Journal of Public Health (ANZJPH) is concerned with public health issues. The research reported includes formal epidemiological inquiries into the correlates and causes of diseases and health-related behaviour, analyses of public policy affecting health and disease, and detailed studies of the cultures and social structures within which health and illness exist. The Journal is multidisciplinary and aims to publish methodologically sound research from any of the academic disciplines that constitute public health.