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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.
Moussa, Dina; Wallace, Jack; Manski-Nankervis, Jo-Anne; Doyle, Joseph S; Nguyen, Long; Boyle, Douglas; Stoové, Mark A; Asselin, Jason; Valaydon, Zina; Ahad, Marvad; Glasgow, Susanne; New, Kate; Hocking, Jane S; Sanci, Lena; Thompson, Alexander; Hellard, Margaret; Howell, Jess.
Afiliación
  • Moussa D; The University of Melbourne Faculty of Medicine Dentistry and Health Sciences, Melbourne, Victoria, Australia dina.a.s.moussa@gmail.com.
  • Wallace J; Burnet Institute, Melbourne, Victoria, Australia.
  • Manski-Nankervis JA; St. Vincent's Hospital Melbourne, Melbourne, Victoria, Australia.
  • Doyle JS; Burnet Institute, Melbourne, Victoria, Australia.
  • Nguyen L; The University of Melbourne Faculty of Medicine Dentistry and Health Sciences, Melbourne, Victoria, Australia.
  • Boyle D; Burnet Institute, Melbourne, Victoria, Australia.
  • Stoové MA; Alfred Health, Melbourne, Victoria, Australia.
  • Asselin J; Burnet Institute, Melbourne, Victoria, Australia.
  • Valaydon Z; The University of Melbourne Faculty of Medicine Dentistry and Health Sciences, Melbourne, Victoria, Australia.
  • Ahad M; Burnet Institute, Melbourne, Victoria, Australia.
  • Glasgow S; Burnet Institute, Melbourne, Victoria, Australia.
  • New K; The University of Melbourne Faculty of Medicine Dentistry and Health Sciences, Melbourne, Victoria, Australia.
  • Hocking JS; Burnet Institute, Melbourne, Victoria, Australia.
  • Sanci L; St. Vincent's Hospital Melbourne, Melbourne, Victoria, Australia.
  • Thompson A; St. Vincent's Hospital Melbourne, Melbourne, Victoria, Australia.
  • Hellard M; School of Population and Global Health, Univerisy of Melbourne, Melbourne, Victoria, Australia.
  • Howell J; The University of Melbourne Faculty of Medicine Dentistry and Health Sciences, Melbourne, Victoria, Australia.
BMJ Open ; 13(3): e070663, 2023 03 16.
Article en En | MEDLINE | ID: mdl-36927591
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Primaria de Salud / Algoritmos Tipo de estudio: Diagnostic_studies / Guideline / Observational_studies / Prognostic_studies / Qualitative_research Aspecto: Ethics Límite: Humans País/Región como asunto: Oceania Idioma: En Revista: BMJ Open Año: 2023 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Primaria de Salud / Algoritmos Tipo de estudio: Diagnostic_studies / Guideline / Observational_studies / Prognostic_studies / Qualitative_research Aspecto: Ethics Límite: Humans País/Región como asunto: Oceania Idioma: En Revista: BMJ Open Año: 2023 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido