医疗服务提供者对华语患者进行乙肝筛查的知识与实践。
Provider knowledge and practice regarding hepatitis B screening in Chinese-speaking patients.
作者信息
Lai Cindy J, Nguyen Tung T, Hwang Jimmy, Stewart Susan L, Kwan Anson, McPhee Stephen J
机构信息
Department of Medicine, University of California, San Francisco94143, USA.
出版信息
J Cancer Educ. 2007 Spring;22(1):37-41. doi: 10.1007/BF03174373.
BACKGROUND
The extent to which academic general medicine providers screen Chinese-speaking patients for hepatitis B virus (HBV) is not known.
METHODS
Retrospective cohort study of Chinese-speaking patients' HBV screening status and survey of providers' HBV knowledge/screening.
RESULTS
Most patients (65%) received HBV screening. Being screened was independently associated with marital status and years in the clinic. Providers with Asian language abilities and greater knowledge of HBV risk factors/guidelines were more likely to screen.
CONCLUSIONS
Chinese-speaking patients in this setting were underscreened for HBV. Providers underestimated the risks associated with Chinese ethnicity. Education is needed to improve risk assessment and guideline awareness.
背景
学术性普通内科医疗服务提供者对说中文的患者进行乙型肝炎病毒（HBV）筛查的程度尚不清楚。
方法
对说中文患者的HBV筛查状况进行回顾性队列研究，并对医疗服务提供者的HBV知识/筛查情况进行调查。
结果
大多数患者（65%）接受了HBV筛查。接受筛查与婚姻状况及在诊所的工作年限独立相关。具备亚洲语言能力且对HBV风险因素/指南了解更多的医疗服务提供者更有可能进行筛查。
结论
在此环境下，说中文的患者接受HBV筛查的比例较低。医疗服务提供者低估了与华裔相关的风险。需要开展教育以提高风险评估和对指南的认识。
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