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Framework for community-based models for treating hepatitis C virus.

Davoud Pourmarzi1, Lisa Hall2, Andrew Smirnov3

  • 1School of Public Health and Social Work, Faculty of Health, Institute of Health and Biomedical Innovation (IHBI), Queensland University of Technology, Kelvin Grove, Qld 4059, Australia. Email: l.hall3@uq.edu.au; gj.fitzgerald@qut.edu.au; and School of Public Health, Faculty of Medicine, The University of Queensland, Herston, Qld 4006, Australia. Email: a.smirnov@uq.edu.au; and Corresponding author.

Australian Health Review : a Publication of the Australian Hospital Association
|November 1, 2019
PubMed
Summary
This summary is machine-generated.

Community-based hepatitis C virus (HCV) treatment models require specific organizational and operational elements for successful implementation. This framework identifies key components for patient and provider support, and service delivery to aid HCV elimination efforts.

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Area of Science:

  • Hepatology and Public Health
  • Health Services Research
  • Implementation Science

Background:

  • Community-based models for treating hepatitis C virus (HCV) are recognized for improving treatment access and acceptability compared to tertiary care.
  • However, the specific organizational and operational components of these successful models are not well understood.

Purpose of the Study:

  • To identify and categorize the organizational and operational elements of community-based HCV treatment models.
  • To develop a framework to guide the design, implementation, and evaluation of these models for HCV elimination.

Main Methods:

  • A systematic review of 17 databases was conducted, searching for published and unpublished studies up to September 2017.
  • A qualitative inductive thematic approach was used to extract and analyze organizational and operational elements.

Main Results:

  • Thirteen organizational and operational elements were identified, categorized into three domains: patient support, healthcare provider support, and service delivery facilitation.
  • Patient support included peer, psychological, social, and adherence support.
  • Provider support encompassed education, mentoring, decision support, and recognition; service delivery involved infrastructure, policy, and collaboration.

Conclusions:

  • A framework of 13 elements across three domains can guide the design, implementation, and evaluation of community-based HCV treatment models.
  • Supporting both patients and providers, alongside facilitating service delivery, is crucial for enhancing engagement and achieving HCV elimination.
  • Context-specific adaptation of these elements is essential for optimizing health and service outcomes.