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Point of Care Policy for Eliminating Hepatitis C, its Applicability and Acceptability

Mahdi Sheikh1,2, Hossein Poustchi3

  • 1Liver and Pancreatobiliary Diseases Research Center, Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Archives of Iranian Medicine
|September 18, 2018
PubMed

Insights

Point of care (POC) policy can improve hepatitis C virus (HCV) diagnosis and treatment by bringing testing and services closer to patients. This approach addresses challenges in HCV management, increasing accessibility for infected individuals.

Area of Science:

  • Hepatology
  • Infectious Diseases
  • Public Health Policy

Background:

  • Chronic hepatitis C virus (HCV) infection is treatable with high success rates, yet diagnosis and treatment rates remain low (<5% diagnosed, <1% treated).
  • Current HCV management involves complex, time-consuming, and costly processes with multiple referrals, hindering patient access.
  • HCV disproportionately affects populations with low engagement in healthcare, further limiting treatment uptake.

Purpose of the Study:

  • To evaluate the applicability, acceptability, and cost-effectiveness of a Point of Care (POC) policy for comprehensive HCV management.
  • To explore how POC services can integrate the entire HCV care continuum, from screening to treatment.
  • To assess the perspectives of healthcare providers, patients, and policymakers on POC implementation for HCV.

Main Methods:

  • Discussion of current literature and policy frameworks regarding Point of Care (POC) testing and services.
  • Analysis of the components required for a POC policy covering the full spectrum of HCV management.
  • Consideration of factors influencing the successful implementation of POC strategies, including stakeholder acceptance.

Main Results:

  • POC policy offers a potential solution to overcome barriers in HCV diagnosis and treatment accessibility.
  • Integrating screening, viremia diagnosis, genotyping, cirrhosis evaluation, and treatment within a POC framework is feasible.
  • Successful implementation hinges on the acceptance and collaboration of healthcare providers, target populations, and policymakers.

Conclusions:

  • Point of Care (POC) policy is a promising strategy to enhance HCV care delivery and improve patient outcomes.
  • Addressing current gaps in HCV diagnosis and treatment requires innovative approaches like POC services.
  • Further research and policy development are needed to optimize POC implementation for HCV infection.

Keywords:
EliminationNationalRapidViral

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