基于全科医生丙肝认知现状探索基层丙肝消除策略

Exploring the strategy for eliminating hepatitis C based on current cognition of general practitioners

目的通过分析丙型肝炎患者诊治现状及基层全科医生的丙型肝炎认知,探索基层丙肝消除策略,从而助力WHO2030丙型肝炎消除战略。方法①对高等院校直属医院近三年丙肝患者进行电话随访,分析丙型肝炎诊治现状;②采用问卷调查的方法,了解基层全科医生丙型肝炎认知现状。结果①在随访的480名患者中,失访患者215例,不知晓病情者15例,服用高仿药物治疗者29例。②接受问卷调查的全科医生中,16.38%完全不了解丙型肝炎是可治愈的疾病,18.12%完全不了解丙型肝炎的最新治疗方案,20.91%完全不了解国家医保目录中DAA,16.37%对WHO提出的“2030年消除丙型肝炎公共卫生威胁”的战略目标还不了解。结论增强基层全科医生丙型肝炎认知能力,提高全科医生和社区居民丙型肝炎认知率,积极进行丙型肝炎知识巡讲,是促进基层丙型肝炎微消除的重要策略。

Objective To explore the eliminating strategy by analyzing the status quo for the diagnosis and treatment of hepatitis C and the grassroots recognition of general medical doctors,in order to facilitate WHO strategies for eliminating hepatitis C by 2030.Methods 1.Patients with hepatitis C treated in the hospital were followed-up by phone directly and the status quo for the diagnosis and treatment were analyzed;2.The status quo for the cognition of hepatitis C in grassroots generals was obtained by an approach of questionnaire survey.Results 1.Among the 480 patients who were followed-up,215 cases were lost of follow-up.Fifteen cases didn’t know the disease;29 cases had taken high imitation drug for treatment.2.16.38%of the general practitioners didn’t understand that hepatitis C was a curable disease;18.12%of the general practitioners didn’t know the latest treatment options for hepatitis C;20.91%of the general practitioners didn’t know that DAA drugs had been included in the national medical insurance catalog;16.37%of the doctors didn’t know the strategic goal of“2030 elimination of hepatitis C as a threat of public health”.Conclusion To enhance the cognitive ability of grassroots on hepatitis C,to improve the academic cognition rate of general medical doctors and community residents,and to actively carry out hepatitis C knowledge tours are important strategies for promoting the micro-elimination of hepatitis C at grassroots level.