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Role of general practitioners in prevention and treatment of hepatitis B in China

机译:全科医生在中国乙肝防治中的作用

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BACKGROUND: Hepatitis B virus (HBV) infection may impose an economic burden to patients or their families. The prevention and control of HBV could effectively reduce the burden. However, the management of HBV-related patients has not been well controlled in China. With the development of general practitioner (GP) system in this country, GPs may greatly improve the management of the patients with HBV infection. However, the role of GPs in controlling HBV infection has been rarely studied. DATA SOURCES: A literature search of PubMed, CNKI, Wanfang data and VIP was performed with the following key words: "general practitioner", "family physician", "community management", "community health care workers", "family practice", "hepatitis B virus", "HBV", "HBV vaccination", "HBV prevention", "HBV management", "HBV treatment", "antiviral therapy" and "chronic hepatitis B (CHB)". The information about the GPs-involved prevention, diagnosis and treatment of CHB was reviewed. RESULTS: The reports on the role of GPs in the prevention, diagnosis and treatment of HBV infection are few. But the experiences from Western countries demonstrated that GPs could play a significant role in the management of patients with CHB. The importance of GPs is obvious although there are some difficulties in China. GPs and health officials at different levels should work together in the management of patients with CHB. CONCLUSIONS: The involvement of GPs in the management of patients with HBV infection is effective in China. But GPs' knowledge and skills for the control of HBV infection have to be improved currently. GPs' involvement will enforce the management of CHB in China in the near future.
机译:背景:乙型肝炎病毒(HBV)感染可能给患者或其家人带来经济负担。预防和控制乙肝病毒可以有效减轻负担。但是,在中国,乙肝相关患者的治疗还没有得到很好的控制。随着该国全科医生制度的发展,全科医生可能会大大改善对HBV感染患者的管理。但是,很少研究过GP在控制HBV感染中的作用。 数据来源:使用以下关键词对PubMed,CNKI,万方数据和VIP进行了文献检索:“全科医生”,“家庭医生”,“社区管理”,“社区卫生保健工作者”,“家庭”实践”,“乙型肝炎病毒”,“乙肝病毒”,“乙肝疫苗接种”,“乙肝预防”,“乙肝管理”,“乙肝治疗”,“抗病毒治疗”和“慢性乙肝(CHB)”。审查了有关全科医生参与CHB的预防,诊断和治疗的信息。 结果:关于GP在预防,诊断和治疗HBV感染中的作用的报道很少。但是,西方国家的经验表明,全科医生可以在CHB患者的管理中发挥重要作用。尽管在中国存在一些困难,但全科医生的重要性显而易见。全科医生和不同级别的卫生官员应在CHB患者的管理中共同努力。 结论:在中国,GPs参与了HBV感染患者的治疗是有效的。但是,目前,全科医生在控制HBV感染方面的知识和技能必须提高。 GP的参与将在不久的将来加强中国CHB的管理。

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