{"id":2126,"date":"2020-05-20T20:20:10","date_gmt":"2020-05-20T20:20:10","guid":{"rendered":"https:\/\/cdafound.org\/?page_id=2126"},"modified":"2025-08-01T18:10:26","modified_gmt":"2025-08-01T18:10:26","slug":"uhep-methodology","status":"publish","type":"page","link":"https:\/\/cdafound.org\/zh\/uhep-methodology\/","title":{"rendered":"\u65b9\u6cd5\uff1a\u5927\u89c4\u6a21\u68c0\u6d4b\u548c\u6cbb\u7597\u4e59\u809d\u548c\u4e19\u809d"},"content":{"rendered":"

UHEP\u65b9\u6cd5\u6b65\u9aa4<\/h2>\n\n\n\n
\n
\n

\u8bd5\u70b9\u6982\u5ff5<\/h3>\n<\/div>\n\n\n\n
\n

\u50ac\u5316\u6295\u8d44\u7528\u4e8e\u652f\u4ed8\u8d2d\u4e70\u9996\u8f6e\u8bca\u65ad\u548c\u836f\u7269\u7684\u524d\u671f\u6210\u672c\u3002\u6240\u6709\u53c2\u4e0e\u8005\u5747\u53ef\u4eab\u53d7\u514d\u8d39\u68c0\u6d4b\uff08\u88681\uff09\u3002\u6839\u636e\u73b0\u6709\u673a\u5236\uff0c\u9884\u8ba1\u670920%\u60a3\u8005\u53ef\u83b7\u5f97\u514d\u8d39\u6cbb\u7597\uff0c\u8be5\u673a\u5236\u7531\u793e\u533a\u59d4\u5458\u4f1a\u6839\u636e\u6536\u5165\u6c34\u5e73\u786e\u5b9a\u514d\u8d39\u533b\u7597\u670d\u52a1\u7684\u8d44\u683c\u3002\u5bf980%\u60a3\u8005\uff08\u5176\u4e2d80%\u60a3\u8005\u6709\u652f\u4ed8\u80fd\u529b\uff09\u7684\u6cbb\u7597\u4ef7\u683c\u8fdb\u884c\u52a0\u4ef7\uff0c\u7528\u4e8e\u8d2d\u4e70\u540e\u7eed\u8bca\u65ad\u548c\u836f\u7269\uff0c\u5e76\u5728\u9879\u76ee\u7ed3\u675f\u65f6\u507f\u8fd8\u50ac\u5316\u6295\u8d44\u3002<\/p>\n\n\n\n

\u4e59\u809d\u6216\u4e19\u809d\u836f\u7269\u7684\u8d39\u7528\u662f\u901a\u8fc7\u5c06\u5404\u81ea\u7528\u54c1\/\u9879\u76ee\u7684\u603b\u6210\u672c\u9664\u4ee5\u5c06\u5bfb\u6c42\u6cbb\u7597\u5e76\u6709\u80fd\u529b\u652f\u4ed8\u7684\u76f8\u5e94\u60a3\u8005\u7684\u4f30\u8ba1\u6570\u91cf\u6765\u786e\u5b9a\u7684\u3002<\/p>\n\n\n\n

\u6240\u6709\u62a4\u58eb\u5747\u63a5\u53d7\u4e86\u5173\u4e8e\u5feb\u901f\u8bca\u65ad\u6d4b\u8bd5 (RDT)\u3001\u52a8\u673a\u6027\u8bbf\u8c08\u548c\u60a3\u8005\u767b\u8bb0\u7684\u57f9\u8bad\u3002\u9a6c\u91cc\u5170\u5927\u5b66\u4e3a\u6240\u6709\u533b\u751f\uff08\u5305\u62ec\u7efc\u5408\u8bca\u6240\u5168\u79d1\u533b\u751f\uff09\u63d0\u4f9b\u7814\u7a76\u65b9\u6848\u57f9\u8bad\uff0c\u7279\u522b\u5173\u6ce8\u7b80\u5316\u68c0\u6d4b\u548c\u6cbb\u7597\u7b97\u6cd5\u4e0e\u73b0\u884c\u56fd\u5bb6\u6307\u5357\u7684\u533a\u522b\u3002\u57f9\u8bad\u5185\u5bb9\u8fd8\u5305\u62ec\u5b9e\u9a8c\u5ba4\u7ed3\u679c\u89e3\u8bfb\u3001\u836f\u7269\u7981\u5fcc\u75c7\u3001\u836f\u7269\u76f8\u4e92\u4f5c\u7528\u3001\u5408\u5e76\u75c7\u3001\u63a8\u8350\u5242\u91cf\u4ee5\u53ca REDCAP \u60a3\u8005\u767b\u8bb0\u7cfb\u7edf\u7684\u4f7f\u7528\u3002<\/p>\n<\/div>\n<\/div>\n\n\n\n

\n\n\n\n
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\n

\u7814\u7a76\u65b9\u6848<\/h3>\n<\/div>\n\n\n\n
\n

\u8be5\u9879\u76ee\u7531\u4e00\u4e2a\u533b\u5b66\u987e\u95ee\u59d4\u5458\u4f1a\u76d1\u7763\uff0c\u8be5\u59d4\u5458\u4f1a\u7531\u56fd\u9645\u4e13\u5bb6\u7ec4\u6210\uff0c\u5c31\u4e59\u809d\u6216\u4e19\u809d\u68c0\u6d4b\u7b97\u6cd5\u548c\u6cbb\u7597\u7b56\u7565\u63d0\u4f9b\u54a8\u8be2\u3002\u5728\u4e4c\u5179\u522b\u514b\u65af\u5766\u809d\u708e\u6d88\u9664\u8bd5\u70b9\u9879\u76ee\uff08UHEP\uff09\u4e8e2019\u5e7412\u67086\u65e5\u542f\u52a8\u4e4b\u524d\uff0c\u9879\u76ee\u56e2\u961f\u5236\u5b9a\u4e86\u7814\u7a76\u65b9\u6848\uff0c\u7ecf\u533b\u5b66\u987e\u95ee\u59d4\u5458\u4f1a\u5ba1\u67e5\uff0c\u5e76\u83b7\u5f97\u56fd\u5bb6\u673a\u6784\u5ba1\u67e5\u59d4\u5458\u4f1a\u548c\u536b\u751f\u90e8\u7684\u6279\u51c6\u3002<\/p>\n\n\n\n

\u6211\u4eec\u5236\u5b9a\u4e86\u7b80\u5316\u7684\u68c0\u6d4b\u6d41\u7a0b\uff0c\u4ee5\u6700\u5927\u7a0b\u5ea6\u5730\u51cf\u5c11\u5f00\u59cb\u6cbb\u7597\u524d\u6240\u9700\u7684\u68c0\u6d4b\u6570\u91cf\u3002\u60a3\u8005\u9996\u5148\u63a5\u53d7\u4e59\u809d\u8868\u9762\u6297\u539f (HBsAg) \u5feb\u901f\u8bca\u65ad\u68c0\u6d4b (RDT) \u7b5b\u67e5\uff0c\u5982\u679c\u68c0\u6d4b\u7ed3\u679c\u5448\u9633\u6027\uff0c\u5219\u8fdb\u884c HIV \u548c\u808c\u9150\u5feb\u901f\u68c0\u6d4b\u3002\u6240\u6709 HIV \u9633\u6027\u60a3\u8005\u5747\u8f6c\u8bca\u81f3 HIV \u8bca\u6240\u63a5\u53d7\u6cbb\u7597\u3002\u6240\u6709\u5176\u4ed6\u60a3\u8005\u5747\u8f6c\u8bca\u81f3\u7efc\u5408\u8bca\u6240\u5168\u79d1\u533b\u751f (GP) \u8fdb\u884c\u54a8\u8be2\u5e76\u83b7\u5f97\u5904\u65b9\u3002<\/p>\n\n\n\n

HCV RDT \u4e0e HBsAg \u68c0\u6d4b\u540c\u65f6\u8fdb\u884c\uff0c\u7528\u4e8e\u68c0\u6d4b\u6297 HCV\u3002\u6297 HCV \u68c0\u6d4b\u5448\u9633\u6027\u7684\u60a3\u8005\u9700\u62bd\u8840\u5e76\u9001\u68c0 HCV \u6838\u5fc3\u6297\u539f\u3001\u808c\u9150\u3001\u5929\u51ac\u6c28\u9178\u6c28\u57fa\u8f6c\u79fb\u9176 (AST) \u548c\u8840\u5c0f\u677f\u68c0\u6d4b\u3002AST \u4e0e\u8840\u5c0f\u677f\u6bd4\u503c\u6307\u6570 (APRI) \u4f1a\u7528\u4e8e\u8bc4\u4f30\u809d\u786c\u5316\u7a0b\u5ea6\u3002\u80be\u5c0f\u7403\u6ee4\u8fc7\u7387 (eGFR) \u5219\u7528\u4e8e\u8bc4\u4f30\u80be\u529f\u80fd\u3002\u809d\u786c\u5316\u60a3\u8005 (APRI >1.5) \u6216\u80be\u529f\u80fd\u53d7\u635f\u60a3\u8005 (eGFR <30 ml\/min\/1.73 m\u00b2) \u4f1a\u88ab\u8f6c\u8bca\u81f3 RIV \u54a8\u8be2\u4e13\u79d1\u533b\u751f\u3002\u6240\u6709\u5176\u4ed6\u60a3\u8005\u5728\u68c0\u6d4b\u7ed3\u679c\u51fa\u6765\u540e\uff08\u5927\u7ea6\u68c0\u6d4b\u540e 3 \u5929\uff09\u4f1a\u5b89\u6392\u524d\u5f80\u7efc\u5408\u8bca\u6240\u5168\u79d1\u533b\u751f\u5904\u5c31\u8bca\u3002<\/p>\n\n\n\n

HBsAg\u9633\u6027\u60a3\u8005\u5c06\u83b7\u5f9712\u4e2a\u6708\u7684\u5bcc\u9a6c\u9178\u66ff\u8bfa\u798f\u97e6\u4e8c\u5421\u544b\u916f\u5904\u65b9\uff0c\u5e76\u6307\u793a12\u4e2a\u6708\u540e\u56de\u6765\u8fdb\u884c\u514d\u8d39\u7684\u540e\u7eed\u68c0\u6d4b\uff08HBsAg\u3001HIV\u548c\u808c\u9150\uff09\u3002\u6240\u6709\u7b26\u5408\u6761\u4ef6\u7684HCV\u611f\u67d3\u60a3\u8005\uff0c\u5982\u679c\u975e\u809d\u786c\u5316\uff0c\u5c06\u83b7\u5f973\u4e2a\u6708\u7684\u7d22\u975e\u5e03\u97e6\/\u8fbe\u5361\u4ed6\u97e6\u5904\u65b9\uff1b\u5982\u679c\u809d\u786c\u5316\uff0c\u5c06\u83b7\u5f973\u4e2a\u6708\u7684\u7d22\u975e\u5e03\u97e6\/\u7ef4\u5e15\u4ed6\u97e6\u5904\u65b9\u3002\u4ed6\u4eec\u8fd8\u88ab\u6307\u793a\u5728\u5b8c\u6210\u6cbb\u759712\u5468\u540e\u56de\u6765\u8fdb\u884c\u514d\u8d39\u7684HCV\u6838\u5fc3\u6297\u539f\u68c0\u6d4b\uff0c\u4ee5\u786e\u5b9a\u6301\u7eed\u75c5\u6bd2\u5b66\u5e94\u7b54\uff08SVR\uff09\uff0c\u5373\u6cbb\u6108\u3002<\/p>\n<\/div>\n<\/div>\n\n\n\n

\n\n\n\n
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\u52a8\u673a\u8bbf\u8c08<\/h3>\n<\/div>\n\n\n\n
\n

\u6240\u6709\u4e59\u809d\u8868\u9762\u6297\u539f (HBsAg) \u6216\u4e19\u809d\u75c5\u6bd2 (HCV) \u6297\u4f53\u68c0\u6d4b\u5448\u9633\u6027\u7684\u60a3\u8005\u5728\u8f6c\u8bca\u81f3\u533b\u751f\u4e4b\u524d\uff0c\u90fd\u4f1a\u4e0e\u4e00\u4f4d\u63a5\u53d7\u8fc7\u7b80\u77ed\u52a8\u673a\u8bbf\u8c08\u57f9\u8bad\u7684\u62a4\u58eb\u89c1\u9762\u3002\u8fd9\u79cd\u8bbf\u8c08\u65b9\u6cd5\u5df2\u5728\u836f\u7269\u6ee5\u7528\u548c\u9152\u7cbe\u6ee5\u7528\u73af\u5883\u4e2d\u4f7f\u7528\uff0c\u65e8\u5728\u589e\u5f3a\u53c2\u4e0e\u8005\u4e0e\u62a4\u7406\u5efa\u7acb\u8054\u7cfb\u5e76\u575a\u6301\u6cbb\u7597\u7684\u5185\u5728\u610f\u613f\u3002<\/p>\n<\/div>\n<\/div>\n\n\n\n

