澳大利亚患者及基层医疗专业人员的乙肝检测与诊断经历
Hepatitis B testing and diagnosis experiences of patients and primary care professionals in Australia.
作者信息
Richmond Jacqueline, Smith Elizabeth, Wallace Jack, Duncan Duane, Lucke Jayne
机构信息
PhD, MPH, RN, is Research Fellow, La Trobe University, Australian Research Centre in Sex, Health and Society, Melbourne, Victoria.
出版信息
Aust Fam Physician. 2017;46(7):513-519.
OBJECTIVE
A significant proportion of Australians with chronic hepatitis B (CHB) remains undiagnosed and unaware of their risk of liver disease and cancer. This study explored the hepatitis B testing and diagnostic experiences of people with CHB, general practitioners (GPs) and primary care nurses.
METHODS
Semi-structured interviews were conducted with people who have CHB (n = 19), GPs (n = 14) and nurses (n = 5).
RESULTS
The majority of patient participants with CHB were not provided with information prior to being tested, and were shocked to receive a diagnosis. Neither GPs nor nurses noted Australia's National hepatitis B testing policy as guiding their practice, and hepatitis B con-tact tracing was poorly executed.
DISCUSSION
Patient participants' diagnostic experiences did not correspond with national policy recommendations. GPs and nurses need resources to provide accurate information when testing and diagnosing hepatitis B, and clear guidance about their role in contact tracing.
目的
相当一部分患有慢性乙型肝炎（CHB）的澳大利亚人仍未被诊断出来，也未意识到自己患肝病和癌症的风险。本研究探讨了慢性乙型肝炎患者、全科医生（GP）和初级护理护士的乙肝检测及诊断经历。
方法
对19名慢性乙型肝炎患者、14名全科医生和5名护士进行了半结构化访谈。
结果
大多数慢性乙型肝炎患者参与者在接受检测前未被告知相关信息，在收到诊断结果时感到震惊。全科医生和护士均未提及澳大利亚国家乙肝检测政策对其诊疗工作的指导作用，乙肝接触者追踪工作执行不力。
讨论
患者参与者的诊断经历与国家政策建议不符。全科医生和护士在进行乙肝检测和诊断时需要资源来提供准确信息，以及关于他们在接触者追踪中角色的明确指导。
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