Burnet Institute, Melbourne, VIC, 3004, Australia.
Department of Gastroenterology, St Vincent's Hospital, Fitzroy, VIC, 3065, Australia.
BMC Prim Care. 2022 Jun 2;23(1):137. doi: 10.1186/s12875-022-01754-3.
In Australia, only 22% of people with chronic hepatitis B (CHB) are clinically managed; and a national effort is engaging primary care workforce in providing CHB-related care. This study explored CHB-related knowledge, attitudes, barriers and support needs of general practitioners (GPs).
A survey was sent to a random sample of 1,000 Australian GPs in April- October 2018; 134 of 978 eligible GPs completed the questionnaire (14%).
Respondents had high knowledge of at-risk populations (> 79%) and hepatitis B serology (82%), and most saw hepatitis B testing and monitoring as part of their work (95% and 86%, respectively). However, the survey revealed low knowledge, awareness and intention with respect to hepatitis B treatment: 23% correctly understood treatment initiation; 40% were aware that treatment for CHB could be dispensed in the community; 23% agreed that prescribing was part of their work. Lack of time was considered the greatest barrier (38%) and clear guidelines was the most important facilitator to providing care (72%).
Interventions are needed to generate interest and skills to provide CHB-related care by GPs.
在澳大利亚,仅有 22%的慢性乙型肝炎(CHB)患者得到了临床管理;国家正在努力让基层医疗工作者参与到 CHB 相关护理中。本研究旨在探讨全科医生(GP)对 CHB 的相关知识、态度、障碍和支持需求。
2018 年 4 月至 10 月,向澳大利亚 1000 名全科医生进行了随机抽样调查;978 名符合条件的全科医生中有 134 名(14%)完成了问卷调查。
受访者对高危人群(>79%)和乙型肝炎血清学(82%)有较高的了解,大多数人认为乙型肝炎检测和监测是其工作的一部分(分别为 95%和 86%)。然而,调查显示,他们对乙型肝炎治疗的了解、认识和意向较低:仅有 23%的人正确理解治疗的开始;40%的人意识到 CHB 的治疗可以在社区进行;23%的人同意开处方是他们工作的一部分。缺乏时间被认为是最大的障碍(38%),而清晰的指南是提供护理的最重要的促进因素(72%)。
需要采取干预措施,以提高全科医生对提供 CHB 相关护理的兴趣和技能。