\n\n\n\n
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\u75c5\u4eba\u767b\u8bb0\u5904<\/h3>\n<\/div>\n\n\n\n
\n

\u6240\u6709\u60a3\u8005\u77e5\u60c5\u540c\u610f\u4e66\u3001\u8054\u7cfb\u4fe1\u606f\u3001\u75c5\u53f2\u3001\u68c0\u6d4b\u7ed3\u679c\u548c\u533b\u751f\u8bb0\u5f55\u5747\u5f55\u5165\u5f00\u6e90\u7684 REDCAP \u7535\u5b50\u533b\u7597\u767b\u8bb0\u7cfb\u7edf\uff0c\u8be5\u7cfb\u7edf\u65e8\u5728\u901a\u8fc7\u8be5\u9879\u76ee\u76d1\u6d4b\u60a3\u8005\u7684\u6cbb\u7597\u8fdb\u5c55\u3002\u6240\u6709\u7efc\u5408\u8bca\u6240\u548c RIV \u533b\u52a1\u4eba\u5458\u5747\u914d\u5907\u4f4e\u6210\u672c\u7684\u6570\u5b57\u5e73\u677f\u7535\u8111\u548c\u7b14\u8bb0\u672c\u7535\u8111\uff0c\u5e76\u5728\u9700\u8981\u65f6\u914d\u5907\u8702\u7a9d\u65e0\u7ebf\u8def\u7531\u5668\uff0c\u4ee5\u4fbf\u8bb0\u5f55\u548c\u8fd1\u4e4e\u5b9e\u65f6\u5730\u4e0a\u4f20\u60a3\u8005\u6570\u636e\u3002\u8be5\u767b\u8bb0\u7cfb\u7edf\u53ef\u907f\u514d\u91cd\u590d\u68c0\u6d4b\uff0c\u5e76\u5728\u60a3\u8005\u672a\u83b7\u5f97\u533b\u7597\u670d\u52a1\u65f6\u63d0\u4f9b\u540e\u7eed\u8ddf\u8fdb\u673a\u5236\u3002<\/p>\n<\/div>\n<\/div>\n\n\n\n

\n\n\n\n
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\u534f\u5546\u5b9a\u4ef7<\/h3>\n<\/div>\n\n\n\n
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\u901a\u8fc7\u975e\u8425\u5229\u6027\u91c7\u8d2d\u670d\u52a1\u673a\u6784\u5168\u7403\u91c7\u8d2d\u57fa\u91d1\uff08GPRO\uff09\uff0c\u6211\u4eec\u4ee5\u4f4e\u5ec9\u7684\u4ef7\u683c\u5927\u91cf\u91c7\u8d2d\u8d28\u91cf\u6709\u4fdd\u8bc1\u7684\u836f\u54c1\u548c\u8bca\u65ad\u8bd5\u5242\u3002\u4e4c\u5179\u522b\u514b\u65af\u5766\u653f\u5e9c\u540c\u610f\u514d\u9664\u5927\u90e8\u5206\u8fdb\u53e3\u5173\u7a0e\u548c\u8d39\u7528\uff0c\u5e76\u63d0\u4f9b\u4eba\u529b\u8d44\u6e90\u3001\u8bca\u6240\u7a7a\u95f4\u3001\u5b9e\u9a8c\u5ba4\u8bbe\u5907\u548c\u4e00\u6b21\u6027\u7528\u54c1\u3002\u5168\u56fd\u8fde\u9501\u836f\u5e97OxyMED\u4e0e\u4e4c\u5179\u522b\u514b\u65af\u5766\u653f\u5e9c\u7b7e\u8ba2\u4e86\u5408\u540c\uff0c\u4ec5\u4ee55%\u7684\u52a0\u4ef7\u51fa\u552e\u836f\u54c1\u3002<\/p>\n<\/div>\n<\/div>\n\n\n\n

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\u8003\u8bd5\u5730\u70b9<\/h3>\n<\/div>\n\n\n\n
\n

