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评估初级保健电子支持包,包括自动化病例发现、简化治疗算法和决策支持,以提高澳大利亚初级保健诊所的乙型肝炎治疗率(SIMPLY-B 研究):试点评估方案。

Assessment of a primary care e-support package of automated case finding, simplified treatment algorithm and decision support to increase hepatitis B treatment uptake in primary care clinics in Australia (SIMPLY-B Study): protocol for a pilot evaluation.

机构信息

The University of Melbourne Faculty of Medicine Dentistry and Health Sciences, Melbourne, Victoria, Australia

Burnet Institute, Melbourne, Victoria, Australia.

出版信息

BMJ Open. 2023 Mar 16;13(3):e070663. doi: 10.1136/bmjopen-2022-070663.

Abstract

INTRODUCTION

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.

METHODS AND ANALYSIS

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.

ETHICS AND DISSEMINATION

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.

TRIAL REGISTRATION NUMBER

NCT05614466.

摘要

简介

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。

方法和分析

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。

伦理和传播

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。

试验注册编号

NCT05614466。

相似文献

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本文引用的文献

2
Australian consensus recommendations for the management of hepatitis B.澳大利亚乙型肝炎管理共识建议
Med J Aust. 2022 May 16;216(9):478-486. doi: 10.5694/mja2.51430. Epub 2022 Mar 6.

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