Management of chronic Hepatitis B infection in the remote primary health care setting: the search for a suitable guideline

Cross, Virginia, and Larkins, Sarah (2011) Management of chronic Hepatitis B infection in the remote primary health care setting: the search for a suitable guideline. Australian Journal of Rural Health, 19 (2). pp. 95-100.

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Abstract

Objective: To identify a regionally appropriate guideline for the primary health care management of chronic Hepatitis B patients in the Torres Strait.

Design: Literature review. PubMed (1950–November 2009), Nursing and allied health (CINAHL)-CD (1982–November 2009), and the following databases accessed through INFORMIT: Australian Public Affairs Information Service – Health (1978–November 2009), Aboriginal and Torres Strait Health Bibliography (1900–November 2009), Health & Society Database (1980–November 2009), Health Collection (1980–November 2009), Meditext (1968–November 2009), and Rural and Remote Health Database (1966–January 2006) were searched over a 3-month period from September to November 2009. An Internet search of relevant guidelines and recommendations from professional bodies such as the World Health Organization was also performed.

Setting: Remote primary health care.

Outcome measures: Initial searching identified 144 articles to include based on the provision of recommendations or guidelines for management of Hepatitis B at the primary care level. Included articles were then reviewed for their appropriateness to the remote primary health care setting against a set of five criteria determined at a consensus meeting of eight local medical officers.

Results: Eleven articles were included for final review of which none met all five criteria of appropriateness for the remote primary health care setting.

Conclusions: Guidelines need to recognize the difficulties of rural and remote practice and present practical alternatives to urban centred recommendations.

Item ID: 19205
Item Type: Article (Refereed Research - C1)
Keywords: clinical practice guideline, Indigenous, infection, liver, rural
ISSN: 1440-1584
Date Deposited: 08 Dec 2011 03:28
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111701 Aboriginal and Torres Strait Islander Health @ 50%
11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111717 Primary Health Care @ 50%
SEO Codes: 92 HEALTH > 9203 Indigenous Health > 920303 Aboriginal and Torres Strait Islander Health - Health System Performance (incl. Effectiveness of Interventions) @ 50%
92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920499 Public Health (excl. Specific Population Health) not elsewhere classified @ 25%
92 HEALTH > 9205 Specific Population Health (excl. Indigenous Health) > 920506 Rural Health @ 25%
Citation Count from Web of Science Web of Science 2
Downloads: Total: 4
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