Please use this identifier to cite or link to this item: https://dora.health.qld.gov.au/qldresearchjspui/handle/1/6214
Title: Chronic hepatitis B care in regional Australia: implications for clinical practice and public health policy
Authors: Han, Chaw
Karamatic, Rozemary
Hanson, Josh 
Issue Date: 2024
Publisher: Royal Austrasian College of Physicians
Source: Han C, Karamatic R, Hanson J. Chronic hepatitis B care in regional Australia: implications for clinical practice and public health policy. Intern Med J. 2024 Jul;54(7):1155-1163. doi: 10.1111/imj.16364. Epub 2024 Mar 15. PMID: 38488685.
Journal Title: Internal medicine journal
Journal: Internal Medicine Journal
Abstract: Australia is struggling to meet its National Hepatitis B Strategy care targets, particularly in nonmetropolitan settings. It is vital to engage priority populations and improve their access to recommended care to reach these targets. This retrospective study examined people living with chronic hepatitis B (CHB) in regional North Queensland, Australia, and determined whether their care adhered to current national CHB management guidelines. The analysis aimed to identify gaps in care that might be addressed to improve future outcomes. All individuals referred to the gastroenterology clinic at the Townsville University Hospital in regional North Queensland, Australia, for CHB care between January 2015 and December 2020 were identified. Their linkage to care, engagement in care and receipt of guideline-recommended CHB care were determined. Of 255 individuals, 245 (96%) were linked to care; 108 (42%) remained engaged in care and 86 (38%) were receiving guideline-recommended care in 2021. There were 91/255 (36%) who identified as Indigenous Australians. Indigenous status was the only independent predictor of not being linked to care (odds ratio (OR): 0.13 (95% confidence interval (CI): 0.03-0.60), P = 0.01), not being engaged in care (OR: 0.19 (95% CI: 0.10-0.36), P < 0.0001), not receiving guideline-recommended CHB care (OR: 0.16 (95% CI: 0.08-0.31), P < 0.0001) or not being engaged in a hepatocellular carcinoma surveillance programme (OR: 0.08 (95% CI: 0.02-0.27), P < 0.0001). Current approaches are failing to deliver optimal CHB care to Indigenous Australians in regional North Queensland. Targeted strategies to ensure that Indigenous Australians in the region receive equitable care are urgently needed.
Description: Cairns & Hinterland Hospital and Health Service (CHHHS) affiliated author: Josh Hanson
DOI: 10.1111/imj.16364
Keywords: hepatitis B;Indigenous health;regional health;liver cancer;public health
Type: Article
Appears in Sites:Cairns & Hinterland HHS Publications

Files in This Item:
File Description SizeFormat 
Chronic hepatitis B care in regional Australia implications for clinical practice.pdf535.74 kBAdobe PDFThumbnail
View/Open
Show full item record

Page view(s)

62
checked on Dec 21, 2024

Download(s)

44
checked on Dec 21, 2024

Google ScholarTM

Check

Altmetric


Items in DORA are protected by copyright, with all rights reserved, unless otherwise indicated.