Caballero Jeffrey B, Martin Melinda, Weir Rosy Chang, Agbayani Nina, Soon Natalie Ah, Chen Katherine
Association of Asian Pacific Community Health Organizations, 300 Frank Ogawa Plaza, Suite 620, Oakland, CA 94612, USA.
J Health Care Poor Underserved. 2012 Nov;23(4):1547-57. doi: 10.1353/hpu.2012.0186.
A needs assessment was conducted of hepatitis B education, screening, vaccination, and care within community health centers (CHCs) serving Asian Americans, Native Hawaiians, and Pacific Islanders.
Written surveys were administered to health education directors from 13 CHCs and 75 medical providers from 14 CHCs in the U.S. and affiliated Pacific Islands.
Although hepatitis B is within the mission of CHCs and clients are screened regardless of insurance status, little financial or staffing resources are dedicated to hepatitis B services. Lack of funding is considered the greatest barrier. Better coordination between HBV prevention and primary and specialty medical services is needed.
HBV cross-training for providers and allied staff, particularly around identification and screening of high risk groups and case management, would greatly enhance services along with additional funding. Findings support national hepatitis B strategy recommendations made by the Institute of Medicine and Office of Minority Health.
对服务于亚裔美国人、夏威夷原住民和太平洋岛民的社区卫生中心（CHC）内的乙肝教育、筛查、疫苗接种及护理进行了需求评估。
对美国及附属太平洋岛屿的13家社区卫生中心的健康教育主任和14家社区卫生中心的75名医疗服务提供者进行了书面调查。
尽管乙肝属于社区卫生中心的使命范畴，且无论患者保险状况如何都会进行筛查，但用于乙肝服务的资金和人员资源却很少。资金短缺被认为是最大的障碍。乙肝预防与初级及专科医疗服务之间需要更好的协调。
为医疗服务提供者及相关工作人员开展乙肝交叉培训，尤其是围绕高危人群的识别与筛查以及病例管理方面的培训，再加上额外的资金投入，将极大地提升服务水平。研究结果支持了医学研究所和少数族裔健康办公室提出的国家乙肝战略建议。