\u5854\u4ec0\u5e72\u5e02\u5171\u62db\u52df\u4e8613\u5bb6\u7efc\u5408\u8bca\u6240\uff0c\u5c06\u572812\u4e2a\u6708\u5185\u5bf9\u7ea625\u4e07\u540d18\u5c81\u4ee5\u4e0a\u7684\u6210\u5e74\u4eba\u8fdb\u884c\u68c0\u6d4b\u3002\u6bcf\u5b63\u5ea6\u5c06\u6709\u4e09\u5230\u56db\u5bb6\u7efc\u5408\u8bca\u6240\u6295\u5165\u8fd0\u8425\u3002\u6bcf\u5b63\u5ea6\uff0c\u5c06\u5728\u8fd913\u5bb6\u9009\u5b9a\u7684\u7efc\u5408\u8bca\u6240\u4e2d\u65b0\u589e\u4e09\u5230\u56db\u5bb6\u7efc\u5408\u8bca\u6240\u8fdb\u884c\u68c0\u6d4b\uff0c\u800c\u4e4b\u524d\u51e0\u4e2a\u6708\u8fd0\u8425\u7684\u7efc\u5408\u8bca\u6240\u5c06\u505c\u6b62\u68c0\u6d4b\u3002<\/p>\n<\/div>\n<\/div>\n\n\n\n

\n\n\n\n
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\u8bad\u7ec3<\/h3>\n<\/div>\n\n\n\n
\n

\u6240\u6709\u62a4\u58eb\u5747\u63a5\u53d7\u4e86\u5173\u4e8e\u5feb\u901f\u8bca\u65ad\u6d4b\u8bd5 (RDT)\u3001\u52a8\u673a\u6027\u8bbf\u8c08\u548c\u60a3\u8005\u767b\u8bb0\u7684\u57f9\u8bad\u3002\u9a6c\u91cc\u5170\u5927\u5b66\u4e3a\u6240\u6709\u533b\u751f\uff08\u5305\u62ec\u7efc\u5408\u8bca\u6240\u5168\u79d1\u533b\u751f\uff09\u63d0\u4f9b\u7814\u7a76\u65b9\u6848\u57f9\u8bad\uff0c\u7279\u522b\u5173\u6ce8\u7b80\u5316\u68c0\u6d4b\u548c\u6cbb\u7597\u7b97\u6cd5\u4e0e\u73b0\u884c\u56fd\u5bb6\u6307\u5357\u7684\u533a\u522b\u3002\u57f9\u8bad\u5185\u5bb9\u8fd8\u5305\u62ec\u5b9e\u9a8c\u5ba4\u7ed3\u679c\u89e3\u8bfb\u3001\u836f\u7269\u7981\u5fcc\u75c7\u3001\u836f\u7269\u76f8\u4e92\u4f5c\u7528\u3001\u5408\u5e76\u75c7\u3001\u63a8\u8350\u5242\u91cf\u4ee5\u53ca REDCAP \u60a3\u8005\u767b\u8bb0\u7cfb\u7edf\u7684\u4f7f\u7528\u3002<\/p>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"

UHEP Methodology Steps Pilot Concept A catalytic investment is used to cover up-front costs to purchase the first round of diagnostics and medicines. All participants receive free testing (Table 1). An estimated 20% of patients receive free treatment using an existing mechanism where neighborhood councils determine eligibility for free medical services based on income level. […]<\/p>\n","protected":false},"author":13,"featured_media":7318,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"subtheme":[],"class_list":["post-2126","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/cdafound.org\/zh\/wp-json\/wp\/v2\/pages\/2126","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdafound.org\/zh\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cdafound.org\/zh\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cdafound.org\/zh\/wp-json\/wp\/v2\/users\/13"}],"replies":[{"embeddable":true,"href":"https:\/\/cdafound.org\/zh\/wp-json\/wp\/v2\/comments?post=2126"}],"version-history":[{"count":7,"href":"https:\/\/cdafound.org\/zh\/wp-json\/wp\/v2\/pages\/2126\/revisions"}],"predecessor-version":[{"id":8364,"href":"https:\/\/cdafound.org\/zh\/wp-json\/wp\/v2\/pages\/2126\/revisions\/8364"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdafound.org\/zh\/wp-json\/wp\/v2\/media\/7318"}],"wp:attachment":[{"href":"https:\/\/cdafound.org\/zh\/wp-json\/wp\/v2\/media?parent=2126"}],"wp:term":[{"taxonomy":"subtheme","embeddable":true,"href":"https:\/\/cdafound.org\/zh\/wp-json\/wp\/v2\/subtheme?post=2126"}],"curies":[{"name":"\u53ef\u6e7f\u6027\u7c89\u5242","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}