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初级保健作为消除丙型肝炎的策略:METRIC 工具包。

Primary healthcare as a strategy for eliminating hepatitis C: the METRIC toolkit.

机构信息

NOVA Center for Global Health - NOVA Information Management School (NOVA IMS), Universidade Nova de Lisboa, Lisbon, Portugal.

Department of International Health, Care and Public Health Research Institute - CAPHRI, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.

出版信息

Prim Health Care Res Dev. 2024 Nov 7;25:e61. doi: 10.1017/S1463423624000355.

Abstract

AIM

This paper presents the development of the METRIC toolkit, aimed at enhancing primary healthcare interventions in the context of hepatitis C control, thus contributing to the World Health Organization's global strategy to achieve the elimination of the disease by 2030.

BACKGROUND

At the global level, most people living with hepatitis C are unaware of their condition. As such, the eradication of hepatitis C necessitates comprehensive strategies within primary healthcare settings, as it provides an opportunity to reach the general population, facilitates the identification of potential patients who may be unfamiliar with hepatitis C, and guides them toward adequate care. Herein, we propose the METRIC toolkit as a means to optimize the efficiency and efficacy of healthcare services dedicated to hepatitis C control.

METHODS

The development of the METRIC toolkit was guided by a thorough review of pertinent literature, focusing on primary healthcare interventions in hepatitis C control. Key components were identified, encompassing systematic problem identification, solution formulation, outcome evaluation, and feedback integration.

FINDINGS

The METRIC toolkit represents a valuable resource for strengthening primary healthcare interventions in hepatitis C control. By fostering a culture of continuous improvement and data-driven decision-making, this framework holds promise in advancing the global agenda towards hepatitis C elimination. However, its successful application requires careful consideration of contextual factors and ongoing adaptation to local needs and circumstances.

摘要

目的

本文介绍了 METRIC 工具包的开发,旨在加强丙型肝炎控制背景下的初级保健干预措施,从而为世界卫生组织到 2030 年实现消除该疾病的全球战略做出贡献。

背景

在全球范围内,大多数丙型肝炎患者都不知道自己的病情。因此,要消灭丙型肝炎,就必须在初级保健环境中采取全面的战略,因为这为接触普通人群提供了机会,有助于发现那些可能不了解丙型肝炎的潜在患者,并引导他们获得适当的治疗。在这里,我们提出 METRIC 工具包,作为优化丙型肝炎控制医疗服务效率和效果的手段。

方法

METRIC 工具包的开发是通过对丙型肝炎控制中的初级保健干预措施的相关文献进行全面审查来指导的。确定了关键组成部分,包括系统地识别问题、制定解决方案、评估结果和整合反馈。

结果

METRIC 工具包是加强丙型肝炎控制中的初级保健干预措施的有价值的资源。通过培养持续改进和数据驱动决策的文化,该框架有望推进全球消除丙型肝炎的议程。然而,其成功应用需要仔细考虑背景因素,并根据当地需求和情况进行不断调整。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/630e/11569853/8f9f67c31e6a/S1463423624000355_fig1.jpg

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