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Improving hepatitis C screening and access to treatment.
Ryan Alberts1, AnnMarie Zimmermann, Anthony Martinez
1Ryan Alberts practices at Universal Primary Care in Olean, N.Y. AnnMarie Zimmermann is medical director of the Southern Tier Community Health Center Network in Olean, N.Y. Anthony Martinez is an associate professor of medicine in the Jacobs School of Medicine at the University at Buffalo (N.Y.) and medical director of hepatology at Erie County Medical Center in Buffalo, N.Y. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Hepatitis C virus (HCV) infection is rising in younger populations due to opioid use. Universal screening and primary care collaboration are key to improving treatment access and reducing transmission.
Area of Science:
- Hepatology
- Infectious Diseases
- Public Health
Background:
- Opioid use disorder and injection drug use are driving increased hepatitis C virus (HCV) infection rates.
- Demographic shifts show a rise in new HCV infections among younger individuals.
- Evolving screening guidelines recommend near-universal HCV screening.
Purpose of the Study:
- To address low screening and linkage to care rates for HCV.
- To explore strategies for improving HCV care access in underserved populations.
- To evaluate collaborative models for HCV treatment in primary care settings.
Main Methods:
- Review of current HCV screening guidelines and demographic trends.
- Analysis of barriers to screening and care linkage in vulnerable populations.
- Examination of proposed collaborative care models involving primary care providers.
Main Results:
- New HCV infections are increasingly prevalent in younger demographics.
- Underserved populations face significant barriers to accessing HCV specialty care.
- Collaborative primary care models show promise for enhancing HCV treatment linkage.
Conclusions:
- Near-universal HCV screening is recommended due to shifting demographics.
- Addressing disparities in access is crucial for effective HCV control.
- Integrating HCV treatment into primary care can improve patient outcomes and reduce transmission.
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