在城市,医疗服务不足的患者群体中大规模,以初级保健为基础的C型肝炎治疗
Shelly-Ann Fluker1, Rapheisha Darby2, Kathryn McDaniel3
1Division of General Internal Medicine, Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Public health reports (Washington, D.C. : 1974)
|May 26, 2023
概括
初级保健诊所可以有效治疗C型肝炎病毒 (HCV) 感染,增加获得护理的机会. 格雷迪肝诊所模型显示了高治愈率,支持了HCV消除工作.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 型肝炎病毒 (HCV) 感染在美国构成了重大公共卫生挑战.
- 获得专业护理的机会有限,阻碍了广泛的HCV治疗.
- 初级保健机构提供了一个可行的模式,以扩大HCV护理的提供.
研究的目的:
- 描述基于初级保健的HCV诊所的模型,患者人口统计和治疗结果.
- 评估格雷迪肝脏诊所 (GLC) 在控制HCV病毒方面的有效性.
- 评估诊所在推进HCV微量消除目标中的作用.
主要方法:
- 对2015-2019年间格雷迪肝脏诊所 (GLC) 患者数据的回顾分析.
- 描述基于初级保健的多学科诊所模型.
- 评估治疗开始,完成和持续的病毒治愈率.
主要成果:
- 观察了2689名患者,77%的人开始接受HCV治疗.
- 85%的受试者完成了治疗,并进行了治愈测试.
- 在接受测试的人群中,治愈率达到了97% (83%的总治疗队列).
结论:
- 基于初级保健的模型,如GLC,在提供HCV护理和实现高治愈率方面是有效的.
- 这些模型对于增加获得治疗的机会至关重要,特别是在服务不足的人群中.
- 以全科医生为主导的HCV护理对于美国实现到2030年消除HCV的目标至关重要.
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