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评估意大利托斯卡纳的型肝炎护理监测系统,通过人口追溯数据链接研究,2015-2021年
Luca Ceccarelli1,2, Giaele Moretti3, Sara Mazzilli4,5
1Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy. luca.ceccarelli15@studio.unibo.it.
BMC infectious diseases
|March 30, 2024
概括
直接作用抗病毒药物 (DAA) 在托斯卡纳增加了型肝炎病毒 (HCV) 测试,但治疗目标被错过了. 需要分散的模型和更好的数据来消除HCV,特别是在风险人群中.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 直接作用抗病毒药物 (DAA) 彻底改变了C型肝炎病毒 (HCV) 治疗.
- 了解它们对测试,治疗和获取的实际影响对于消除策略至关重要.
研究的目的:
- 在六年内评估DAA对托斯卡纳地区的HCV检测,治疗趋势和获得护理的影响.
- 确定在实现国家HCV消除目标方面面临的挑战和机会.
主要方法:
- 在托斯卡纳使用行政医疗记录进行了回顾性数据链接研究.
- 从DAA引入到2023年,分析HCV检测和治疗数据.
主要成果:
- 由于普遍获得治疗,HCV检测在2017年显著增加,但年度治疗目标未实现.
- 由于怀孕建议,女性 (33-53岁) 的查率更高;测试和治疗在男性中更常见.
- 问题性物质使用者是测试和治疗的优先组.
结论:
- 尽管最初的增长,但hcv服务在2018年后被承包,由covid-19恶化.
- 对于难以接触的人群,需要分散的HCV护理模式和替代测试策略 (例如,护理点).
- 改善数据链接对于准确监测HCV护理级联和为区域/国家消除计划提供信息至关重要.
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