The University of Melbourne Faculty of Medicine Dentistry and Health Sciences, Melbourne, Victoria, Australia
Burnet Institute, Melbourne, Victoria, Australia.
BMJ Open. 2023 Mar 16;13(3):e070663. doi: 10.1136/bmjopen-2022-070663.
Despite the availability of effective, subsidised hepatitis B treatment, linkage to care and treatment rates remain very low globally. In Australia, specially trained primary care physicians (general practitioner, GPs) can prescribe hepatitis B treatment, however, most hepatitis B care occurs in specialist clinics. Increasing hepatitis B management by GPs in primary care clinics is essential to achieve national hepatitis B linkage to care and treatment targets by 2030.This pilot study determines the feasibility, acceptability and effectiveness of Simply B, a novel GP hepatitis B e-support package designed to increase hepatitis B management by GPs in primary care clinics.
This study will be conducted in three parts:Part A: A prospective open-label pilot intervention study, comparing the proportion of people with hepatitis B who are managed by their GP in primary care clinics before, 12 months and 24 months after implementation of the Simply B electronic hepatitis B support package.Part B: A nested qualitative health services feasibility study using semistructured interviews and thematic analysisPart C: Cost-effectiveness analysis.
This study has received ethics approval by St Vincent's Hospital. Data management and analysis will be centralised through the Department of Gastroenterology, St Vincent's Hospital.
NCT05614466.
尽管有有效的、补贴的乙型肝炎治疗方法,但全球的治疗连接率和治疗率仍然很低。在澳大利亚,经过专门培训的初级保健医生(全科医生,GP)可以开乙型肝炎治疗处方,但大多数乙型肝炎治疗是在专科诊所进行的。增加 GP 在初级保健诊所进行乙型肝炎管理对于实现 2030 年全国乙型肝炎治疗连接和治疗目标至关重要。本试点研究旨在确定 Simply B 的可行性、可接受性和有效性,这是一种新的 GP 乙型肝炎电子支持包,旨在增加 GP 在初级保健诊所进行乙型肝炎管理。
这项研究将分三个部分进行:
部分 A:前瞻性开放标签试点干预研究,比较在实施 Simply B 电子乙型肝炎支持包前后 12 个月和 24 个月,GP 在初级保健诊所管理的乙型肝炎患者的比例。
部分 B:采用半结构化访谈和主题分析的嵌套定性卫生服务可行性研究。
部分 C:成本效益分析。
这项研究已获得圣文森特医院的伦理批准。数据管理和分析将通过圣文森特医院胃肠病学系集中进行。
NCT05614466。